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Geriatric & Nursing Home Psychiatry

Specialized psychiatric care for older adults ages 65 and up, supporting quality of life, emotional stability, and independence.

What You Should Know

Dignity, Clarity, and Compassionate Care for Your Later Years.

Mental health is a vital component of overall health at every stage of life. However, as we age, the way we experience emotional and cognitive challenges can shift. What looks like "forgetfulness" might actually be depression, and what looks like "agitation" might be an undiagnosed anxiety disorder. At Smile Psychiatry, we provide specialized geriatric psychiatric care for older adults (65+) throughout Utah.

Our goal is to support both the patient and their family, ensuring that your later years are defined by quality of life, emotional stability, and independence.

When to Consider Geriatric Psychiatry?

Mental health concerns in older adults are often complex because they frequently overlap with physical health conditions or changes in brain chemistry. It may be time to seek a specialized evaluation if you or a loved one notices:

  • The "Pseudo-Dementia" Effect: Significant changes in memory or confusion that may actually be caused by severe depression rather than a neurological disorder.
  • Late-Life Anxiety: Excessive worry about health, finances, or safety that limits daily activities.
  • Social Withdrawal: Losing interest in grandchildren, hobbies, or community events that were once cherished.
  • Sleep Disturbances: Chronic insomnia or frequent nighttime waking that impacts daytime energy and mood.
  • Unexplained Physical Ailments: Persistent pain or digestive issues that don't seem to have a clear physical cause.
  • Irritability or Agitation: Sudden shifts in personality or increased frustration with daily routines.

Conditions We Commonly Treat

We take a holistic view of the aging process, specializing in the diagnosis and management of:

  • Late-Life Depression: Helping seniors rediscover a sense of purpose and joy.
  • Anxiety & Panic Disorders: Providing tools to manage the stressors of life transitions and health changes.
  • Mild Cognitive Impairment: Evaluating the intersection of mood and memory to provide a clear path forward.
  • Insomnia & Circadian Rhythm Shifts: Restoring healthy sleep patterns without over-medicating.
  • Adjustment Disorders: Navigating the emotional toll of retirement, the loss of a spouse, or a new medical diagnosis.

A "Safety-First" Approach to Medication Management

Medication management for older adults requires an incredibly high level of precision. At Smile Psychiatry, we are experts in Polypharmacy Management, the practice of carefully reviewing all your current medications to prevent dangerous interactions.

Our Prescribing Philosophy:

  • "Start Low and Go Slow": The aging body processes medication differently. We use the lowest effective dose to minimize side effects and protect cognitive clarity.
  • Deprescribing: We don't just add medications; we look for opportunities to remove unnecessary ones that may be causing "brain fog" or fall risks.
  • Metabolic Monitoring: We keep a close eye on how treatments affect your physical health, coordinating with your primary care physician or cardiologist.

The "Smile" Approach: Collaborative & Patient-Centered

We believe that geriatric care is a team effort. Our process is designed to be thorough and respectful:

1. Comprehensive Medical & Psychiatric Review

We perform a deep dive into your medical history, current prescriptions, and lifestyle. We look for underlying factors, like Vitamin B12 deficiencies or thyroid issues, that can mimic psychiatric symptoms.

2. Family & Caregiver Partnership

With the patient's permission, we welcome the involvement of family members or caregivers. We provide the education and guidance you need to support your loved one at home, helping to reduce caregiver burnout and improve communication.

3. Telehealth & Accessibility

We understand that transportation can be a barrier. We offer secure Telehealth visits across Utah, allowing you to receive expert psychiatric care from the comfort of your living room. For those who prefer in-person visits, our Lehi and Draper offices are designed for ease of access and comfort.

Why Choose Smile Psychiatry?

48-Hour Connection: We prioritize our senior patients and strive to get you seen within 1 to 2 business days.

  • Specialized Expertise: We understand the unique intersection of aging and mental health.
  • Coordination of Care: We are happy to work alongside your existing medical team to ensure your treatment plan is cohesive and safe.

Quality of Life Has No Expiration Date.

You've spent a lifetime caring for others. Now let us care for you. Whether you are looking for clarity on memory changes or relief from a low mood, we are here to help you find your smile again.

Why Choose SMILE Psychiatry?

Board-certified psychiatrists

Appointments within 48 hours

Patients ages 4 and up

Telehealth available statewide

Lehi, Utah

48hrs

Average time to first appointment

Ages 4+

Children, teens, and adults

18+

Insurance plans accepted

In Office + Telehealth

Lehi office or video visits statewide

Frequently Asked Questions

Find answers to the most common questions about this condition and treatment. If you need more information, please contact our office.

Can depression in older adults look like dementia?

Yes. Pseudo-dementia is a well-documented phenomenon where severe depression causes memory loss and confusion that mimics dementia. Proper evaluation can distinguish between the two.

Do you review all of my current medications?

Yes. Polypharmacy management is a core part of our geriatric care. We review every medication to identify interactions, side effects, or unnecessary prescriptions affecting mental clarity.

Can family members participate in appointments?

With the patient's permission, we welcome family and caregiver involvement. We provide education and guidance to support your loved one at home and reduce caregiver stress.

What Our Patients Say

Read reviews from real patients:

ExcellentGoogle star 1Google star 2Google star 3Google star 4Google star 54.7113 reviews
4.7Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent113 reviews
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Lauren Smith profile picture
Lauren Smith
5 days ago
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The best psychiatrists and therapists!! Totally recommend
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Anne Olson profile picture
Anne Olson
68 days ago
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I was initially happy with my first appointment with Dr. Beret. He seemed genuinely caring and eager to help. However, I did get passed on to another provider right away. After only a month or so, that provider left, and again I was passed on. This happened a total of 3 times (not counting Dr. Beret). Each has only seen me 1 or 2 times before leaving the practice. It was disappointing to say the least to have been passed around carelessly when I’m dealing with a severe mental illness. I need consistency and stability which did not happen here. I have no idea why these providers left, but that was a red flag to me. I will be seeking care elsewhere.
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Marie Needham profile picture
Marie Needham
99 days ago
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Over the past several years, Dr. Halley Brown has guided me through the most difficult period of my life with extraordinary compassion, wisdom, and unwavering dedication. From the very beginning, she has made every effort to truly understand me—not just the circumstances I was facing, but the patterns, fears, and experiences that shaped them. In doing so, she has helped me understand myself in ways I never thought possible. Rather than simply offering advice, she has empowered me to discover solutions, heal old wounds, and develop healthier ways of relating to both myself and others. The work we've done together has profoundly changed how I navigate other relationships. She has an exceptional ability to provide clarity when life feels confusing and confidence when I doubt myself. Her consistency, generosity and compassion has benefited me more deeply than I can adequately express. Because of her guidance, I walk into the world with a bit more confidence and a stronger sense of who I am. My hope is to pay forward the generosity, empathy, and healthy curiosity she has consistently shown me. Those qualities have left a lasting impression on how I want to treat others. When our work together eventually comes to an end, I know I will carry a part of her with me. Her voice—the thoughtful questions, and compassionate perspective—has become intertwined with my own inner voice. I expect that, for years to come, I'll occasionally hear myself asking the kinds of insightful questions she taught me to ask. She also has a wonderful wit that brings warmth and lightness to even the hardest conversations, and a depth of wisdom that far exceeds what I would have expected from someone so early in her career. She possesses a rare combination of intelligence, empathy, curiosity, and unrelenting, genuine care. I am deeply grateful that she ushered me through the darkest chapter of my life and helped me emerge on the other side with more hope, and resilience I never knew I had.  I cannot recommend her highly enough.
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Rebecca Summer profile picture
Rebecca Summer
116 days ago
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Horrid. Only have to be smarter than a cucumber to recognize the sheer amount of red tape and corruption. I’d say it’s a joke but it’s not funny. More interested in gatekeeping than actually helping patients. I won’t waste your time on the details, but believe me… go elsewhere. You’ll thank me later.
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Cindy E Jones profile picture
Cindy E Jones
196 days ago
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Dr. Berrett has a deep understanding of conditions needing treated. He’s personable with his patients & truly desires to get to know them. It makes a difference that he’s not governed by a clinic. The option of in person OR zoom visits really helps. 🥰
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Doris Hayes profile picture
Doris Hayes
201 days ago
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Emily is a fantastic receptionist. If I call and don’t leave a message, she often follows up with a text to check what I need, which I really appreciate. She is consistently friendly, accommodating, and truly sets the tone for Smile Psychiatry. I’ve referred a number of friends to this office, and I’m always impressed by her welcoming demeanor. Even when discussing finances, she makes the conversation easy by being transparent and avoiding any hidden costs. I feel confident recommending Smile Psychiatry to my friends and loved ones because I know they’ll receive the same thoughtful and attentive “Emily” treatment. Dr. Berrett is the best psychiatrist I’ve ever seen. After decades of being misdiagnosed and prescribed countless medications, I had never truly experienced life outside of deep despair and depression. Dr. Berrett took the time to understand my history and correctly diagnose me, then thoughtfully simplified my medications. The difference has been life-changing. For the first time in years, I feel clear, stable, and able to truly live my life. I have been stable for several years thanks to Dr. Berrett. I no longer feel like I’m living under a constant cloud of darkness or struggling with suicidal thoughts. I’m genuinely living my best life now, and I can’t overstate how much that means to me. I’m incredibly grateful for his expertise, care, and dedication. I would highly recommend him to anyone who feels like they’ve been struggling to find the right answers.
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Elizabeth Proietto profile picture
Elizabeth Proietto
203 days ago
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Smile psychiatry has been amazing for our family. The service we have received has been phenomenal. All the doctors and nurses truly care and the front office staff have been amazing, Emily specifically.
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Taylor Smith profile picture
Taylor Smith
210 days ago
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Dr. Berrett is great! He always listens and gets down to the root cause of issues, to help you best.
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Mimi Triana profile picture
Mimi Triana
211 days ago
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Smile Psychiatry has been an excellent resource for me in receiving help for my ptsd. Love all the staff there and Jennifer Mathis in their billing department brings so much compassion in her assistance! As someone who due to ptsd can easily get overwhelmed and has a hard time navigating understanding things like billing/paperwork, I have always been met with understanding and excellent service at Smile Psychiatry.🤍
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Isabela Hernandez profile picture
Isabela Hernandez
211 days ago
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thank you to both Dr. Brian and Emily for all their support and help!
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