Our Services
Geriatric Psychiatry in California
Private-pay telehealth care from Harpal Singh, PMHNP-BC, with published fees and no insurance hassle.
Geriatric Psychiatry by telehealth anywhere in California, with Harpal Singh, PMHNP-BC.
At a Glance
- Secure video visits anywhere in California
- Care in English, Punjabi, Hindi, and Spanish
- Initial evaluation $250, follow-up visits $199
- HSA and FSA cards accepted, superbills on request
Mental health care for older adults takes special skill. It covers late-life depression and anxiety, behavior changes linked to dementia and safe prescribing when the medication list is already long. Geriatric psychiatry is a core part of this practice.
Harpal Singh, PMHNP-BC, has worked in assisted living, memory care and long-term care. He now sees seniors across California by telehealth, at home or in a facility, and family is welcome.
Changes in mood, memory or behavior in older adults are easy to write off as normal aging. Often they are not. Geriatric psychiatry by telehealth brings a trained look to seniors who may be depressed, anxious, confused at night or struggling after a loss, without a hard trip to an office.
Families looking for a geriatric psychiatrist online can book care for a parent from anywhere in California. Visits can be held in English, Punjabi, Hindi or Spanish. That matters for many older adults who are most at ease in their first language.
How Geriatric Psychiatry Works
- Family or Facility Reaches Out. A family member, caregiver or facility staff member can call (888) 457-8124 or book online. The patient's consent is part of the process.
- Gather the Medication List. Collect every prescription, over-the-counter medicine and supplement. A photo of each bottle label works well.
- Evaluation by Video. The senior, with a helper if needed, joins an evaluation of about 60 minutes for $250. Family input is welcome with consent.
- Plan With the Care Team. The written plan is shared with family or facility staff as the patient allows. It covers medicines, behavior support and safety.
- Ongoing Follow-Ups. Follow-up visits at $199 track sleep, mood, behavior and side effects over time.
What We Treat in Older Adults
We treat late-life depression and anxiety and behavior changes linked to dementia, such as agitation and late-day confusion, often called sundowning. We also help with sleep problems, grief, adjusting to lost independence and mental health effects of medical conditions or medicines.
Careful, Conservative Prescribing
Older adults process medicines differently and often take more of them. Every senior evaluation includes a full medication review and a check for interactions and medicines that are risky in later life. New medicines follow a start low, go slow approach.
Working With Families and Facilities
We work closely with adult children, caregivers and facility nurses. We help time the visits, share plans with consent and answer the practical questions families really have. Everyone stays on the same page.
What Families Should Watch For
Some signs deserve a closer look. These include pulling away from activities once enjoyed, new trouble sleeping, sudden confusion, crying spells, suspicion of others or restlessness in the late afternoon. Weight loss and loss of interest in eating can also be signs of depression in older adults.
Sudden confusion can have a medical cause, such as an infection or a medicine change, so it should be checked by a primary care doctor too. Our page on dementia-related behaviors covers common patterns and what can help.
How Telehealth Works for Seniors
Many seniors worry about technology. They do not need to manage it. A family member or staff member can set up the tablet or phone and stay nearby. The patient only needs to sit where they can see and hear the screen.
Video visits remove the stress of travel, parking and waiting rooms. That is a real benefit for people with limited mobility or memory problems. Seeing someone in their own room also shows how they live day to day, which can add useful details.
Caring for the Caregiver
Caring for an aging parent or spouse is hard work. Many caregivers lose sleep, feel guilty or burn out. Caregiver stress is real, and it affects the person receiving care too. Part of each visit can cover practical tips for hard behaviors and hard evenings.
Caregivers can also get care of their own. If you are the one struggling, you can book your own psychiatric evaluation. Taking care of your own mental health is not selfish. It helps you keep going for the person who depends on you.
Conditions We Often Treat
See also: all fees · conditions we treat · how telehealth visits work.
FAQ
Frequently Asked Questions
My parent is in assisted living. How do appointments happen?
Facility staff or a visiting family member sets up the video call. We work out the timing with the facility ahead of time. Many facilities are glad to help with the setup.
Can you reduce my parent's long medication list?
When it is clinically appropriate, yes. Carefully stopping medicines that no longer help is called deprescribing. It can be one of the most helpful steps in senior care.
Do you treat depression after a stroke or with Parkinson's?
Yes. Depression often shows up alongside conditions like these, and it is treatable. Medicine choices are adjusted to fit the other health condition.
What if my parent cannot use a phone or computer?
A family member or caregiver simply joins to handle the device. Your parent only needs to sit and talk.
Can I join my parent's visit from another city?
Yes, with your parent's consent. Family members can often join by video from a different place. This helps adult children who live far away stay part of the care.
What if my parent cannot give consent because of dementia?
In that case, the legal decision maker, such as a health care agent or conservator, can help with consent. Bring any paperwork that shows who holds that role. We will talk through the details with you.
Do you work with my parent's primary care doctor?
With consent, yes. Sharing plans with the primary care doctor helps avoid medicine conflicts. It also keeps the whole care team on the same page.
Is a senior visit priced differently?
No. Seniors pay the same fees as everyone else, $250 for the first evaluation and $199 for follow-ups. HSA and FSA cards are accepted, and superbills are available on request.