Dr. Ashok Bharucha, MD

Geriatric Psychiatrist | Geriatric Psychiatry

3/5(3)

143 Edgewood Drive W South Abington Twp PA, 18411 Show map

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About

Dr. Ashok Bharucha is a geriatric psychiatrist practicing in South Abington Township and Bloomsburg, PA. Dr. Bharucha specializes in the diagnosis and treatment of mental disorders, particularly in older adults. Patients who visit geriatric psychiatrists typically look for help with problems such as memory loss, depression, difficulty coping with change, stress, dementia, anxiety and more. Older adults may also experience emotional distress after being diagnosed with a disease as well. Dr. Bharucha helps patients after a comprehensive diagnostic exam so the root of their problems can be treated.

Education and Training

Bucknell University BA 1988

Penn State College of Medicine MD 1992

Harvard Medical School/McLean Adult psychiatry residency 1996

University of Washington SOM Geriatric psychiatry fellow 1997

Middlebury College MA 2017

Board Certification

Psychiatry and NeurologyAmerican Board of Psychiatry and NeurologyABPN- Geriatric Psychiatry

Provider Details

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Dr. Ashok Bharucha, MD

Dr. Ashok Bharucha, MD's Expert Contributions

My Answers

Can the elderly take medications for depression?
Yes, medications are commonly prescribed for depression in older adults. Taking into account medical issues, medications, social stresses, etc is always very important in designing a comprehensive treatment plan. Ashok J Bharucha, MD, MA Phone: 844-647-1455 FAX: 877-511-8663 In the event of an emergency, email is not an appropriate form of communication. If you are in a crisis, please call 911 or proceed to your nearest emergency room. All pertinent practice policies are also available READ MORE
How do you calm an elderly person with anxiety?
It really depends on a bio-psycho-social understanding of what the anxiety is about. For example, there are many medical conditions that can masquerade as anxiety (overactive thyroid, for example), or be a side effect on a combination of medications the person may be taking. Social forms of anxiety often involve fears of abandonment, being a burden on others, feeling isolated, etc. There are many psychological reasons why an older person may be anxious. One fear that I often hear about is the fear of death. The Anxiety & Worry Workbook is a useful way to begin to understand anxiety and figure out what steps may be helpful. READ MORE
How does hospice care for patients with memory loss?
Hospice primarily focuses on the physical, emotional, and spiritual aspects of care. There is great variability in the quality of these services, but ideally, they manage many of the discomforts associated with a terminal illness such as dry mouth, constipation, urinary retention, delirium, pain, wound care, etc. Since dementia is a terminal illness, hospice workers are trained to take into account the cognitive impairments in their treatment planning, but they do not treat cognitive impairment per se, other than eliminating non-essential medications that could have adverse cognitive effects. Again, the more academically based hospice programs may have greater appreciation for the cognitive issues and their management than some of the smaller community hospice services. READ MORE
My grandmother lives in assisted living and is depressed?
The medical staff should evaluate her for depression and rule out medical issues or medication interactions that can mimic depression. Apathy - lack of motivation and drive - can also mimic depression. Once a proper diagnosis is made, increased socialization, light exercise such as regular walking, and possibly an antidepressant may be indicated. Ashok J Bharucha, MD, MA Phone: 844-647-1455 FAX: 877-511-8663 In the event of an emergency, email is not an appropriate form of communication. If you are in a crisis, please call 911 or proceed to your nearest emergency room. All pertinent practice policies are also available READ MORE
What is most important in hospice and palliative care?
Like much of medicine these days, the quality of care really comes down not so much to credentials and skills but rather to the quality of engagement between the provider and the family, and the time spent getting to know the loved one's preferences and wishes. Often the best way to figure this out would be to speak with those who had experience with various agencies. I hope I understood your question correctly. READ MORE
How to handle my husband's dementia?
This is a very broad question so my response is broad as well. There might be some shorter term goals and some longer term goals. Ideally, he needs to be evaluated by a neurologist or geriatric psychiatrist for proper diagnosis. He may benefit from low doses of an antipsychotic to reduce the paranoia. There are many online support, including the Alzheimers Association website, a behavioral management program called DICE is also available for training online, and the book, The 36 Hour Day offers a lot of practical wisdom on all aspects of care. Ashok J Bharucha, MD, MA Phone: 844-647-1455 FAX: 877-511-8663 In the event of an emergency, email is not an appropriate form of communication. If you are in a crisis, please call 911 or proceed to your nearest emergency room. All pertinent practice policies are also available READ MORE
How do I manage my fear of death?
Let me recommend a very practical book. Its Irvin Yaloms Staring at the Sun. There are other sources out there but I find them more impractical. Ashok J Bharucha, MD, MA Phone: 844-647-1455 FAX: 877-511-8663 In the event of an emergency, email is not an appropriate form of communication. If you are in a crisis, please call 911 or proceed to your nearest emergency room. All pertinent practice policies are also available READ MORE
How do you help seniors who are nearing death?
If the person is cognitively intact and able to express themselves verbally, they will be able to identify many of the ways in which you can help. If cognitively impaired, often behavioral cues can suggest pain, fear, physical discomfort (constipation, dry mouth, dry eyes, difficulty clearing phlegm or mucus, etc.). Towards the very end of life, hospice involvement can be quite helpful with these physical symptoms as well as psychological symptoms such as worry, fear, sadness, etc. Clergy may often be involved during this phase as well, not only for the dying individual but also their families. READ MORE
How can you tell the difference between Alzheimer's and dementia?
Dementia is just a general term for brain conditions that lead to progressive decline of thinking and functioning abilities. Alzheimers disease is one type of dementia but there are many others such as Parkinsons dementia, etc. Ashok J Bharucha, MD, MA Phone: 844-647-1455 FAX: 877-511-8663 In the event of an emergency, email is not an appropriate form of communication. If you are in a crisis, please call 911 or proceed to your nearest emergency room. All pertinent practice policies are also available READ MORE
What is sundowning in seniors?
Sundowning refers to the fact that older individuals, typically those who are diagnosed with dementia, become more fatigued, confused, and bewildered as the day progresses. The individual can become more disoriented, restless, demanding, clingy, and possibly even aggressive, in the early to late afternoon. Although it was commonly believed that the problem arises later in the afternoon, more recent evidence suggests it may start even earlier, perhaps not long after lunch time. The factors leading to sundowning are likely multiple, but damage to their internal biological clock probably plays a major role. READ MORE
Is hospice care best for an adult with advanced Alzheimer's?
It depends on the persons stated goals for care, lifelong values, preferences, etc. it is certainly true that at some point in the progression of the dementia, currently available treatments do not provide much benefit, and comfort oriented care may be best. There is also a lot of variability though in the quality of services provided by hospice. Ashok J Bharucha, MD, MA Phone: 844-647-1455 FAX: 877-511-8663 In the event of an emergency, email is not an appropriate form of communication. If you are in a crisis, please call 911 or proceed to your nearest emergency room. All pertinent practice policies are also available READ MORE
Does forgetfulness in seniors mean dementia?
Not necessarily. There are age-related changes in cognitive functions such as memory. With aging, one may observe slower information processing speed, less efficient working memory (ability to hold information in mind while executing a task, such as using a recipe while cooking), some visual changes in space and depth perception. Typically, someone with age-related memory decline is able to recall information spontaneously at a later point, or with some cueing. In Alzheimer's disease, for example, individuals fail to store new memories so that providing cues typically does not help them, i.e., the memory was never stored. Neuropsychological testing is helpful in determining the extent and pattern of cognitive changes. A diagnosis of dementia requires that there are functional losses such as inability to drive, problems managing finances, difficulty using household appliances, and in more advanced stages, difficulties with basic activities of daily living such as bathing, dressing, toileting, etc. In short, a diagnosis of dementia requires evidence of functional impairment. READ MORE
What is the best treatment for gambling disorder?
Comprehensive treatment approach is required focusing primarily on behavioral interventions. As with Alcoholics Anonymous (AA), there are groups for those with gambling problems. Practical steps may need to be taken to not allow someone with gambling issues to have access to credit cards or debit cards. The amount allocated to them may need to be properly apportioned. In some cases, it might even be necessary to ensure that monthly bills are paid automatically before the person receives his/her paycheck. There are also resources to list someone with a gambling disorder with casinos so that they are not allowed to "play" there. Finally, in some instances, a serotonin antidepressant may be helpful in curbing compulsive behaviors, but these work best in the context of a comprehensive approach. READ MORE
Is anti-anxiety medicine safe for seniors?
It depends on what you mean by anxiety medications. The benzodiazepines such as Xanax, Ativan, Klonopin or Valium should ideally be avoided due to high risk of falls, accidents and cognitive impairment. First line medication treatment would be a serotonin antidepressant such as Zoloft or lexapro if medication is necessary. Ashok J Bharucha, MD, MA Phone: 844-647-1455 FAX: 877-511-8663 In the event of an emergency, email is not an appropriate form of communication. If you are in a crisis, please call 911 or proceed to your nearest emergency room. All pertinent practice policies are also available READ MORE
What drug is commonly used to treat alcohol addiction?
There are several that are used. The most commonly used one is Naltrexone which comes in an oral formulation as well as a monthly injection. It does NOT reduce cravings but if someone does drink, they are less likely to spiral out of control because it blocks the rewarding effects of alcohol. Another one that is FDA-approved is acamprosate which has some evidence for reducing alcohol relapses. Both are modestly effective. Off-label medications such as topiramate and gabapentin are also used to assist with alcohol use disorder. AA and psychotherapy are very important parts of the treatment. READ MORE
How to explain what's going on to someone with dementia?
I think it would depend on why she does not understand: (1) for example, does she just very quickly forget what you are telling her, (2) are her abilities to understand language seriously affected, (3) or as a result of dementia, is her thinking just more rigid. If the issue is primarily memory, sometimes writing somewhere clearly visible what day and time you will visit, as well as having a daily day/date on there could be helpful. Some individuals have given such individuals a written note stating this in their pocket so they are reminded whenever they check. For many individuals with dementia, anticipatory anxiety about future events is very troubling and sometimes it's best not to give them too much notice that they will then brood over. The Alzheimer's Association (Alz.org) has wonderful tips on communication skills that you may find helpful, as does the book The 36 Hour Day. READ MORE
My mother feels depressed after being put into a nursing home?
Placement in a long term care facility is often a difficult transition. It also depends on whether dementia is involved. Generally speaking, trying to create structure and socialization in the new setting is helpful. Family visits, pet therapy, group activities, etc are important Bringing in favorite foods, photos, and other items that make the environment more homelike are helpful. If the sadness turns into clinical depression with major changes in sleep, appetite, energy, and suicidal thoughts, medical and psychiatric evaluation should be pursued. Ashok J Bharucha, MD, MA Phone: 844-647-1455 FAX: 877-511-8663 In the event of an emergency, email is not an appropriate form of communication. If you are in a crisis, please call 911 or proceed to your nearest emergency room. All pertinent practice policies are also available READ MORE
Is it normal for a parent's illness to cause marriage problems?
As you know, pancreatic cancer is one of the most painful conditions and the course is often rapid. Hospice offers many benefits by way of pain and other symptom management, usually far better than nonspecialists. Hospice care does not mean giving up on the person. It actually means a skilled person is assessing all of their needs, emotional, physical, and spiritual. Ashok J Bharucha, MD, MA Phone: 844-647-1455 FAX: 877-511-8663 In the event of an emergency, email is not an appropriate form of communication. If you are in a crisis, please call 911 or proceed to your nearest emergency room. All pertinent practice policies are also available READ MORE
What does it mean when seniors "sundown"?
It refers to the observation that older individuals with dementia become more confused as the day progresses, particularly in the afternoon and evening. There are many factors that may be at play: fatigue, ones internal biological clock is no longer in sync with actual time of day, being overstimulated by surroundings etc. Ashok J Bharucha, MD, MA Phone: 844-647-1455 FAX: 877-511-8663 In the event of an emergency, email is not an appropriate form of communication. If you are in a crisis, please call 911 or proceed to your nearest emergency room. All pertinent practice policies are also available READ MORE
What are the benefits of hospice care?
Hospice has many benefits. Most importantly, their presence is a major source of support to the family. Hospice providers are trained to manage ALL symptoms that one might have to deal with at the end of life such as pain, depression, anxiety, fear, and many physical symptoms. Overall, I strongly recommend hospice care for those who may be within the last 6 months of their lives. READ MORE

Expert Publications

Data provided by the National Library of Medicine

Areas of expertise and specialization

DepressionAnxietyBipolar disorderSchizophrenia and related psychosesOCDPTSD and related syndromesNeurocognitive disorders (dementia)

Professional Memberships

American Psychiatric Association
American Association for Geriatric Psychiatry
American Geriatrics Society

Areas of research

Behavioral disturbances of dementia

Dr. Ashok Bharucha, MD's Practice location

Transformations: Adult and Geriatric Psychiatry PC

143 Edgewood Drive W -
South Abington Twp, PA 18411

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New patients: 570-989-1921, 570-989-1921

Fax: 877-511-8663, 814-690-2151

www.transformationspsychiatry.com

Mon:08:00 AM - 06:00 PM
Tue:08:00 AM - 06:00 PM
Wed:08:00 AM - 06:00 PM
Thu:08:00 AM - 06:00 PM
Fri:08:00 AM - 06:00 PM
Sat:08:00 AM - 06:00 PM
Sun:09:00 AM - 05:00 PM

816 Central Road -
Bloomsburg, PA 17815

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Patient Experience with Dr. Bharucha

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Dr. Ashok Bharucha, MD has a rating of 3 out of 5 stars based on the reviews from 3 patients. FindaTopDoc has aggregated the experiences from real patients to help give you more insights and information on how to choose the best Geriatric Psychiatrist in your area. These reviews do not reflect a providers level of clinical care, but are a compilation of quality indicators such as bedside manner, wait time, staff friendliness, ease of appointment, and knowledge of conditions and treatments.

Media Releases

Get to know Psychiatrist Dr. Ashok Bharucha, who serves patients in Pennsylvania.

Regarded as thoughtful and attentive, Dr. Bharucha is a seasoned adult and geriatric psychiatrist with over 30 years of clinical, research, administrative, and teaching experience. He currently operates a private practice, Transformations: Adult and Geriatric Psychiatry, PC, conveniently located in South Abington Township, Pennsylvania.

As the lead professional at Transformations: Adult and Geriatric Psychiatry, PC, Dr. Barucha aims to establish a collaborative therapeutic relationship with every patient that not only enhances their sense of well-being but also furthers their aspirations for achieving their full potential. He approaches his work from an existential and humanistic standpoint, allowing clients to narrate their singular stories that reveal their hopes, passions, and dreams.

Born in India, Dr. Bharucha was raised in the United States for most of his childhood. He graduated with a Bachelor of Arts degree in Chemistry and German, Cum Laude, with departmental honors in German from Bucknell University in Lewisburg, Pennsylvania. He then went on to earn his medical degree from the Penn State College of Medicine in 1992.

Furthering his training, he completed his postgraduate work at Harvard Medical School, McLean Hospital (four months, geriatric and addiction psychiatry), Massachusetts General Hospital (two months, neurology), and Mount Auburn Hospital (6 months, medical internship).

Following this initial postgraduate period, Dr. Bharucha completed his residency in adult psychiatry at McLean Hospital from 1993 until 1996, and his fellowship in geriatric psychiatry at the University of Washington School of Medicine, under Richard Veith, from 1996 until 1997.

Most recently, in 2017, Dr. Bharucha earned his Master of Arts degree from Bread Loaf School of English in Vermont.

Board-certified in psychiatry, he is a Diplomate of the American Board of Psychiatry and Neurology (ABPN). The ABPN is a not-for-profit corporation dedicated to promoting high quality patient care for the public through the initial and continuing certification of psychiatrists and neurologists.

An experienced dementia and late-life disorders specialist, Dr. Bharucha is highly-trained in adult and geriatric psychiatry, as well as in the management of conditions at the interface of neurology, medicine, and psychiatry. He pursues the best outcomes for patients through a combination of pharmacology (psychoactive medications) and psychotherapy (talk therapy).

With more than 30 years in the psychiatric field, including over ten years as a senior psychiatric medicine practitioner, his clinical experience includes stretches as an adult and geriatric psychiatrist at such organizations as Generations Geriatric Mental Health, Eliot Hospital (2015 – present).

His experience in academia includes several professorial appointments within various institutions, including serving as an Adjunct Assistant Professor at Carnegie Mellon University (2002 – present).

Maintaining long-standing memberships in a number of scientific and professional societies, Dr. Bharucha is a member of the American Association for Geriatric Psychiatry, the American Psychiatric Association, the American Geriatrics Society, the American Medical Directors’ Association, the American Neuropsychiatric Association, the International Psychogeriatric Association, and the Gerontological Society of America.

Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behavior, cognition, and perceptions. Psychiatrists evaluate, diagnose, and treat patients with mental, emotional, and behavioral disorders. They conduct thorough psychiatric evaluations, develop treatment plans, prescribe medication, and evaluate treatment results.

Throughout his extensive career, Dr. Bharucha has earned several academic and professional honors, including Fellowship with the American Psychoanalytic Association (1996-1997); An Ethics Committee Chairmanship at the Mental Health Center of Greater Manchester (1999); Three Golden Apple Teacher of the Year Award Nominations at WPIC between 2001 and 2003; Golden Apple Teacher of the Year Award at WPIC in 2002; Golden Apple Psychiatry Teacher of the Year Award at the University of Pittsburgh School of Medicine (2002); Excellence in Education Award in the Small Group Facilitator Category at the University of Pittsburgh School of Medicine (2004); and Outstanding Mentor nomination at the University of Pittsburgh School of Medicine. He was also named one of America’s Top Physicians by the Consumers’ Research Council of America each year from 2007 to the present, and Best Doctors in America honors between 2009 and 2010.