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Depression in Older Adults
Perhaps you’ve heard happiness described as “something to do, someone to love, and something to look forward to.” For many older adults, maintaining an optimistic attitude may be difficult, as losses abound. Loss of health, loss of recognition, or loss of loved ones may bring feelings of sadness.
Sadness can be a normal reaction to painful life events. But when sadness is prolonged and interferes with everyday life, it may be a sign of depression. Depression in older adults is common and treatable, but often unrecognized and untreated. Depression affects approximately 15 out of every 100 adults in the United States. This disorder affects a much higher percentage of older adults who are in hospitals and nursing homes.
Those who become depressed in late life may have a history of depression, or experience it for the first time. Medical illness may serve as a trigger in both cases. When someone is already ill, depression can be both more difficult to recognize and more difficult to endure.
Unless the person or the family caregiver reports symptoms, many physicians will not look for depression. This is especially a problem when a physician with little experience or training in treatment of older adults believes that sadness and fatigue are just part of normal aging. If diagnosed and treated, depression in older adults can be successfully treated.
Symptoms - According to the American Association of Geriatric Psychiatry, the most common symptoms of late life depression include:
- persistent sadness (lasting two weeks or more)
- feeling slowed down
- excessive worries about finances and health problems
- frequent tearfulness
- feeling worthless or helpless
- weight changes
- pacing and fidgeting
- difficulty sleeping
- difficulty concentrating
- physical symptoms such as pain or gastrointestinal problem
- Withdraw from regular social activities
- Neglect personal appearance
- Reduced interest in daily living activities such as cooking and taking care of a home
Statements such as: "It's too much trouble," "I don't feel well enough “or” I don't have the energy" may indicate depression.
Of course, these symptoms can also indicate other physical illness. Only a doctor can diagnose. A complete medical check up, including medical tests and a candid discussion with the physician, is the first step.
The good news is that depression in older adults can be successfully treated. Medications, exercise, and support from family and friends can help manage depression.
Untreated, depression can lead to other health problems and affect many areas of life.
Depression in the family caregiver is also normal. Those who are caring for an older adult should be sensitive to their own feelings and receive regular medical care. Those who care for an older adult and work should be aware of employee health benefits and employee assistance programs, and make use of them as needed.
* The articles contained in this section are for informational and editorial purposes ONLY. Always consult with your medical provider to assess your individual needs.
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