Elderly People & Depression

Depression is a common illness in an elderly population. Because the elderly usually have other medical conditions it can be challenging to detect and diagnose. Social isolation also makes it difficult to determine if depression is present.

Frequency

• Depression is a common problem in the elderly.

  Depression is associated with the aging process. According to the National Alliance on Mental Illness, "Depression affects more than 6.5 million of the 35 million Americans aged 65 years or older."

Causes

• Depression in the elderly can be linked to different kinds of losses.

  Multiple losses can cause depression in the elderly. They include loss of body function, loss of family and friends, reduced social interaction, reduction in mental function, lifestyle changes, diminished independence, and mobility.

Symptoms

• There can be an overlap in medical and depressive symptoms complicating diagnosis.

  It is difficult to separate depressive symptoms from medical problems related to aging. The New York Times says "depressive symptoms are often ignored or confused with other ailments common in the elderly like cancer, Alzheimer's Disease, stroke, and arthritis."

Treatment

• Effective treatment for elderly depression includes counseling and antidepresssants.

  There are treatment options for senior citizens experiencing depression. The National Institute for Mental Health says "combining psychotherapy with antidepressant medication appears to provide the most benefit" for the physically healthy elderly population.

Identification

• Depression is not easily identified in an elderly population.

  A major problem with depression in the elderly is detecting and treating it. Symptoms often go unrecognized. The National Alliance on Mental Illness reports "many people think that depression is a normal part of aging and a natural reaction to chronic illness, loss, and social transition."

Considerations

• Family and friends should watch for changes in mood or behavior.

  Senior citizens may be unable to report depression due to memory problems or concern about upsetting family or friends. Be aware of the appearance of symptoms of lethargy, lack of appetite, increased isolation, mood changes, or thoughts of harm to self. If these symptoms arise, contact a doctor for further evaluation.