Depression in the elderly

What is depression in the elderly?
Depression is not a normal part of aging. But it often goes undiagnosed in the elderly because of the mistaken belief  that sadness or losing interest in life are a natural part of the aging process. Some things to know:

• Depression affects about 15% of adults over age 65. It affects an even higher percentage of people in hospitals and care centers.
• Depression that occurs for the first time in an older adult is usually brought on by another illness or condition.
• Depression is more difficult to recognize and treat in someone already suffering from illness.

Health care professionals now have begun focusing more on identifying and treating depression in the elderly. Treating depression successfully can help older adults lead fuller, more enjoyable lives in their later years.

Signs & symptoms
Only a doctor can determine if you have depression. Despite advances in diagnosing the condition, it is often overlooked because people don't talk about their feelings or mood changes. It's important to talk honestly about your mood just as you would talk about any other health concern. Here are some questions to help you evaluate your own situation:

• Have you been feeling sad or nervous for a while?
• Do you feel gloomy or "out of it"?
• Have you lost interest in hobbies or things you like to do?
• Is it harder than usual to concentrate, remember things or make a decision?
• Do you stay awake longer or oversleep more often than usual?
• Has your appetite changed? Your weight?
• Do people tell you that you're irritable or you're not paying enough attention?
• Do you often think about death or suicide?

If you answered "yes" to more than half of these questions, or if you have frequent thoughts about death or suicide, tell your doctor. You also can take our online Depression Evaluation for more information and to help you decide whether to seek treatment.

Who's at risk?
Elderly people are less likely than others to discuss their feelings with doctors who are focused on physical issues. Yet depression is frequently connected with other health conditions or life concerns. These may include:

• Side effects of medications, particularly for individuals taking several different medications
• Co-occurring diseases, for example, diabetes or heart disease
• Following major surgery
• Grief and loss
• Financial setbacks

Professional help
Depression in the elderly is typically treated as it is with other age groups. However, research indicates that encouraging talk therapy immediately after an event like a death in the family can be particularly effective in reducing or preventing depression. Therapy is also useful for people who cannot or choose not to use antidepressant medications.

Priority Health members can check here for information on getting mental health assistance.

What you can do
If an elderly person you know is chronically ill, has had surgery or is otherwise showing signs of depression, encourage him or her to talk to their doctor or a mental health professional. You can also help by becoming more knowledgeable about depression and its effects. Read more:

• What is depression?