Depression is Not a Normal Part of Growing Older

The current population of elderly American’s grew up in an age when depression was not understood to be a biological disorder and medical illness. They worry they will be labeled “crazy” or that being depressed is seen as a weakness of their character. They think someone can “just get over it” or just “snap out of it”.

Depression is not a passing mood and recognizing depression in the elderly is not always easy.

Sometimes, depression can occur for no apparent reason, however, in older adults, there are usually understandable reasons. As the body and brain age, there are a number of natural bio-chemical changes that begin to take place, which make older adults more at risk for developing depression.

Many other factors can contribute to the development of depression. A loss of a loved one or friend, which can be more frequent late in life. Retirement or loss of a job. These are major life changes.

Often, a person may not feel “sad” about anything, but may exhibit symptoms such as feeling slowed down, frequent tearfulness, feeling worthless or helpless, pacing or fidgeting, difficulty sleeping, difficulty concentrating and physical symptoms such as pain or gastrointestinal problems. One important sign of depression is when people withdraw from social activities. “Its too much trouble”, “I don't feel well enough” or “I don't have enough energy”.

Depression can happen to anyone. But the good news is that depression is treatable and most depressed elderly people can improve dramatically from treatment. In fact, there are highly effective treatments for depression late in life.

Psychotherapy can play an important role in the treatment of depression. There are many forms of short term therapy, 10-20 weeks, that have proven to be effective. It is important that the depressed person find a therapist with whom he or she feels comfortable and who has experience with older patients.

Antidepressants work by increasing the level of neurotransmitters, the brains “messengers”, in the brain. Many feelings, including pain and pleasure are the result of the neurotransmitters’ function, so its important that they stay in balance. Usually, antidepressant medication is taken for at least six months to a year, and it takes 4-6 weeks to begin to see results.

Talk to your physician for a possible referral to a psychiatrist with geriatric training or experience.

Source: Geriatric Mental Health Foundation, www.gmhfonline.com