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Identifying And Treating Depression In The Elderly

Lisa Reisman • Aug 28, 2019

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Identifying And Treating Depression In The Elderly

Have you noticed that your mother is more irritable than usual lately? Is your father not as enthusiastic as he used to be about his artwork? Are you worried that your grandmother's self-worth is diminishing? It could be related to depression.
 
When issues like these are present, they are often simply categorized as byproducts of dementia. But few realize that depression in the elderly is a serious and widespread problem that may need to be addressed separately from dementia care.
 
It’s normal for everyone to have periods of sadness or days when they just feel down. However, serious depression in the elderly does not pass easily. To prevent the problem from worsening, learn what the symptoms of depression look like.
 
Symptoms Of Depression In The Elderly
 
It is a misconception that sadness is the main symptom of depression. The type of depression your loved one may have is relative to the symptoms she may be experiencing. For instance, major depression is characterized by symptoms such as lack of appetite and inability to enjoy life.
 
While each person will experience the various symptoms somewhat uniquely, elderly people often exhibit some specific depression-related symptoms as they grow older. Those symptoms may include:
 
A feeling of emptiness
Inability to remember details
Constant sadness
Lack of appetite and weight loss
Feeling that they have become a burden
Loss of self-worth
Feelings of guilt surrounding a child's role in caretaking
Anxiousness about medical issues
Lack of desire to participate in beloved activities
Constant exhaustion
 
Causes Of Elderly Depression
 
Depression in elderly individuals is often related to stress. Aside from the typical issues of daily life, the aging process itself comes with major stressors. Seniors may become more concerned about finances, medical care, and whether or not they have become a burden to their children. These thoughts can cause anxiety and extreme stress.
 
Older adults experience symptoms associated with aging of the body and the mind. In some cases, the blood flow to the brain is restricted. This typically happens as blood vessels stiffen up over time. The result is vascular depression, which can also lead to heart disease and stroke.
 
It is not uncommon for depression to co-exist alongside other medical conditions such as Parkinson's disease, diabetes, and cancer. Unfortunately, depression can also worsen the conditions of these illnesses, and in turn, the illnesses can worsen the conditions of depression.
 
Treatment For Depressed Seniors
 
Depression requires treatment, no matter how old your loved one is. Without proper treatment, depression has the potential to worsen and to lead to life-threatening situations. Your first step toward treatment should always be to see a doctor, who will rule out possible alternate causes like medication.
 
Once these causes are ruled out, a general practitioner may refer your loved one to a therapist, a social worker, or a psychiatrist who can provide additional help. Some of these professionals are specially trained to work with elderly patients.
 
After the depression has been medically diagnosed, your loved one can discuss a treatment plan with her care provider. This may include psychiatric medication to treat the depression or tools to cope with stress. Psychotherapy is another common means of treating depression. Sessions typically last for one hour and include discussion of the various issues causing depression. Not only do individuals learn to cope with depression in therapy, but some even see the depression disappear.
 
How To Help Your Loved One Through Depression
 
If you are helping an elderly loved one deal with depression, you are already offering your physical and emotional support. Depression can cause intense feelings of isolation, so your presence is extremely helpful. Researchers see a big difference in the benefits of face-to-face meetings as opposed to phone calls, emails, and text messages.
 
Chronic depression is not a normal part of aging that your loved one should have to face, although older adults tend to be at higher risk for depression, especially if they are already coping with a chronic disorder.
 
The Benefits Of Hiring A Caregiver
 
One of the greatest benefits of hiring a caregiver is the companionship that she can offer your loved one. Often, adding a friendly new face to the mix or venturing out of the house with a companion are what your elderly loved one needs to battle her depression.
 
Supporting your loved one through depression or any other illness is difficult, and it's impossible to be there for him or her at every moment. A caregiver can help ease the path to recovery for both you and your loved one. 
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