Some people have the mistaken idea that it is normal for the elderly to feel depressed. On the contrary, older people feel satisfied with their lives. Sometimes, though, when depression develops, it may be dismissed as a normal part of aging. Depression in the elderly if undiagnosed and untreated, causes needless suffering for the family and for the individual who could otherwise live a fruitful life. When he or she does go to the doctor, the symptoms described are usually physical, for the older person is often reluctant to discuss feelings of hopelessness, sadness, loss of interest in normally pleasurable activities, or extremely prolonged grief after a loss.

Some symptoms may be side effects of medication the older person is taking for a physical problem, or they may be caused by a co-occurring illness. If a diagnosis of depression is made, treatment with medication and/or counselling will help the depressed person return to a happier, more fulfilling life. Improved recognition and treatment of depression in late life will make those years more enjoyable and fulfilling for the depressed elderly person, the family and caretakers.

Depression can be mistaken for physical illness

A recent study suggests that depression in the elderly may be overlooked because the physical symptoms are thought to be age-related. For example, sleep problems and reduced energy levels are a good indication of depression in the elderly and not just the side effects of getting older as commonly believed.

If you are unsure whether an elderly person in your family is suffering from depression, please seek professional assistance. Tackling depression as early as possible allows problems to be addressed quickly and avoid symptoms becoming worse.

Life Changes

Medications and counselling can only address part of the problem, the rest is up to the individual. Making positive life changes can help alleviate depression. Be guided by your health care professional, but general suggestions include:

• Make sure any chronic physical complaint is well managed.

• If he/she suffers from chronic pain, consult a doctor about a multifaceted approach to pain management. For example, consider complementary therapies, such as acupuncture, in conjunction with regular pain medications.

• Take care of the elderly individual. Ensure they eat a healthy diet and exercise regularly.

• Help widen the elderly person's network of social contacts. Enrol them in clubs or day care centres for senior citizens, encourage them to engage in volunteer work, etc.

• Find ways to improve mobility and independence. For example, seek the advice of an occupational therapist.

• Encourage them to talk about their concerns with close friends and loved ones.

Note: This document is not a substitute for professional medical / psychiatric / psychological consultation

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