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- DEPRESSION
-
- You may be surprised to sce depression listed as a mental condition of
- the elderly, but this problem can be devastating for older people. Depression
- is a term used to describe a broad category of mood disorders. It's more than
- just being down in the dumps or feeling blue. When a person is always sad and
- pleasurable activities such as friends, hobbies, and even food and sex, lose
- their attraction, a depression may be the cause.
- The sadness that comes with a loss, such as the death of a spouse,
- usually lessens with time. This is called reactive depression, for it is a
- reaction to a life event. The depression of the elderly is an endogenous
- depression (coming from within) that either comes on for no specific reason or
- lingers long after a loss, when reactive depression would have passed.
- Of course, depression can happen to anyone at any age, but often it goes
- undiagnosed in the elderly. As many as one in seven elderly people being
- treated for other conditions suffer from depression as well. Part of the
- problem with depression among the elderly is that older people don't seek
- psychiatric help as willingly as younger people do. This may be due to
- several reasons, such as a fear that seeking counseling will label them as
- mentally ill, or merely because they don't know how to seek help.
- Depression can be a side effect of another medical disorder, or of
- medications used to treat other diseases. People who have other medical
- conditions are also more likely to be depressed. If you are depressed in
- addition to being ill, speak to your doctor about it.
- There are several symptoms of depression, including irritability or
- sadness, loss of interest or pleasure in favorite activities, feelings of
- worthlessness or guilt, lack of concentration and inability to make decisions,
- recurrent thoughts of suicide and death, loss of sex drive, agitation, changes
- in sleeping patterns, fatigue and loss of energy, and changes in appetite. In
- the elderly, some of these symptoms may mimic those of dementia, which makes
- diagnosis difficult.
- Depression can be deadly. Although we hear more about teenage suicide,
- older people commit suicide also--and the main reason is depression. If you
- are depressed, don't ignore it. If someone around you is depressed, telling
- them to "snap out of it" won't help. Professional counseling and treatment is
- the best way to deal with depression.
- The good news is that depression is among the easiest to treat of all
- psychological conditions. There are several medications your physician can
- prescribe that can help relieve endogenous depression. (Reactive depression is
- generally not relieved by drugs.) Antidepressant medications may take some
- time, up to a few weeks to take effect, but they do help most people.
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