Depression and the elderly

I've recently become the caregiver, for my aging parents.After moving them in with me, I have been concerned that both of parents may be suffering from depression.What are the symptoms of elderly depression, and should I be concerned?

If you suspect your parents are suffering from depression, you are right to be concerned. The consequences of untreated depression in the elderly can be costly. Untreated depression has been found to pose serious risks for older adults, including illness, alcohol and prescription drug abuse, a higher mortality rate, and even suicide. This is why it is so important to watch for the warning signs, and seek professional help, when you recognize it. The good news is that with treatment and support, depressed seniors can feel better, and regain a much higher quality of life.

It should be noted that only a small percentage of depressed elderly, get the help they need. There are many reasons depression in older adults, is so often overlooked. Many people even assume that seniors have good reason to be down, or that depression is just part of aging. In addition, elderly adults are often isolated, with few around to notice their distress. Physicians are also more likely to ignore depression in older patients, concentrating instead on physical complaints. Finally, many depressed seniors are reluctant to talk about their feelings, or ask for help. If you are concerned that a senior in your life is depressed here are some of the signs to watch for-

• Sadness


• Fatigue


• Abandoning or losing interest in hobbies or other pleasurable pastimes


• Social withdrawal and isolation (reluctance to be with friends, engage in activities, or leave home)


• Weight loss; loss of appetite


• Sleep disturbances (difficulty falling asleep or staying asleep, oversleeping, or daytime sleepiness)


• Loss of self-worth (worries about being a burden, feelings of worthlessness, self-loathing)


• Increased use of alcohol or other drugs


• Fixation on death; suicidal thoughts or attempts

Recognizing the signs and symptoms of elderly depression, is key to treatment and faster recovery.

There are many reasons that seniors are vulnerable to depression. Many elderly adults face significant life changes, and stressors, that put them at risk for depression. Caregivers should understand that those at the highest risk include: older adults with a personal or family history of depression, failing health, substance abuse problems, or inadequate social support. The causes and risk factors that contribute to depression in the elderly include-

• Loneliness and isolation-Many seniors live alone with a dwindling social circle, due to deaths or relocation. Coupled with decreased mobility due to illness, or loss of driving privileges, this can make for increased isolation.


• Reduced sense of purpose-Many senior's report feelings of purposelessness, or loss of identity, due to retirement or physical limitations on activities.


• Health problems-Depression can be brought on by illness and disability; chronic or severe pain; cognitive decline; damage to body image due to surgery, or disease.


• Medications-Because many prescription medications can trigger or exacerbate depression, it is important to have a consultation with the senior's physician about medication side-effects.


• Fears-A fear of death or dying; anxiety over financial problems or health issues, can often bring on depression.


• Recent bereavement-With the death of friends, family members, and pets; or the loss of a spouse or partner, many seniors find themselves dealing with depression.


• If your elderly loved one has another of these causes in their life, they are at risk for depression.It becomes crucial for caregivers to watch for sign and symptoms, and seek treatment for the senior in their life. Growing older does not have to be burdened with depression, as it can be successfully treated.