While it’s normal to experience feelings of sadness, clinical depression is different. At a Sunnybrook Speaker Series, Depression in the Elderly: A Diagnosis Not to be Missed, leading experts discussed symptoms and risk factors, available treatment options and the troubling relationship between depression and dementia.
Two of the core symptoms of depression include low mood and loss of interest or pleasure. In making a diagnosis, doctors look for symptoms to be present most of the day, nearly every day, during the same two-week period. Depression can cause significant distress or impairment in function, and is not due to another cause. This is especially important in older adults who are more likely to be dealing with other health issues or using multiple medications.
Experts say it’s important to know that depression is not a normal part of aging. Unfortunately, depression is often missed in older adults. Psychiatrist Dr. Damien Gallagher says, there are many reasons for this, including:
- cultural attitudes
- older adults may be less like to say “I’m depressed”
- older adults may be less likely to complain of physical symptoms
- anxiety and worry may be prominent
- physicians sometimes feel under-equipped to manage a diagnosis of depression
It’s important, however, to seek prompt treatment as there are many significant health consequences. Depression can affect sleep, energy, concentration, appetite and even physical movement. Feelings of guilt or worthlessness can also contribute to the risk of suicide.
Treatments are available, and effective treatment of depression in later life is associated with improved social and physical functioning, better quality of life and reduced thoughts of suicide.
» Learn more about geriatric psychiatry – a division of Sunnybrook’s Department of Psychiatry
