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CD-ROM Today (UK) (Spanish) 15
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1993-11-10
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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.