Elderly Depression

Depression is an insidious problem for anyone, but in the elderly it is often overlooked. It is not to be considered a normal part of growing older, but addressed as a medical condition that responds very well to treatment. Since many people don’t recognize or report the problem, and fear stigma for being weak and unable to “snap out of it”, they suffer needlessly and in silence. What looks like irritability and withdrawal can be a clear signal of depression. Other symptoms include loss of interest in usual activities, a loss of pleasure, poor appetite and weight loss, pervasive feelings of sadness, tearfulness, memory impairment, increased pain complaints, anger, and sleep disturbance such as early morning awakening and insomnia. Increased anxiety and thoughts of suicide must be addressed.  Statistically, Caucasian men in the 70-80 age group make up the highest rate of successful suicide since they tend to have access to lethal means such as guns. The good news is that depression is absolutely treatable, and medications are safe, not addictive. The most important thing a loved one can do is insist on a visit and discussion with the primary care doctor. The MD can begin medication and also refer to a geriatric specialist. Talk therapy can speed the recovery in conjunction with medication. There is no reason to assume it is a normal or unavoidable part of aging. Treatment of depression can improve quality of life and restore meaning and purpose to living in a senior community because it allows the individual to interact and enjoy his or her peers, and to accept care and support from staff, which hastens adjustment to the change from home to assisted care. Family members are able to feel comfortable with the move and have less guilt as well. Depression is a serious illness, but imminently treatable. Life in later years should be as comfortable as possible and addressing this illness helps not only the elder but family and caregivers as well.  

Holiday Surprises......

The holiday season can hold unpleasant surprises when adult children spend time with a parent and realize that it has become difficult or unsafe for the elder to live alone. Many senior communities report increased tours and enquiries based on alarming circumstances in the home such as evidence of poor nutrition or hygiene, financial mismanagement or exploitation, deteriorated living conditions, and a diminished capacity to plan, remember, or respond to challenges. It is a common but unpleasant realization that even though the parent has seemed normal during phone conversations, the stark truth is that he or she has been struggling. The spoiled food, mixed up medications or unfilled prescriptions, the soiled clothing and disarray, and the disrepair of home or vehicle tells the story of a shrinking world and shrinking capacity to make sound decisions. The parent has lost the ability to look out for themselves, but may still vehemently protest they don’t need help or interference. This is because they have lost the ability to make abstract judgments, or to recognize problems and formulate solutions. Adult children have to quickly overcome their own denial, mobilize a safety plan, and execute the steps to follow up with necessary changes. One piece of advice would be to seek information and support from friends, clergy or physician. A health assessment is crucial and the parent’s doctor can be an invaluable ally in starting the change process. It can be challenging but it is one of the most loving gifts a child can give a parent.