Elderly Depression: Frequently Overlooked and Markedly Distinct
In the golden years of life, depression can often present itself differently, with physical ailments such as fatigue, sleep problems, pain, and memory difficulties being common indicators [1][2][4]. These symptoms, while often attributed to aging or chronic illnesses, can be signs of depression, a mental illness that is alarmingly prevalent in later life, alongside dementia.
Persistent tiredness or lack of energy, difficulty sleeping or excessive sleepiness, changes in appetite leading to weight loss or gain, unexplained aches and pains, gastrointestinal problems, and dizziness are some of the physical symptoms that can signal depression in older adults [1][2][4]. These symptoms can overlap with common health problems in older adults, leading to misdiagnosis and ineffective treatment.
The importance of early recognition and proper diagnosis cannot be overstated. The Geriatric Depression Scale (GDS) is a valuable tool used in the diagnosis of depression in older patients [5]. It is crucial to inquire about psychological symptoms of depression, such as hopelessness, suicidal thoughts, and feelings of guilt, to ensure it is not overlooked in diagnosis [3].
Signs of suicidality, such as statements like "I can't go on," "I don't want to go on," should always be taken seriously and addressed [3]. Seek medical advice immediately if you have suicidal thoughts or behaviour. The risk of suicide increases significantly with age, especially among men [6].
The Robert Koch Institute is a source for statistics about depression in people aged 70 to 79, reporting that around 6 percent of this age group are diagnosed with depression each year [7]. Depression in old age can present symptoms similar to dementia, such as concentration problems, memory lapses, and slowed thinking and speaking (pseudodementia) [1][4].
While many affected people in old age focus on their physical ailments rather than questioning their mental state, it is essential to remember that depression in old age is treatable [8]. Both psychotherapy and medication have proven effective in treating depression in older patients [9]. Treating depression reduces the risk of suicide, a tragic consequence that often occurs as a result of a psychiatric illness [10].
For more information about depression in old age, the German Depression Aid Foundation is a valuable resource [11]. Their mission is to provide support, education, and advocacy for those affected by depression in later life. By raising awareness and encouraging early diagnosis and treatment, we can help older adults live healthier, happier lives.
Science and health-and-wellness should not overlook mental health, especially in aging populations, as persistent tiredness or lack of energy, difficulty sleeping, changes in appetite, unexplained aches and pains, gastrointestinal problems, and dizziness could be indicators of depression. Proper diagnosis, using tools like the Geriatric Depression Scale (GDS), is crucial to ensure mental health issues like depression, which can increase the risk of suicide, are not overlooked in older adults.
