Depression in Older Adults – Unique Challenges and Treatment

Author:

Hayley Snelling

B.S. Psychology

Editor:

Emma Loker

B.S

Depression affects millions of older adults and yet is often overlooked. As you grow older, you may be more likely to face certain challenges, like becoming ill, losing loved ones, or experiencing long periods of isolation, which can all contribute to feeling low.

However, it’s important to know that depression is not a normal part of aging, and can be treated very effectively. On this page, you’ll discover how common depression is for elderly people, what causes it, and late-life depression treatment options. If you have an older loved one in your life, you’ll also learn ways you can help an older person who’s grappling with depression.

How Common Is Depression in Older Adults?

Up to 25% of older people have symptoms of depression, which can rise to 30% of people who have depression in nursing homes or live in a residential care home. Yet up to 85% of older adults don’t receive help for their depression.^1-3

Although depression isn’t a normal part of getting older, older adults have often had more life challenges or health issues, which can increase the risk of depression. Depression can be very effectively treated through medication, therapy, and other options.

Causes of Elderly Depression

What can increase the risk of developing depression in older adults? Let’s explore some of the things in more detail below.

Social Isolation and Depression in Seniors

As humans, we are built for connection: to be around others, to have support around us, and to be able to support others, too – it’s how we survive and thrive. Sometimes, though, as you grow older, you might find yourself spending more time alone, and studies have shown that isolation is associated with a higher risk of becoming depressed.⁴

Research shows that good social connections are one of the best factors to protect against depression. Whether it’s a friend, family member, or an activity group, it’s good to spend time with others and remind yourself that you are not alone.⁵

Memory Loss and Depression in Older Adults

We know that depression can have symptoms like problems with concentration and memory problems, but is it true the other way around? Can memory problems contribute to the risk of depression?

Studies suggest that it goes both ways when it comes to memory and depression – depression can lead to memory problems, and memory loss can result in depressive symptoms. When you become more forgetful it may make you feel helpless and less confident, which can impact your mood.⁶

Stress and Depression in Elderly People

Stress is a major risk factor for depression. As we grow older we are likely to have various stresses come along. Money issues, illness, moving home, and bereavement can all add extra weight onto our shoulders.⁷

Studies show that if we can manage stress well, we can reduce our symptoms of depression. With that in mind, some useful ways of managing your daily stress levels include getting enough sleep, eating a healthy diet, exercising, finding relaxing hobbies, and doing breathing exercises.^8,9

Physical Health and Depression in Older People

Your physical health can affect your mental well-being. When you don’t feel well, it can be much harder to get out and do things you enjoy which can impact your mood. But also, there are certain physical conditions that can increase your risk for depression. It is more common in people with medical conditions like heart disease or cancer.^10,11

Mental Health Care for Seniors

Older adults see their GP almost twice as often as any other age group, yet only 1 in 6 older people with depression talk to their doctor about their symptoms.^12,13

Treatment is available and effective for elders with depression, let’s look at a few treatment options below.

Antidepressants for Older Adults

Antidepressants are an effective way to manage symptoms of depression with a good amount of evidence to support their use.¹⁴ They can improve your mood and make your mind feel clearer from depression. The most common types of antidepressants to be prescribed are:

SSRIs for Depression: Selective serotonin reuptake inhibitors (SSRIs) help you to get extra benefit from serotonin, a chemical in the brain, which helps regulate your mood. SSRIs are usually the first type of antidepressant tried with patients because they often have fewer side effects than other medications.¹⁵
SNRIs for Depression: Serotonin-norepinephrine reuptake inhibitors (SNRIs) work in a way similar to SSRIs, but they also affect a chemical and stress hormone called norepinephrine, which affects your fight-and-flight response and can also affect your moods. SNRIs aim to boost the positive effects of serotonin and norepinephrine in the brain. It can be beneficial to target both chemicals if you have tried other antidepressants and have not had the relief from symptoms that you were hoping for, or if you experience anxiety as well as depression.¹⁶

As you age, changes in the body can alter the way that medicines are absorbed. Because of this, it is important to tell your doctor about any medications you are taking, and also herbal remedies or supplements, so that any risk of medication interactions can be looked into.¹⁷

Therapy for Elderly Depression

Older people often prefer talking therapies, which makes them a great option for treating depression. Therapy can help address any underlying problems that might be triggering or keeping depression going.18 Plus, it teaches you coping strategies for when you feel down.¹⁹

Research shows that some of the most effective talking therapies for elderly depression are cognitive behavioural therapy (CBT), behavioural activation, and problem-solving treatments.
Cognitive Behavioral Therapy

This type of therapy aims to help you recognize and change unhelpful thoughts, behaviors, or beliefs that you may have that contribute to your depression. You can learn to challenge and replace these negative thoughts or behaviors with healthier, more positive ones. CBT is considered the best standard we currently have in the field of therapy for treating depression, and it has been researched extensively and found to be effective.²⁰
Behavioral Activation Therapy

This approach focuses on finding connections between your activities and your mood, rather than examining your thoughts and feelings. It can help you to make practical changes that may help lift your mood. Current evidence suggests that this is an effective type of therapy for treating depression in older adults.²¹
Individual Problem Solving

This therapy helps you to identify problems and develop plans to solve them. It is practical and can be used to tackle problems contributing to depression like managing finances, and social isolation. This approach can lead to the person feeling more empowered and able to make decisions for themselves that are positive for their well-being. It’s shown to be effective in helping reduce symptoms of depression in older adults with more severe symptoms.²²

How to Help an Elderly Person With Depression

You might be reading this page because someone you love or care about seems depressed and you want to know how to help an elderly person with depression. Some of the best things you can do are be aware of what depression looks like, listen to them, and support them to get the right professional help when needed. Let’s explore how you can do these in a bit more detail.

1. Understand the Symptoms of Depression in Seniors

Do you think someone you love may be depressed? Knowing what symptoms to look for is an important part of helping them, because if they are not aware that they may be depressed then they are not going to be able to reach out for help. Some of the main symptoms of depression in seniors are:¹⁷

A sad, anxious, or ‘empty’ type of mood that won’t go away
Feeling hopeless, guilty, or worthless
Being irritable or restless
Losing interest in activities they used to enjoy
Low energy or feeling fatigued
Moving or talking more slowly than usual
Difficulty concentrating or remembering things
Ignoring responsibilities with work or family
Sleep problems (waking up too early, sleeping too late)
Appetite changes
Thoughts of death, self-harm, or suicide

If they recognize some of these signs, then they may be feeling depressed.

2. Listen First, Then Speak Empathically

Perhaps they don’t show signs outwardly, but when you talk to them they seem to imply their life feels empty, that they feel sad or numb.17 Catching these cues and listening to a person can be a great way to support someone. When you want to talk to them about looking for help for depression, remember to be patient and understanding.

Share your concerns and acknowledge how they feel while gently encouraging them to look for professional help and support. You could offer to help them look into options or to make and attend appointments with them if that would make it feel more manageable for them. Depression is a medical condition that can be effectively treated and shouldn’t be ignored.

You could start a conversation by saying something along the lines of “I’ve noticed you don’t seem like your usual self recently” and let them know that you want to help them. Remind them that depression is a common condition and is treatable. Ask open-ended questions so you can understand how they feel. When you are talking with them, be patient as they might not have thought about how they are feeling, and they may need some time to process what you’ve talked about and whether they may want to seek support.

3. Encourage Them to Seek Professional Help

Depression is a medical condition and should be taken as seriously as any other condition. Receiving professional mental health support can significantly improve the quality of life and well-being of the elderly with depression.

Seeking out support for depression can help to improve mood, reduce isolation, and help you to feel better. Whether that’s through seeking out support groups, visiting the doctor to talk about how you’re doing, talk therapy, or medication, there are options to help you. You don’t have to feel this way.

Seek Support for Depression in a Senior

We’ve looked at some of the risk factors for depression in elders, what treatment options are available, and how you can help support someone who may be struggling. You don’t have to face depression alone.

At Mission Connection, we have a team of understanding and experienced mental health clinicians who are ready to help you with your journey toward healing. You can expect an in-depth assessment carried out by a fully qualified professional along with a unique plan to help you to recover in the best way that you can. We offer a range of treatment approaches that can work for you, no matter how mild or severe your symptoms might be.

We know that the cost of mental health care treatment can be a concern for some people, which is why we offer a whole range of payment options including flexible private pay, insurance plans, and financing plans to help spread the costs over time to ease any financial worries.

Are you ready to start feeling better? Contact us today at 866-338-4505 to discover how we can support you on your healing journey.

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