Depression in the elderly

Treatment:

Sometimes depression can be alleviated by social interventions to help with isolation or loneliness such as group outings, volunteer work for the healthy elderly, or regular visits from concerned people.

Treatment of underlying medical conditions or the discontinuation of certain medications may alleviate symptoms.

Antidepressant drug therapy or electroconvulsive therapy may be indicated in the severely depressed if other measures are unsuccessful. Neuroleptic medications may help treat agitation but in some individuals they make symptoms worse. Antidepressants must be carefully monitored for side effects in the elderly.

Expectations (prognosis):

If detected, depression may respond to medical treatment. Undetected it may lead to complications. The outcome is usually worse for those who have limited access to social services or family or friends who can help promote an interest in activities.

Complications:

Depression may cause or be complicated by Alzheimer's disease, organic brain syndrome, dementia, or other medical conditions in the elderly.

Calling your health care provider:

Call your health care provider if you are feeling worthless or hopeless or you are crying frequently. Also call if you feel that you are having difficulty coping with stresses in your life and want a referral for counseling.

Go to the emergency room or call your local emergency number (such as 911) if you feel like you might end your life.