QUESTION: Is depression just a “normal” part of aging?
ANSWER:
There are a lot of problems to face as you get older. There are losses of all
kinds that can get you down. And feeling blue for a while is a normal part of
living at any age.
But,
unrelenting depression is not normal. If you feel this way, you should seek
medical attention. Most people get better if they treat their depression.
There
are many causes of depression. Some of them are the natural consequences of
being older: a health crisis or death, the loss of physical or mental
capacities, or being a stressed-out caregiver.
Seniors
usually rebound from a period of sadness. However, if you are
suffering from “clinical depression” and don’t get help, your symptoms might
last months, or even years.
The
following are common signs of depression. If you have several of these, and
they last for more than two weeks, get treatment: anxiety, fatigue, loss of
interest or pleasure, sleep problems, eating too much or too little, abnormal
crying, aches that can’t be treated successfully, diminished concentration or
memory, irritability, thoughts of death or suicide, and feelings of despair,
guilt and being worthless.
Depression
is a serious illness. It can lead to suicide. Don’t waste time; find help.
Start
with your family doctor. The doctor should check to see if your depression
could be caused by a health problem (such as hypothyroidism or vitamin B12
deficiency) or a medicine you are taking.
After
a complete exam, your doctor may suggest you talk to a social worker, mental
health counselor, psychologist, or psychiatrist. Doctors specially trained to
treat depression in older people are called “geriatric psychiatrists.”
Support
groups can provide new coping skills or social support if you are dealing with
a major life change. A doctor might suggest that you go to a local senior
center, volunteer service, or nutrition program.
Several
kinds of talk therapies work well.
Antidepressant
drugs can help. These medications can improve your mood, sleep, appetite, and
concentration.
Electroconvulsive
therapy (ECT) is an option. It may be recommended when medicines can’t be
tolerated or when a quick response is needed.
What
can be done to lower the risk of depression?
Nurture
your family ties and friendships; they are your lifelines.
Hobbies
keep your mind and body active. Exercise is a mood-elevator. Eat a balanced
diet. Get outdoors to absorb sunlight and breathe fresh air.
Take
naps.
Remember,
with treatment, most people will find positive thoughts gradually replacing
negative thoughts. And you can help this process by catching yourself when you
are dwelling on the negative and shifting gears to sunnier thoughts.
If
you have a question, please write to fred@healthygeezer.com
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© 2008 by Fred Cicetti