What is Depression?
When most people think about depression, they think about it as a condition in which people are sad or “blue.” However, some people who are depressed may not experience a sad mood at all. According to the DSM-5, a manual used to diagnose mental disorders, depression occurs when you have at least five of the following symptoms for at least two weeks: a depressed mood during most of the day, fatigue or loss of energy, feelings of worthlessness or guilt, impaired concentration or indecisiveness, sleeplessness or excessive sleeping, little to no interest or pleasure in activities, recurring thoughts of death or suicide, a sense of restlessness or being slowed down, and significant weight loss or weight gain.
What Contributes to Depression in Older Adults?
As adults age, physical decline combined with situational changes can contribute to changes in mood. Limited mobility, chronic pain, frailty, and other physical problems may contribute to depression, as well as loss of the ability to live independently, growing isolation, or the death of a loved one. Some may feel a growing sense of purposelessness as they reach retirement age, or as physical challenges prevent them from leading the active lives they once lived.
Unfortunately, depression in older adults is often overlooked because symptoms are dismissed as a “normal” response to illness or life changes. Additionally, older adults typically don’t demonstrate as much overt sadness as you might see in a younger adult. Rather, symptoms often look like withdrawal, apathy, hopelessness, loss of appetite, and loss of interest.
How Can I Help Myself if I am Depressed?
If you think you or a loved one may be depressed, see a doctor or mental health professional for a diagnosis. Don’t let the stigma surrounding mental health problems hold you back. No one should continue to suffer in silence when proven treatment strategies – such as antidepressant drugs, therapy, or a combination of both – are available that can alleviate symptoms and improve quality of life. Finding the right treatment may take time. Be patient and compassionate with yourself. Just as depression has no single cause, no one treatment works for everyone. In the meantime, talk to trusted friends and family about how you’ve been feeling.