Sunday, February 10, 2008

Aging Well: Dealing With Senior Adult Depression

Robert Beckum

Depression may rightly be called the “shadow illness” of senior adult years. There are many possible causes of the onset of later-life depression including: the loss of a loved one (spouse, child, pet or friend), changes in physical health (disability and decline as well as illnesses such as cancer, heart disease, stroke or diabetes and dementia), and major life changes (a move, retirement, loss of mobility, diminished quality of life or increased dependency on caregivers). Many of these factors may converge to cause or to accompany the onset of senior depression, but the fact remains that depression is an illness. It is NOT A NORMAL PART of THE AGING PROCESS! Caregivers must encourage seniors, and seniors must encourage one another, to seek medical treatment for depression as an illness and not buy into the “normal part of aging” myth. The first step in successfully dealing with senior depression is to call it what it is. It is an illness (not a character flaw, personal weakness, or normal part of aging) and this illness needs sound medical treatment.

What are the signs of depression? The National Institute of Health suggests these warning signs of senior depression:Persistent sadness (lasting two or more weeks)Feeling sluggish for an extended periodExcessive worries about finances and health problemsFrequent tearfulnessFeelings of worthlessness or helplessnessUnintended weight changes (increase or decrease)Constant pacing or fidgetingDifficulty sleepingDifficulty concentratingPhysical symptoms such as pain or gastrointestinal problems (depressed seniors are more likely to complain of physical problems than to express sad, anxious or hopeless feelings)Withdrawal from usual activities——this withdrawal is usually accompanied by the explanations “It’s become too much trouble,” “I don’t feel well enough,” or “I just don’t have the energy anymore.”
Anytime older adults have signs of depression, they should see their health care provider for a complete medical check-up and explore the symptoms of depressive illness for possible treatment. These medical check-ups are easier said than done! While behavioral health care is vital for senior adults to have a full life, many factors prevent them from seeking the help they need. Fear of what family and friends might think can cause seniors to continue to suffer silently and alone. Worry over how to pay for the care they need and negative cultural stereotypes of people seeking behavioral health care can all contribute to seniors continuing to suffer in isolation.

It is not enough to name depression an “illness”. We must also take senior depression out of the “shadows” of fear, shame and ignorance and into the light of available medical treatment. One great place for available information about depression and treatment options for seniors is the website www.Seniorjournal.com. This first step will not only help you and your loved ones “deal” with senior depression but might encourage further steps helping to overcome this illness which afflicts far too many senior adults.

Rev. Robert Beckum is Vice President of Church Relations and Development Magnolia Manor.

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