Recognizing Depression in the Elderly

Depression is a mental illness that can diminish the quality of life for those who experience it.   Depression in the elderly can go unnoticed due to several factors.  Symptoms of depression such as fatigue, loss of appetite, and insomnia also can also be part of the aging process or even a medical condition.

Also, the life changes that come with aging can be a cause for sadness.  Going through a normal grieving process is not depression.  Coming to grips with reduced mobility or the end of a career is not depression.  If the feelings of sadness last for months and are accompanied by a feeling of total hopelessness – that is depression.

Depression can be brought on by loneliness and isolation.  The reduced sense of purpose that comes with retirement can also cause people to experience depression.  Certain medication can also trigger depression in seniors who are predisposed to depression.  Even the fear of dying can bring on clinical depression.

Home care workers who see clients on a daily basis learn to recognize the difference between grieving and depression.  If a senior can still laugh at a good joke or appreciate a kind hug, they are probably not depressed.  A home care worker may be able to gauge the emotional state of an elderly client more objectively than relatives and loved ones.

Here are some common signs of depression:

  • Sadness
  • Fatigue
  • Loss of interest in hobbies
  • Becoming socially withdrawn
  • Loss of weight or appetite
  • Disrupted sleep patterns
  • Feelings of worthlessness and/or self-loathing)
  • Heavy drinking or drug abuse
  • Suicidal thoughts or attempts