Depression in older people: a guide to care
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Depression is a common mental disorder that causes a low mood that affects your daily life. Depression can affect anyone and is common in older adults, affecting around one in five of those living at home and around twice as many of those living in care homes. Depression in older adults can often be difficult to recognise, but recognising signs of depression is an important part of treating and managing symptoms.
This page is designed to guide those caring for their loved ones in understanding depression in older adults, including recognising its symptoms, how it can manifest into physical problems and how you can access the right support and treatment to manage its effects.
Disclaimer: Our guides are not a substitute for medical advice – always seek professional help. Remember, professionals will not share information about a patient unless they have been permitted to do so.
Learn how to identify and understand depression in older adults, including symptoms, treatment options, and how to support loved ones through their illness.
Read our GuidesRecognise signs of depression and understand how to approach conversations about mental health care sensitively and effectively.
Read our GuidesGet answers to common questions about depression in older adults, from how to approach the topic to understanding treatment options.
Read our FAQsLearn how to actively support your loved one’s treatment process and recovery, from medication management to encouraging therapeutic activities.
Read our GuidesExplore our FAQs to uncover expert advice, coping strategies, and valuable insights tailored to understanding and managing depression in older adults.
Depression in older adults can result from a variety of factors, and there isn’t a single cause. Common contributors include chronic illness (e.g., heart disease, diabetes, dementia), significant life changes (like retirement or loss of a spouse), social isolation, and physical limitations. Medications for other health issues can also have side effects that contribute to depression. It’s the interplay of physical health problems, changes in mental health, and social and environmental changes that often lead to depression in older adults.
Symptoms in older adults can be subtle and sometimes mistaken for normal ageing or physical illnesses. They can include persistent sadness, loss of interest in activities, changes in appetite or sleep, fatigue, and difficulty concentrating or forgetfulness. Recognising these signs early can help in addressing them sensitively and seeking appropriate care. Older adults might not always recognise feelings of sadness as a symptom of depression, making physical complaints a more common presenting symptom.
Depression often goes underdiagnosed in older adults because its symptoms can mimic those of physical illnesses or be dismissed as age-related changes. There might also be a reluctance to talk about feelings of sadness or hopelessness due to stigma. Healthcare providers might also overlook depression, focusing on physical health issues rather than exploring mental health symptoms.
When you are caring for someone with a long-term health condition, it’s crucial to manage your own wellbeing. Try setting realistic goals, seeking support from friends, family, or support groups, and taking time for yourself. Engaging in physical activity, maintaining a balanced diet, and ensuring you get enough rest can also help. Consider seeking professional help if you feel overwhelmed. Remember, taking care of yourself isn’t selfish; it’s necessary for being able to provide care to others. Join The Carents Lounge for a community and support from others caring for their loved ones. Ask your Local Council for a carers assessment.
If anyone talks about self-harm or suicide, take it seriously and act immediately. Ensure they are safe and not alone, and seek emergency help. You can contact the NHS by dialling 999 or 111 or speak to someone at Samaritans by dialling 116123 for free. Offering a supportive presence, listening without judgement, and encouraging them to talk about their feelings are important steps while getting professional help.
Depression, while common, is not a natural part of ageing and should be treated. Effective treatment for depression in older adults can entail a combination of medication, therapy, and some lifestyle changes. Supporting your loved one through these treatments can help to improve their wellbeing.
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