Depression in the Elderly

Question 1

3 typical presentations of depression in the elderly

Answer 1

• Chronic unexplained physical symptoms - dizzy, aches, constipation
• Memory loss
• Behavioural changes - avoid leaving home, hoarding, preoccupations

Question 2

Prominent type of depression in elderly people

Answer 2

• Non-melancholic depression

** History of depression in early life - contribute to course of depressive illness

Question 3

Depression >60 years old is often associated with…..

Answer 3

Physical health problems

Question 4

3 causes of depression in the elderly

Answer 4

1. Physical health
2. Social isolation
3. Loss in old age

Question 5

Treating depression in the elderly

Answer 5

Severe = antidepressants
Melancholic and psychotic = ECT
Psychotherapy

Question 6

Elderly and antidepressants

Answer 6

• Take longer to work in the elderly

- Trial 6-8 weeks

Question 7

Prevention of depression

Answer 7

• Lifestyle changes = CVA link

- Decrease BP, stop smoking, decrease cholesterol, increase exercise, weight control, diet

Question 8

Difficulties diagnosing depression in elderly

Answer 8

• Symptoms similar to ageing
• Need to address related factors
• Often attributed to poor health, dementia and old age