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Depression is Not a Normal Part of Aging

December 2006

None of us can be happy all of the time. From time to time we all feel a little blue. Sometimes however, the sadness will linger or return more frequently, and this could be a sign of a bigger problem: depression.

Depression in late life affects six million Americans. However, only one in six is diagnosed and treated appropriately. Undiagnosed and untreated depression can have serious consequences for seniors, including declining physical health, reduced resistance to disease and even suicide.

Depression is not something that "just happens" as people age. It is a medical condition that can be effectively treated if you recognize the warning signs:

• Changes in eating or sleeping habits
• Unexplained fatigue or apathy
• Indecisiveness or trouble concentrating
• Crying for no apparent reason
• Inability to feel good about themselves or express joy
• Behavior changes that make a person seem like they are "not themselves"
• Withdrawal from family, friends or social activities
• Loss of interest in things or activities previously enjoyed
• Loss of interest in personal appearance

A sudden interest in putting affairs in order, giving things away, making changes in wills, stock-piling medication or obtaining lethal items, such as firearms, knives, etc., could indicate suicidal thoughts.

Many experts believe a combination of genetic, psychological and environmental factors contribute to depression. Environmental factors, such as grief from the loss of a loved one, financial difficulties or relationship problems, can cause serious ongoing stress and trigger depression. Low self-esteem, consistent pessimism and a tendency to be overwhelmed by stress may be an early form of depression, or they may predispose a person to depression.

Talking with someone who appears depressed or suicidal is the first step. Most of the time a person who feels depressed will give you an honest answer. Many seniors are wary of asking for help with depression because they are embarrassed, are afraid of what people will think or see it as a "normal" part of aging. But if you reach out to them they are likely to accept the offer of help. Don't hesitate to ask someone if they are considering taking their own life - the question could possibly save their life.

Contrary to popular opinion, fewer than five percent of suicide victims have been diagnosed with a terminal illness at the time of their death. Two-thirds of older adults are in relatively good physical health when they commit suicide. Sometimes the pain of loneliness or despair eclipses any physical pain.

Depression is not a normal part of aging. Treatment for depression has a high success rate. By paying attention and talking, we can help loved ones get the professional care they need to live long, happy lives.

If you or someone you know is depressed or considering suicide, please get help immediately. Call 1-800-SUICIDE, to be connected to a certified crisis center. Alternatively, call the National Suicide Prevention Lifeline at 1-800-273-TALK.