How to Spot the Warning Signs of Depression

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Everyone feels blue now and then. It's part of life. But if you no longer enjoy activities that you usually like, you may have a more serious problem. Being depressed without letup can change the way you think and feel. This is called "clinical depression."

Being "down in the dumps" over a period of time is not a normal part of getting older. But it is a common problem, and medical help may be needed. For most people, depression will get better with treatment. "Talk" therapy, medicine, or other treatment methods can ease the pain of depression. You do not need to suffer.

Warning Signs of Depression

How do you know when you need help? After all, as you age, you may have to face problems that could cause anyone to feel "depressed." Perhaps you are dealing with the death of a loved one or friend. Maybe you are having a tough time getting used to retirement and you feel lonely. Possibly you have a chronic illness. Or, you might feel like you have lost control over your life.

After a period of feeling sad, older people usually adjust and regain their emotional balance. But, if you are suffering from clinical depression and don't get help, your depression might last for weeks, months, or even years. Here is a list of the most common signs of depression. If you have several of these, and they last for more than 2 weeks, see a doctor.

  • An "empty" feeling, ongoing sadness and anxiety
  • Tiredness, lack of energy
  • Loss of interest or pleasure in everyday activities, including sex
  • Sleep problems, including trouble getting to sleep, very early morning waking, and sleeping too much
  • Eating more or less than usual
  • Crying too often or too much
  • Aches and pains that don't go away when treated
  • A hard time focusing, remembering, or making decisions
  • Feeling guilty, helpless, worthless, or hopeless
  • Being irritable
  • Thoughts of death or suicide; a suicide attempt

If you are a family member, friend, or health care provider of an older person, watch for clues. Sometimes depression can hide behind a smiling face. A depressed person who lives alone may appear to feel better when someone stops by to say hello. The symptoms may seem to go away. But, when someone is very depressed, the symptoms usually come back.

Don't ignore the warning signs. If left untreated, serious depression can lead to suicide. Listen carefully if someone of any age complains about being depressed or says people don't care. That person may really be asking for help.

When Is Depression "Normal?"

As we age, we all face problems that could cause anyone to feel depressed. Perhaps your parent is dealing with the death of a spouse or a friend. Maybe you are having a tough time getting used to retirement and you feel lonely. Possibly you have a chronic illness. Or, you might feel like you have lost control over your life. It's normal to feel sad when these things happen.

After a period of feeling sad, you should adjust and regain some emotional balance. But people with clinical depression don't get over those feelings. If you are suffering from clinical depression and don't get help, the depression could last for weeks, months or even years.

What Causes Depression?

There is no one cause of depression. For some people, a single event can bring on the illness. Depression often strikes people who felt fine but who suddenly find they are dealing with a death in the family or a serious illness. For some people, changes in brain chemistry can affect mood and cause depression. Sometimes those under a lot of stress, like caregivers, can feel depressed. Others become depressed for no clear reason.

Health Issues Can Cause Depression

There are many reasons why depression in older people is often missed or untreated. As a person ages, the signs of depression are much more varied than at younger ages. It can appear as increased tiredness, or it can be seen as grumpiness or irritability. Depression can be tricky to recognize in older adults. Confusion or attention problems caused by depression can sometimes look like Alzheimer's disease or other brain disorders.

Mood changes and signs of depression can be caused by medicines older people may take for arthritis, high blood pressure, or heart disease. It can be hard for a doctor to detect depression. The good news is that people who are depressed usually feel better with the right treatment.

People with serious illnesses, such as cancer, diabetes, heart disease, stroke, or Parkinson's disease, sometimes become depressed. They worry about how their illness will change their lives. They might be tired and not able to deal with something that makes them sad. Treatment for depression helps them manage their depressive symptoms and improves their quality of life.

Genetics, too, can play a role. Studies show that depression may run in families. Children of depressed parents may be at a higher risk for depression. And, depression tends to be a disorder that occurs more than once. Many older people who have been depressed in the past will be at an increased risk.


Information provided by National Institutes of Health (NIA).

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4 Comments

Nice heads up article. However, most caregivers WILL ignore the signs of depression. Most are too busy worrying about caregiving. And, when caregivers realize depression is seeping into their lives, most do not have the time to face or treat the problem. Caregivers have become a "learned controlled" environment, caring for everyone but themselves---24/7. Difficult to say this...but, there comes a time when "caregiving is all we seem know." Like human robots...do this, do that, make certain priorities are met--meds taken, hygiene addressed, clothes washed, appointments kept, balancing checking accounts, paying bills, being quiet while they nap, talk to them, play games---anything, so they do not become bored or depressed. With many caregivers not having outside support and no family members to help...yes, we cry, we reach out to nothingness, we are depressed, resentful, we dream, we wish, we don't sleep at night because we hear our loved one roaming throughout the house turning on/off lights, turning the TV volume up/down, yelling and chasing the cat around the house at 2am, opening closet doors, up & down the stairs, etc. Personally, I'm tired of hearing how we should take care of ourselves. A membership in a nearby country club would be nice with an adjacent adult day care for those who are so concerned with caregiver's health. Until society and the medical field broadens choices and provides REAL solutions to address health concerns so caregivers can gain emotional balance and structure in our lives nothing will change...only grow worse. With Alzheimer's on the rise with indicated numbers doubling within the next decade, the bottom is falling out. Soon there will not be adequate 'unpaid' caregivers to care for those in need. Yes, I wish there were solutions---caregivers pray for solutions. However, a Prince Charming showing up on my doorstep is more likely to happen than waiting for REAL resolutions to ease caregiver's responsibilities. Just the way it is. Sorry, I must run. My Alzheimer husband is screaming because his electric razor will NOT turn on the TV! Welcome to my world!
Recently Mom injured her back. The only treatment she accepts is a heating pad. She sits in a lounge chair all day and sometimes sleeps there. I found out she is refusing phone calls from family and friends so am especially worried. Her primary doc isn't helping her. What specialist does she need? She lives nearby w/ sis who disagrees but a month after her back injury she seems no better and is confused and forgetful.
glassgirl, hopefully you got resolution from November 2014. My mom broke her hip 11-2-14. She has slowly improved but in the last month or so seems to have regressed. She probably has always been depressed but now seems more so. A great fear of falling again as she has had a couple of bad experiences with home helpers of late. Dr just put her on a low dose of Zoloft, so we will see how that goes. Hoping if nothing else you are being proactive and doing something to help your mom get better.