What to Look For

How do you know when help is needed? After all, older people may have to face the kinds of problems that could cause anyone to feel "depressed." Many older people have to deal with the death of loved ones or friends. Some may have a tough time getting used to retirement. Others are trying to deal with chronic illness. But, after a period of grieving or feeling troubled, most older people do get back to their daily lives. A person who is clinically depressed continues to have trouble coping both mentally and physically and may not feel better for weeks, months, or even years.

Here is a list of the most common signs of depression. If these last for more than 2 weeks, see a doctor.

• An "empty" feeling, ongoing sadness, and anxiety.                                     • Tiredness, lack of energy and a lot of crying.

• Loss of interest or pleasure in everyday activities, including sex.                 • Sleep problems, including very early morning waking.

• Problems with eating and weight (gain or loss).                                         • Thoughts of death or suicide; a suicide attempt.

• Aches and pains that just won't go away.                                                   • A hard time focusing, remembering, or making decisions.

• Feeling that the future looks grim; feeling guilty, helpless, or worthless.      • Being irritable.  

Families, friends, and health workers should watch for clues of depression in older people. Sometimes depression can hide behind a smiling face. A depressed person who lives alone may briefly feel better when someone stops by to say hello or during a visit to the doctor. The symptoms may seem to go away. But, when someone is very depressed, the signs come right back. Don't ignore the warning signs. Serious depression can lead to suicide. Listen carefully if someone complains about being depressed or says people don't care. That person may be telling you he or she needs help.                                     First Page