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It is estimated that 15-25% of the 65+ population suffers from some form of depression whether it is short-lived or long-term with higher percentages among those living alone or in a nursing home. There appears to be some difficulty diagnosing depression because symptoms can also be associated with some medical illness or side effects of certain medications.
Following is a partial list of symptoms which may indicate depression: Weight loss, Insomnia, Agitation and anxiety, Fatigue-loss of energy, Isolation, Decline in personal hygiene, Hypochondriac fears, Feelings of loss of self esteem, Confusion, Memory problems. There are many social factors which contribute to depression among the elderly and may also keep them from getting the help they need.
1) The elderly are afraid to talk about the confusion and memory loss because they think it might be Alzheimer's.
2) It may be difficult to draw the line between what is depression and what is sadness from a loss or disappointment.
3) Loss related to age (family, friends, physical abilities, home, social status, appearance) is a strong contributing factor.
4) Depression may be worsened by poor diet, poor health, and lack of exercise, light, money & socializing.
As adult children it is not always easy to know how our elderly parents are really feeling and their daily lives may be quite different from what we hear during our daily telephone call. They may be experiencing many of the symptoms related above and either do not recognize it or don't want to burden you with their problems. Perhaps they look forward to your daily call as the bright spot in their day which may relieve their feelings of isolation (see 4 above).
The Geriatric Depression Scale (GDS) short or long form, from http://www.healthyplace.com, will be helpful if depression may be an issue with your elderly parent. Obtaining an honest assessment of your parent's mental health is of paramount importance and will assist you both in determining the next step.
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