By Robert Baldwin
Melancholy impacts among 10-15% of older humans, making it the main often encountered psychological overall healthiness in later lifestyles. regardless of this, the situation is definitely overlooked in medical perform or now not competently treated.
Part of the Oxford Psychiatry Library, this concise pocketbook offers an available account of what melancholy in older humans is like, why it is crucial, and what remedies aid. The textual content highlights which parts of melancholy are of unique relevance to later existence, how one can diagnose melancholy in an older individual, the overlap with dementia and numerous different actual health problems, and critical pharmacological concerns.
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Additional resources for Depression in Later Life
Typically in dementia, relatives and caregivers are the first to notice memory problems, whereas in depression it is usually the patient who complains of a ‘bad’ memory. On memory testing, those with dementia may guess answers whilst patients with depression may struggle to summon the effort and simply give up with an ‘I don’t know’. As discussed, this too reflects the fact that dementia affects higher cortical function, such as higher order Clinical features CHAPTER 3 major depression (Dolan et al.
Given the limited availability of psychological therapies this could be important. The increased awareness of childhood abuse, including sexual abuse, as a risk factor for depression should not be overlooked just because the patient is older. Strategies that may have enabled coping with adversity earlier in life may break down under ill-health, loss, or other threatening life events, resurrecting memories of abuse. 6 Psychosocial factors Poverty, poor social support, and social isolation are risk factors for depression in later life.
Delusional depression in elderly patients: characteristics and relationship to age at onset. International Journal of Geriatric Psychiatry, 10, 981–5. Brodaty H, Luscombe G, Parker G, et al. (2001). Early and late onset depression in old age: different aetiologies, same phenomenology. Journal of Affective Disorders, 66(2–3), 225–36. Butters MA, Whyte EM, Nebes RD, et al. (2004). The nature and determinants of neuropsychological functioning in late-life depression. Archives of General Psychiatry, 61, 587–95.