Misunderstandings
about the nature of depression and of the aging process may
lead to under-recognition or inappropriate treatment.
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What is Depression?
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Depression
is a serious illness that represents significant sources
of medical morbidity and disability.
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Physical
illnesses such as stroke, Parkinson’s disease, heart disease,
and pulmonary disease can predispose a person to depression.
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Depression
magnifies the disability caused by medical illnesses.
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Correcting Myths about Depression
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Depression
is NOT a normal consequence of aging
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Depression
is NOT a normal reaction to physical illness or a loss.
Depression that follows illness or loss should be thought
of as a disorder to be treated.
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Depression
is NOT a character flaw.
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Most cases of Depression respond to the current available
treatments.
How
can Depression be treated?
Treatments
for depression are available, safe, and effective. Treatments
for late-life depression are based on a rigorous body of research.
The efficacy of medication, electroconvulsive therapy (ECT),
psychotherapy, and combination approaches is well-documented
within older persons.
Depression
is a chronic disorder. Like other chronic conditions, (e.g.
diabetes, hypertension and arthritis), depression as a rule
requires long-term treatment. The goal of anti-depressant treatments
is not only to get patients well, but also to keep them well.
Older persons with a history of recurrent depression need to
be treated for many months or years in order to remain well.
Social
support is critical. For most older persons, social support,
particularly from family members, is a critical contributor
to long-term care required for the prevention of recurrences.
The burden associated with this care is significant, however,
and caregivers commonly experience symptoms of mental disorder
themselves. Treatment and other assistance for the entire family
is often essential in the care of the older patient. Often
family members of depressed patients may find it beneficial
to participate in support groups or seek psychiatric care.
Where
can I get this care?
Care
for depression can be provided by psychiatrists, internists
and mental health clinics. The group practice of the Cornell
Institute of Geriatric Psychiatry offers evaluation and treatment
for older adults who are experiencing depression, anxiety, grief,
or insomnia. In addition to treatment, the Institute offers
opportunities for participation in research studies to eligible
individuals. For more information about our programs, please
call 914-997-5970 (Practice Receptionist). For free screening
for depression call our research office at 914.997.4331
