There are many factors that can lead to mental health problems such as depression at any stage in life. But in addition to these common stressors, elderly people may experience some that are particular to their age group. For example, older people are more likely to experience chronic pain, mobility issues, loss of strength, and long-term health problems. Additionally, older people are more likely to experience life changes such as the loss of loved ones, reductions in socioeconomic status and loss of independence. Moving into a long-term care environment can put even more emotional stress on a person and lead to increased feelings of depression.
Depression is not a normal part of aging. It can negatively impact an older person’s quality of life and cause a great deal of emotional suffering. Although older adults are at an increased risk for experiencing depression, anti-depressants and other psychotropic drugs are not always the answer. Prolonged use of psychotropic drugs can have severe side effects for seniors including excessive sleeping, social withdrawal, delirium, depression, pain, weight loss from missed mealtimes, decline in mental and physical functioning; increased risk of falls and decline in continence.
Recognizing symptoms of depression
Recognizing the signs of depression in residents is the first step to them getting treatment, which can make a real difference in their quality of life. Symptoms of depression can include:
- Noticeable changes in mood, energy level or appetite
- Having trouble feeling positive emotions
- Difficulty sleeping or sleeping too much
- Difficulty concentrating, feeling restless or on edge
- Increased worry or feeling stressed
- Anger, irritability or aggressiveness
- Ongoing headaches, digestive issues or pain
- Sadness or hopelessness
- Suicidal thoughts
- Obsessive thinking or compulsive behavior
- Thoughts or behaviors that interfere with family or social life
- Unusual thinking or behaviors that concern other people
Studies have shown that depression is best treated using a combination of medication, therapy and lifestyle changes. Unfortunately, many older adults in long-term care are only given medication as treatment. Psychosocial interventions can be beneficial in not only helping to relieve the symptoms of depression, but in strengthening coping techniques and promoting healthy behavior. Psychosocial interventions can include talk therapy, exercise activities, pet therapy, music and therapeutic recreation. Besides being an alternative to antidepressant medication, psychosocial interventions are important for providing social interactions and pleasurable experiences for older adults, which can give them a sense of fulfillment and happiness as well as improve the quality of life.
The Compliance Store has information on depression and the older adult population as well as policies on the use of psychotropic drugs. To learn more, visit www.TheComplianceStore.com.