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     By Darleen Mahoney

     Depression is a common problem
     in older adults. It may be difficult to
     distinguish the difference between a
     senior who is just feeling “sad” and one
     who is experiencing geriatric depres-
     sion. Geriatric depression is a mental
     or emotional disorder affecting older
     adults. These seniors who would fall un-
     der “high risk” might be those who have
     experienced strokes, hypertension, atrial
     fibrillation, diabetes, cancer, dementia,
     and chronic pain. There are specific
     signs that would tend to lean more to
     geriatric depression over moments of
     sadness. It is important to be aware of
     these signs because there are also steps
     to take to help our seniors; depression is   “Instead, they show signs of distress by
     not a normal part of getting older. Their   wringing their hands excessively, getting
     “golden years” should be just that…  agitated or irritable, or having difficulty
     golden!                             sitting still.” according to Dr. Strem
     Some signs and symptoms to look for   (www.health.com/health).
     would include decreased energy levels,   Be vigilant for these types of commu-
     and more physical problems, such as   nication signs, as well as the physical
     arthritis and headaches. Other signs   signs, to be more proactive in care and
     that need to be addressed quite serious-  getting the help needed.
     ly would be loss of self-worth, slowed
     speech, increasing alcohol intake, drug   The good news is there is help! There
     usage, or thoughts of suicide.      are medications as well as lifestyle
                                         changes!
     Because depression is not normal and
     addressing these symptoms with our   Medications include: www.healthline.com/
     elderly can be tricky; pay attention to   health/depression/elderly#treatment5
     signs other than verbal.            • Selective serotonin reuptake inhibitors
                                          (SSRIs)
       “Older adults often say, ‘I am not sad,”
     or ‘I am not lonely,’ because they do not   • Selective serotonin-norepinephrine
     want to be a burden on the family.”   reuptake inhibitors (SNRIs)
                                         • Tricyclic antidepressants
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