Depression is common and can affect people at any stage of life. While many of us may experience depressive episodes during our younger years, it’s increasingly recognised that depression can also emerge for the first time in older adults. Here, Professor Kelly Newell, from the Faculty of Science, Medicine and Health, School of Medical, Indigenous and Health Sciences at the University of Wollongong, explores the factors contributing to depression in later life and the importance of seeking treatment.
Depression is not “all in your head”
One of the most pervasive myths about depression is that it’s merely a mindset problem that individuals can “snap out of”. According to Newell, this is far from the truth. “Depression is a biological disorder. There is evidence of alterations in the neurobiology of the brain and various other alterations throughout the body. So, it is definitely not all in your head. The longer people delay seeking help, the harder it is to get on top of the illness, and the longer it takes to get back to your fully functioning self.”
Related Posts
Depression in later life is a real condition
Another common misconception is that depression primarily affects younger people. While it often emerges during adolescence and early adulthood, depression can also occur in later life. This is known as “late-life depression” and can be triggered by various factors, including loneliness, changes in social circles, and other health issues. Professor Newell emphasises, “It’s most definitely possible for someone to start experiencing depression later in life, even if they haven’t experienced it before.”
Signs and symptoms of depression in older people
It is estimated that one in 10 older adults will experience depression, sometimes for the first time in their lives. The symptoms of depression in older people can be subtle and may include lethargy, lack of motivation, sadness, loneliness and negative self-talk. Typical signs of depression include withdrawal from social activities, reduced enjoyment in previously pleasurable activities and increased complaints about physical ailments.
When dementia is present, diagnosing depression can become even more complex. “Late-life depression can be associated with cognitive decline,” says Professor Newell.
Recognising that depression is a legitimate condition and not just a part of ageing is crucial for seeking timely support. “If someone is concerned that they or someone they know may be experiencing depression in later life, definitely speak to their GP.”
Treatment options for depression in older people
Treatment for depression is not limited to medication. Various approaches can be effective, including cognitive-behavioural therapy (CBT) and other psychological therapies. Antidepressant medications may be prescribed, while lifestyle interventions also play a significant role in reducing depression. “There’s lots of evidence for the role of exercise, for example, in the prevention and treatment of depression, especially mild to moderate depression,” says Professor Newell. Support from a GP and possibly a referral to an accredited exercise physiologist can help individuals incorporate exercise into their routine.
The bottom line
Depression in later life is serious and requires attention and appropriate treatment. It’s important to seek help from healthcare professionals and explore various treatment options, which can significantly improve the quality of life for older adults dealing with depression.
Main image: Pixels
Watch Professor Kelly Newell and Dr Norman Swan discuss late-life depression in the video below.
