By Geradine Ohonba
Health Editor/Columnist
Depression is often misunderstood, especially when it affects older adults. While many people associate old age with physical decline or memory loss, few recognize that the emotional and psychological well-being of seniors is just as important. Unfortunately, depression in the elderly is frequently overlooked, misdiagnosed, or dismissed as a normal part of aging — but it isn’t.
The Hidden Crisis
Late-life depression, also known as geriatric depression, is a serious medical condition affecting millions of older people worldwide. It can stem from a variety of factors: the loss of a spouse or close friends, chronic illnesses, social isolation, declining independence, or the stress of retirement and financial insecurity. However, because older adults are less likely to speak up about how they feel — and because their symptoms may appear subtly or mimic other age-related issues — depression often goes unnoticed.
Common but Overlooked Signs
Unlike younger people who may express sadness openly, older adults often show depression through physical or behavioral symptoms. Here are key signs to watch for:
-
Persistent sadness or low mood
-
Loss of interest in hobbies or social activities
-
Unexplained aches and pains
-
Fatigue or low energy
-
Changes in appetite or weight
-
Sleep disturbances (insomnia or oversleeping)
-
Memory problems or confusion
-
Withdrawal from family and friends
-
Feelings of worthlessness or hopelessness
-
Increased use of alcohol or medications
-
Thoughts of death or suicide
If several of these symptoms are present for more than two weeks, it may indicate clinical depression — and not just “old age blues.”
Barriers to Diagnosis
Many older adults don’t seek help for depression due to stigma, generational beliefs, or simply not realizing they’re depressed. Others may focus more on their physical symptoms when visiting doctors, making it harder for healthcare providers to detect underlying emotional distress.
In some cases, family members or caregivers may unintentionally overlook changes in mood, brushing them off as part of aging or character changes.
What You Can Do
If you suspect an elderly loved one is struggling with depression:
-
Start a gentle conversation. Express concern and ask how they’ve been feeling emotionally.
-
Encourage a medical check-up. A doctor can rule out physical causes and conduct a mental health screening.
-
Promote social connection. Isolation can worsen depression; help them stay in touch with friends, family, or local support groups.
-
Encourage routine and activity. Physical activity, hobbies, and mental engagement can improve mood and self-esteem.
-
Offer support, not judgment. Let them know depression is not a weakness and help is available.
Treatment and Hope
The good news is that late-life depression is treatable. A combination of therapy, medication, lifestyle changes, and community support can significantly improve quality of life. Early detection is key — the earlier the signs are recognized, the sooner healing can begin.
Final Thoughts
Aging doesn’t have to mean suffering in silence. By paying attention, having honest conversations, and offering compassion, we can help our elderly loved ones live not just longer — but happier and healthier lives.
