Depression in the Elderly
How is the condition diagnosed?
Screening tests for depression include:
the Beck Depression Inventory (BDI) 19
the Center for Epidemiologic Studies Depression (CES-D) Scale
A person who screens positively on one of these tests should have a comprehensive evaluation for depression. The evaluation may include a medical history, physical examination, and laboratory tests.
Depression is underdiagnosed in the elderly. The signs of depression may not be as clear as they are in a younger person. Elderly people may tell their healthcare provider about aches and pains or other mood states such as agitation. Symptoms may be confused with other ailments, such as Alzheimer's disease. Seniors may not be aware that they are depressed. They may think they are too old to get help. Some seniors believe that seeking help is a sign of weakness.
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