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Depression in the Elderly (cont.)

What Other Problems Affect Treatment of Depression in the Elderly?

The stigma attached to mental illness and psychiatric treatment is even more powerful among the elderly and is often shared by members of the patient's family, friends, and neighbors. This stigma can keep elderly patients from seeking treatment. In addition, depressed older people may not report their depression because they believe there is no hope for help.

Elderly people may also not be willing to take their medicines because of side effects or cost. In addition, having certain other illnesses at the same time as depression can interfere with the effectiveness of antidepressant medicines.

Alcoholism and abuse of other substances may interfere with effective treatment, and unhappy life events—including the death of family or friends, poverty, and isolation—may also affect the patient's motivation to continue with treatment.

Reviewed by the doctors at The Cleveland Clinic Department of Psychiatry and Psychology.

Edited by David H. Fram, MD, on December 1, 2006.

Portions of this page © The Cleveland Clinic 2000-2005


Last Editorial Review: 2/26/2008




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