Dr. Asif Khan answers questions about
depression in seniors
Depression affects people of all ages. But a diagnosis of depression in seniors can be missed
altogether because changes are often attributed to “old age” and are not addressed.
Dr. Asif Khan, a geriatric psychiatrist from the Royal Ottawa Hospital who provides psychiatric
services to Fairview Manor, answers some questions about depression in seniors.
What causes depression in seniors? – “A history of depression or a family history of
depression may predispose a senior to depression,” says Dr. Khan.
“Also, as a person ages, they may have a medical illness, such as heart disease, stroke or severe
pain that can predispose them to depression.”
Other factors that can contribute to depression include loss of a life partner, moving from the
family home, loss of independence and financial worries.
“There is also a close link between dementia and depression,” explains Dr. Khan. “Sometimes
depression is the first sign of dementia.”
What are the symptoms? – “Depression in seniors may present a little differently than in
younger people,” says Dr. Khan. “They may not say they feel depressed.
Common symptoms include withdrawing from activities the senior previously enjoyed,
complaints about loss of memory or concentration, anxiety and sleep problems.”
Many seniors who are depressed also complain of physical ailments, such as pain or
gastrointestinal problems. “Some may feel helpless, feel guilt over events in the past or feel life
has no meaning,” Dr. Khan adds. “In severe cases, the person may stop eating or have thoughts
that are not based on reality.”
How is it treated? – Treatment of depression in seniors depends on its severity. “A mild case
may be treated through talk therapy to help the person be more positive and to help them engage
in activities,” explains Dr. Khan. “Providing support to alleviate loneliness or to improve their
ability to do things can also help.”
For more severe cases of depression in seniors, antidepressants are the treatment of choice. “We
would treat the person for at least two years, or until the symptoms are gone,” says Dr. Khan.
The most severe cases, in which a person may be suicidal or has stopped eating, may be treated
with electroshock treatments.
Where can you get help? – If you think you are depressed, or if you think a member of your
family is depressed, go to your family doctor.
“The older generation is more likely to be in denial about depression or to think there is a stigma
around mental illness,” says Dr. Khan. “If you are concerned, talk to your family doctor or
request a psychiatric assessment.”