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Depression in Late Adulthood

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Depression in Late Adulthood
Depression and anxiety are common throughout the life cycle; depression and older age have commonly been associated with one another. Late-life depression is a major medical, social and economic concern for the elderly population. There are many factors that can cause late-life depression. It can be caused by inherited traits, certain medications you take, an illness (especially an extended one), or a stressful life event. Things like death of someone close to you, moving to a new area, or experiencing a natural disaster could each be contributing factors to feelings of depression. After years of planning, dreaming, and expecting the golden years to be the highlight of one 's life, the increased number of stressors related to aging causes feelings of depression.

Case of Maria
Maria’s life has taken a drastic change and she feels like her life has no purpose. She has to learn how to cope with the death of her husband, retirement, moving to a new town to be closer to her daughters, regaining her mobility due to knee replacement and most recently memory loss. Studies have shown that depression and dementia frequently coexist (Jorm, 2001). According to Jorm (2001), history of depression nearly doubles the risk of dementia.
The experience of grief wears many faces for individuals whose lives are challenged by change, turmoil, illness, death and/or the loss of hopes and dreams. Maria needs to express how she feels regarding the death of her husband. Grief is a process not easily acknowledged in our society, particularly the grief of losing a loved one. Grief is often an integral part of most life changes and experiences.
Grief is a natural and normal reaction that has a natural form and sequence. It is, at times, intensely painful and frightening, and it may therefore be avoided, repressed, or distorted out if it’s natural forms. Grief is experienced in each of three major ways--psychologically (through your feelings, thoughts, and



References: Carney, R. M., Freedland, K. E., Eisen, S. A., Rich, M. W., & Jaffe, A. S. (1995). Major depression and medication adherence in elderly patients with coronary artery disease. Health Psychology, 14(1), 88-90. Jorm, A. F. (2001). History of depression as a risk factor for dementia; An updated review. Australian and New Zealand Journal of Psychiatry, 35, 776-781. Knight, B. G. (1996). Psychotherapy With Older Adults (2nd Ed). Thousand Oaks, CA: Sage Publications Inc. Lebowitz, B. D., Pearson, J. L., Schneider, L. S., Reynolds, C. F., Alexopoulos, G. S., Bruce, M. I., Conwell, Y., Katz, I. R., Meyers, B. S., Morrison, M. F., Mossey, J., Niederehe, G., & Parmelee, P. (1997). Diagnosis and treatment of depression in late life: consensus statement update. Journal of the American Medical Association, 278, 1186-90. Newman, B. M. & Newman, P. R. (2012). Development Through Life: A Psychosocial Approach (11th Ed). Belmont, CA: Wadsworth. Sable, J. A., Dunn, L. B., & Zisook, S. (2002). Late-life depression: How to identity its symptoms and provide effective treatment. Geriatrics, 57(2), 18-35. Warshaw, G. (2006). Advances and challenges in care of older people with chronic illness. Generations, 30, 5-10.

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