Depression is not a normal part of ageing and responds well to treatment at any age.
Elders may not use the word 'depressed' and may hide feelings to avoid being a burden.
Key concepts
- Physical complaints without a clear cause can signal depression
- Depression can mimic dementia ('pseudodementia')
- Suicide risk is higher in older men
Symptoms and signs
- Loss of interest in prayer, TV, grandchildren
- Poor appetite, weight loss, early waking
- Saying 'I am a burden' or 'What's the use of living'
Causes
- Loss of spouse, friends or role
- Chronic illness and pain
- Brain changes from strokes
Risk factors
- Living alone or children abroad
- Hearing or vision loss
- Many medicines
Evidence-based management
- Medical check-up to rule out thyroid, anaemia and medicine effects
- Psychotherapy and regular social contact
- Antidepressants chosen carefully at lower starting doses
- Daily routine with light activity and sunlight
When to seek professional help
- Families can book an online consultation and join the call with the elder
- Not eating or losing weight
- Any talk of death or self-harm — seek help the same day
Frequently asked questions
Are antidepressants safe for older people?
Many are safe when started low and monitored for interactions, falls and salt levels.
Can they consult online?
Yes, with a family member helping with the call if needed.
Medical references
Guidelines and official sources used for this article.
- Depressive disorder (depression) — fact sheet. World Health Organization.
- Depression in adults: treatment and management (NG222). National Institute for Health and Care Excellence (NICE), UK, 2022.
- Author
- Dr. Kuldeep Budania, MBBS, MD Psychiatry
- Medical reviewer
- Dr. Kuldeep Budania, MD Psychiatry
- Last reviewed
This article is for general information and is not a substitute for personal medical advice.
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