Late Life Depression

Depression is Not a Normal Part of Growing Older

Depression is a true and treatable medical condition, not a normal part of aging. However older adults are at an increased risk for experiencing depression. If you are concerned about a loved one, offer to go with him or her to see a health care provider to be diagnosed and treated.

Depression is not just having “the blues” or the emotions we feel when grieving the loss of a loved one. It is a true medical condition that is treatable, like diabetes or hypertension.

How Do I Know If It’s Depression?

Someone who is depressed has feelings of sadness or anxiety that last for weeks at a time. He or she may also experience–

•Feelings of hopelessness and/or pessimism
•Feelings of guilt, worthlessness and/or helplessness
•Irritability, restlessness
•Loss of interest in activities or hobbies once pleasurable
•Fatigue and decreased energy
•Difficulty concentrating, remembering details and making decisions
•Insomnia, early–morning wakefulness, or excessive sleeping
•Overeating or appetite loss
•Thoughts of suicide, suicide attempts
•Persistent aches or pains, headaches, cramps, or digestive problems that do not get better, even with treatment

How is Depression Different for Older Adults?

Older adults are at increased risk. We know that about 80% of older adults have at least one chronic health condition, and 50% have two or more. Depression is more common in people who also have other illnesses (such as heart disease or cancer) or whose function becomes limited.

Older adults are often misdiagnosed and undertreated. Healthcare providers may mistake an older adult’s symptoms of depression as just a natural reaction to illness or the life changes that may occur as we age, and therefore not see the depression as something to be treated. Older adults themselves often share this belief and do not seek help because they don’t understand that they could feel better with appropriate treatment.

How Many Older Adults Are Depressed?

The good news is that the majority of older adults are not depressed. Some estimates of major depression in older people living in the community range from less than 1% to about 5% but rise to 13.5% in those who require home healthcare and to 11.5% in older hospital patients.

How Do I Find Help?

Most older adults see an improvement in their symptoms when treated with antidepression drugs, psychotherapy, or a combination of both. If you are concerned about a loved one being depressed, offer to go with him or her to see a health care provider to be diagnosed and treated.

If you or someone you care about is in crisis, please seek help immediately

•Call 911

•Visit a nearby emergency department or your health care provider’s office

•Call the toll-free, 24-hour hotline of the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255); TTY: 1-800-799-4TTY (4889) to talk to a trained counselor

Web Resources

American Psychological Association’s Depression and Suicide in Older Adults Resource Guide

CDC’s Prevention Research Centers Healthy Aging Research Network Conference: Effective Programs to Treat Depression in Older Adults

CDC Prevention Research Centers Healthy Aging Research Network Depression Webinars – hosted by the National Council on Aging

The Community Guide Mental Health Recommendations

Geriatric Mental Health Foundation

National Council on Aging Center for Healthy Aging Mental Health Resources

National Institute of Mental Health Depression

SAMHSA Older Adults and Mental Health

SAMHSA National Registry of Evidence-Based Programs and Practices

Web Sites

Senior Net (www. seniornet.org)
Third Age (www. thirdage.com)
ElderWeb (www. elderweb.com)
Federal Interagency Forum on Aging-Related Statistics (www.agingstats.gov)
American Association of Retired Persons (www.aarp.org)
www.aoa.dhhs.gov

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My office is centrally located in West Linn, just off of 205, and easily accessible to residents of Wilsonville, Canby, Oregon City, Tualatin, Lake Oswego, Lake Grove, Happy Valley, Gladstone.  I belong to Family counselors of west linn or

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Natalie Mills, LPC, MFT

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West Linn, OR 97068

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What is Chrysalis?

A transitional stage through which a caterpillar becomes a butterfly. During the chrysalis phases of our life, little may appear to be happening because much of the change is occurring internally, beneath the surface.


These transitions involve shifts in the way we see the world. A chrysalis stage is a time when the former way of being is no longer possible and a new “Self” has not yet emerged. This is a time of exploration, questioning, and discovery.

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My office is centrally located in West Linn, just off of 205, and easily accessible to residents of Wilsonville, Canby, Oregon City, Tualatin, Lake Oswego, Lake Grove, Happy Valley, Gladstone.

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