Depression and Aging

criteria for depression disorder is what time period

2-week period with 5 or more of the following; one must be either depressed mood or loss of interest/pleasure

criteria for depression list

Depressed mood (sad)

Diminished interest/pleasure in most/all activities - anhedonia

Weight loss or gain >5% in a month or change in appetite

uInsomnia or hypersomnia

Psychomotor retardation or agitation

Fatigue or loss of energy

Worthlessness or guilt

uDecreased concentration or indecisiveness

uRecurrent thoughts of death, suicidal ideation or plan or actual attempt

Persistent depressive disorder

Presence of low mood and/or loss of interest in all activities most of the day, nearly every day for 2 years

AND at least two more symptoms including

Significant weight loss or change in appetite

Insomnia or hypersomnia

Fatigue or loss of energy

Low self-esteem

feelings of hopelessness

Decreased ability to concentrate or indecisiveness

somatic complaints and BLANK than emotional distress

GREATER THAN

Adjustment disorder

situational depression

symptoms impair social or occupational functioning

depressed mood, tearfulness, hopelessness

6 mo

suicide profile of older adult includes

White male over 85 yo

Divorced/single/widow

Poor social support

Medical problems

History of alcohol abuse

High school education

Access to guns

main barrier in diagnosing depression in older adults is BLANK

sad-less depression

the 3 P's of interventions

pharmacotherapy

psychotherapy

physical activity

combination of 2-3 may be best