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Depression, Geriatric

Reviewed 06/2019
 


BASICS

DESCRIPTION

Depression is a primary mood disorder characterized by a depressed mood and/or a markedly decreased interest or pleasure in normally enjoyable activities most of the day, almost ever...

DIAGNOSIS

HISTORY

  • Depressed mood most of the day, nearly every day, and/or loss of interest/pleasure in life for at least 2 weeks

  • Other common symptoms include the following:

    • Feeling hopeless, helpless, ...

TREATMENT

Although response alone, usually interpreted as a 50% reduction in symptoms, can be clinically meaningful, the goal is to treat patients to the point of remission (i.e., essentially the abse...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Due to the delay of benefit following initiation of antidepressant therapy, it is necessary to ensure open communication with the patient to prevent premature dis...

REFERENCES

1
Blake H, Mo P, Malik S, et al. How effective are physical activity interventions for alleviating depressive symptoms in older people? A systematic review. Clin Rehabil.  2009;23(10):8...

SEE ALSO

Algorithms: Depressed Mood Associated with Medical Illness; Depressive Episode, Major 

CODES

ICD10

  • F32.9 Major depressive disorder, single episode, unspecified

  • F03 Unspecified dementia

  • F43.21 Adjustment disorder with depressed mood

  • F34.1 Dysthymic disorder

  • Z60.0 Problems of adjustment to lif...

CLINICAL PEARLS

  • Depression is not a normal part of aging.

  • Depression in the elderly may be difficult to diagnose precisely due to medical and cognitive comorbidities.

  • Depression may present primarily wi...

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