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Depression, Geriatric

Assim M AlAbdulKader, MPH, FAAFP, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

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 every day for at l...

DIAGNOSIS

Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria 

HISTORY

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

TREATMENT

Although 50% reduction in symptoms alone is considered clinically meaningful; the goal is to treat the patient to the point of remission (i.e., essentially the absence of depressive symptoms...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

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

REFERENCES

1
Taylor  WD. Clinical practice. Depression in the elderly. N Engl J Med.  2014;371(13):1228–1236. [View Abstract on OvidMedline]
2
...

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

  • Latelife depression (LLD) is not a normal part of aging.

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

  • Depression may present primari...

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