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Depression in Older Adults
Although research does not indicate an increased incidence of depression in older adults, many of the life challenges faced at this age can contribute to or exacerbate the subjective symptoms associated with this mood disorder and/or impede attempts at therapeutic intervention (Santrock, 2002; Callahan & Wolinsky, 1995). Life experiences common to this developmental stage, including loss of friends and loved ones, failing health, lack of social support, and a decreased capacity for independent living can contribute to and magnify feelings of depression and even suicidal tendencies. Studies indicate that a therapeutic program which combines medication and psychotherapy is effective treatment for depression in older adults in the large majority of cases (Keonig & Blazer, 1996).
As such, intervention with a depressed older adult should first include a complete medical examination and drug therapy assessment, to help alleviate the physiological causes and symptoms of the depression. Subsequently, a program of supportive psychotherapy should include advocacy and outreach components which put the individual in contact with appropriate social resources to ease stresses of everyday life (i.e., household help, assistance with errands, meal programs, social activities, support groups, etc.) as well as more traditional therapeutic interventions (i.e., cognitive-behavioral therapy, client-centered…
