title: Recognition and management of depression in the elderly.
abstract: Depression is probably the most common psychiatric disorder of the elderly. Societal stereotypes and atypical clinical features are contributing factors to inadequate diagnosis and treatment. Somatic complaints without an obvious mood defect and a syndrome of pseudodementia are commonly encountered. Treatment strategies rest firmly on a comprehensive evaluation that considers the biological, psychologic, and social factors involved. Psychotherapy is a valuable tool in some elderly persons. When antidepressant agents are used, it should be recognized that lower than usual dosage may be effective and that the elderly person is particularly sensitive to the autonomic side effects of these chemical agents. Electroconvulsive therapy remains a helpful and sometimes lifesaving resource when other methods have failed.
mesh_terms: D000368:Aged / Q000523:psychology*; D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D002908:Chronic Disease; D003866:Depressive Disorder / Q000188:drug therapy / Q000209:etiology / Q000523:psychology / Q000628:therapy*; D004565:Electroconvulsive Therapy; D005162:Factitious Disorders / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male
chemical_list: D000928:Antidepressive Agents