title: Clinical vignettes in geriatric depression.
abstract: The diagnosis of depression in older patients is often complicated by comorbid conditions, such as cerebrovascular disease or dementia. Tools specific for this age group, such as the Geriatric Depression Scale or the Cornell Scale for Depression in Dementia, may assist in making the diagnosis. Treatment decisions should consider risks associated with medications, such as serotonin syndrome, hyponatremia, falls, fractures, and gastrointestinal bleeding. Older white men with depression are at high risk of suicide. Depression is common after stroke or myocardial infarction, and response to antidepressant treatment has been linked to vascular outcomes. Depression care management is an important adjunct to the use of antidepressant medications. Structured psychotherapy and exercise programs are useful treatments for select patients.
authors.affiliation: St. Luke's Hospital, Duluth, MN, USA. dspoelho@d.umn.edu
authors.forename: G David
authors.initials: GD
authors.lastname: Spoelhof
authors.forename: Gary L
authors.initials: GL
authors.lastname: Davis
authors.forename: Addie
authors.initials: A
authors.lastname: Licari
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000928:Antidepressive Agents / Q000627:therapeutic use; D003866:Depressive Disorder / Q000175:diagnosis* / Q000628:therapy; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D011613:Psychotherapy; D000092864:Suicide Prevention
chemical_list: D000928:Antidepressive Agents