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Mental Health

Combating Depression in the Elderly

By Mr. Hershel Wertheimer

Executive Director of Hamaspik Kings County

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Question:

I'm a caretaker for my elderly mother, who has become increasingly withdrawn and disinterested in activities she once enjoyed. She often speaks about feeling useless. Could this be depression in the elderly? What is the best way to approach her about it without making her feel worse?

Answer:

This might be depression or a form of depression. Depression in the elderly can range from mild to severe and often goes unnoticed because symptoms may present differently in older adults. 

When it comes to helping seniors with depression, it’s important to understand that elderly mental health disorders are common, and there are straightforward, compassionate steps you can take to improve things for your mother and for those who care for her.

As people age, they may realize that their previous roles: supporting a family, being productive, and feeling accomplished, are no longer part of their current reality.

They may think, I used to be active and productive. I felt needed. Now I’m retired. I have more time on my hands and depend on others for day-to-day tasks. This emotional shift is one of the leading contributors to depression in the elderly, as it deeply affects self-worth and identity.

Hashem has designed aging to naturally help us adapt to these changes. As we grow older, we gradually lose some drive, motivation, and physical strength. In turn, we begin to adjust our expectations of ourselves. For many, this helps preserve self-esteem even as their lifestyle changes.

But this transition isn’t smooth for everyone. Some people struggle with the decline in productivity and experience a loss of meaning, which can lead to persistent low mood or symptoms of elderly depression.

Common Signs of Depression in the Elderly

It’s easy to dismiss some signs of depression as simply part of “getting older.” But when older adults consistently seem sad, hopeless, or withdrawn, it’s important not to overlook what could be a real and treatable issue.

Some common symptoms of depression in the elderly include:

  • Loss of interest in activities they used to enjoy
  • Sleep disturbances, like insomnia or oversleeping
  • Appetite changes or unintentional weight loss
  • Persistent fatigue or lack of motivation
  • Difficulty concentrating or making decisions
  • Expressing feelings of worthlessness or excessive guilt
  • Talking about death or expressing a desire to “give up”

These symptoms may not always appear as dramatic mood swings. In many cases, it’s a quiet fading out of engagement and energy. If you notice several of these changes over time, it’s worth looking into further support.

Why Depression Often Goes Undiagnosed in Older Adults

Depression in older adults is frequently missed by families, caregivers, and even physicians. That’s because the symptoms often mimic other health conditions common in aging, such as chronic pain, memory issues, or fatigue.

Additionally, some seniors are reluctant to talk about how they’re feeling. They may fear being seen as a burden, or simply believe that emotional pain is something they have to endure. That’s why gentle conversations and regular check-ins are so important.

Normalizing emotional health as part of overall well-being makes a big difference. Just like physical health, mental health deserves attention, respect, and care at every stage of life.

How to Help Your Parent with Depression in the Elderly

Try helping her find new sources of purpose and joy. Depression in the elderly often stems from isolation or a lack of meaningful engagement. Encourage her to build a small circle of friends, attend community programs, or simply have more visitors. Social connection can be a powerful antidote to emotional loneliness.

You can also help her shift from a fulfillment model based on productivity to one grounded in connection. Once a person sees that relationships and shared experiences can also bring purpose, their entire outlook can change.

Of course, this shift isn’t immediate. For someone who spent decades feeling accomplished through work or responsibility, socializing might feel like an unsatisfying substitute. Be gentle. It may take time, consistent encouragement, and small wins to change that narrative.

If these strategies don’t lead to meaningful change, or if her symptoms of depression in the elderly seem to worsen, consider speaking with a mental health professional who specializes in older adults. In many cases, just a few sessions of therapy or a low-dose medication can make a significant difference.

Wishing you continued strength and success as you help your mother find peace, joy, and connection in this meaningful stage of life.

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Auditory Sensitivity

My child is sensitive to loud noises
(e.g., sirens, vacuum cleaner).

My child seeks out specific sounds or types of music and appears calmer when listening to them.

Tactile Sensitivity

My child is irritated by certain fabrics or tags in clothing.

My child seems indifferent to sensations that are usually painful or to extreme temperatures.

Visual Sensitivity

My child is sensitive to bright or flashing lights.

My child tends to avoid eye contact.

Taste/Smell Sensitivity

My child constantly prefers bland foods and rejects foods with strong flavors or spices.

My child seeks out strong or unusual smells, such as sniffing food or objects.

Proprioceptive Sensitivity

My child prefers tight hugs or being wrapped in a blanket.

My child is unaware of body position in space (e.g., often bumps into things).

Social Sensitivity

My child becomes anxious or distressed in crowded spaces.

My child is hesitant or resistant to climbing or balancing activities (e.g., jungle gyms, see-saws).

Movement Sensitivity

My child dislikes fast or spinning movements

Vestibular Sensitivity

My child becomes anxious or distressed in crowded spaces.

My child is hesitant or resistant to climbing or balancing activities (e.g., jungle gyms, see-saws).

Please answer all questions before submitting.

Your Child’s Score is

  • 0-15

    Low Sensory Sensitivity

  • 16-30

    Moderate Sensory Sensitivity

  • 31-45

    High Sensory Sensitivity

  • 46-60

    Very High Sensory Sensitivity

0-15: Low Sensory Sensitivity

  • Interpretation: Your child exhibits low levels of sensory sensitivity, usually falling within the typical developmental range.
  • Recommendation: Generally not  a cause for concern. If you have specific worries or notice a sudden change in behavior, consult a healthcare professional for a comprehensive evaluation.
  • 0-15

    Low Sensory Sensitivity

  • 16-30

    Moderate Sensory Sensitivity

  • 31-45

    High Sensory Sensitivity

  • 46-60

    Very High Sensory Sensitivity

16-30: Moderate Sensory Sensitivity

  • Interpretation: Your child displays moderate sensory sensitivity, which may warrant intervention.
  • Recommendation: Consider sensory-friendly activities, sensory sensitive toys, or sensory sensitive clothing like noise-canceling headphones and weighted blankets to improve comfort. If symptoms persist, consult health care professionals.
  • 0-15

    Low Sensory Sensitivity

  • 16-30

    Moderate Sensory Sensitivity

  • 31-45

    High Sensory Sensitivity

  • 46-60

    Very High Sensory Sensitivity

31-45: High Sensory Sensitivity

  • Interpretation: Your child has higher than average sensory sensitivity that may interfere with daily functioning.
  • Recommendation: Seek a detailed evaluation by health care professionals for sensory integration therapy options and potential environmental modifications.
  • 0-15

    Low Sensory Sensitivity

  • 16-30

    Moderate Sensory Sensitivity

  • 31-45

    High Sensory Sensitivity

  • 46-60

    Very High Sensory Sensitivity

46-60: Very High Sensory Sensitivity

  • Interpretation: Your child demonstrates high levels of sensory sensitivity that could significantly interfere with daily life.
  • Recommendation: If your child displays this level of sensory sensitivity, it’s highly recommended that you consult with a health care professional for a multi-disciplinary assessment. You will probably be directed towards early intervention programs and specialized support.

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