Depression in the elderly

Abstract

The UK has an increasing ageing population. As multiple co-morbidity and polypharmacy is common in this age group, there is increasing dependence on primary care, social services and the community as a whole. For the majority of elderly people, advancing age is associated with a reduction in physical capacity, loss of loved ones, loss of status and physical illness. These psychosocial changes can therefore increase mental health problems. Depression is a significant concern, and is often underdiagnosed in the elderly. The overlap of mental, physical and social problems can also make the assessment and management difficult. Many elderly patients and their families may also perceive their change in mood and behaviour to be a ‘normal’ sign of ageing and may not present to the GP initially or at all. This article will discuss the prevalence of this condition and outline a framework for assessing, treating and managing elderly patients with depression in primary care