Is depression a factor causing dementia, or is a diagnosis of dementia leading to elderly depression? Although the specific relationship is unknown, it is clear that depression is quite common among older people with Alzheimer's disease and dementia.
According to the Alzheimer's Association, experts estimate that up to 40% of older people with Alzheimer's disease suffer from significant depression. Unfortunately, identifying depression in someone with dementia can be difficult because of overlapping symptoms, such as social care, isolation, concentration, impaired thinking, and lost interest in activities and hobbies.
It can also be difficult to detect depression as a result of Alzheimer's effects on an older person’s ability to articulate sadness, hopelessness, guilt, and other feelings associated with depression. When depression is found in older people with dementia, doctors should focus more on non-verbal remarks and reports on caregivers.
To make a diagnosis, doctors will also review the medical history and conduct a physical and mental examination. It is possible that the symptoms are the result of treatment or another health condition.
The National Institute of Mental Health has created guidelines for diagnosing depression in people with Alzheimer's disease. According to their recommendations, a person should have either depressed mood or reduced pleasure in normal activities, and at least two of the following symptoms for two weeks or longer:
- Social isolation or care
- Disruption of appetite, not associated with another disease <.li>
- Sleep disturbance
- Agitation or delayed behavior
- Irritability
- Fatigue or loss of energy
- Feelings of worthlessness, hopelessness, or improper or excessive guilt
- Periodic thoughts of death, suicide plans, or suicide attempts
If you notice these signs, tell your senior doctor. Mature depression can potentially impair cognitive decline and daily function, causing increased dependence on others. Diagnosing and treating depression can improve the well-being and functioning of older people with dementia and their caregivers.
Treatment for depression usually involves a combination of antidepressants, counseling, and the gradual re-introduction of previously performed activities and socialization. Non-drug approaches, such as support groups and regular exercise, can also have positive results.
The guardians must recognize the senses of the elder and respond with love and confidence that they are not alone.
Examination requires - especially when caring for an older loved one with dementia and depression. Caregivers must maintain their own well-being in order to provide the best care and to avoid burnout. Some caregivers benefit from working with a private home care company, which allows them the respite needed to replenish the balance.
