• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

Depression best treatment for depression For Elderly People

Depression in older people can lead to a worsening of their health issues and increased likelihood of death. It is important to see a doctor regularly to ensure that they receive the appropriate treatment.

There are a variety of factors that can make it difficult to recognize depression in older adults. These include misidentifying depression symptoms as a normal aspect of aging or obscuring them by claiming they are co-existing medical illnesses, insufficient social support, and stigma.

Antidepressants

In many cases, the initial step to treat is to start taking antidepressants. These medications increase neurotransmitters in the brain, which can help improve mood and decrease depression symptoms. They are often used in combination with psychotherapy. It can take a few weeks before they begin working and it is essential to follow the exact dosage they are prescribed.

Depression-stricken patients of any age should be screened for any other co-morbidities, and treated accordingly. Often medical illnesses like stroke, heart disease and chronic pain lead to depression in older patients. They could also be more susceptible to the side effects of some medication.

Stigma prevents elderly people from seeking medical attention for mental health issues. Depression symptoms can be confused with other illnesses such as eating or pain problems caused by dentures. These symptoms can be made worse by a lack of social support. They can also be difficult to communicate, particularly with family members.

Older adults are more likely to experience vascular depression, caused by a decrease in the flow of blood to the brain. In comparison to other forms of post natal depression treatment, the vascular depression is associated with a greater degree of cognitive impairment and poorer response to treatment. This kind of depression can be treated by a variety of drugs including SSRIs SNRIs TCAs.

The medication used to treat depression in elderly patients should be customized, as they are more susceptible to adverse reactions. Doctors should begin with lower doses and titrate up gradually, taking into account age related pharmacokinetic changes. They should also think about the impact of other supplements and medications on the patient's response to antidepressants.

It is crucial for doctors to inform patients and their families about the signs of depression as well as available treatment options. This can help patients understand their condition and adhere to their treatment regimens. Additionally, it is important to inform patients of the time frame for the beginning of antidepressant effects.

A thorough history is crucial to evaluate depression in older people. This should include the date of the onset of depression and its connection to other stressors in the life and previous episodes of depression as well as any underlying medical or physical illness. It is essential to determine if depression symptoms are caused by medications or other health issues like menopausal or seasonal affective disorder.

Electroconvulsive Therapy

ECT helps to reset the brain to reduce depression symptoms. It is typically recommended to those who are unable to respond to medication or suffer from life-threatening depression that is severe, such as those with suicidal feelings or medical conditions that pose danger. A majority of insurance companies and Medicare provide ECT. It's typically performed in a hospital setting. You'll receive an general anesthetic as the procedure is completed and you will not feel anything during the treatment. Six ECT treatments may be required to treat depression.

You may experience confusion for a few hours or even days after the procedure. It is also possible to lose memories in the immediate aftermath of ECT. However, these issues tend to be temporary. It could take a few months before you start remembering things. If you have a history of heart disease, you could be more susceptible to complications resulting from ECT. Those with preexisting heart conditions should steer clear of ECT until their doctor has recommended it.

A recent study has compared the rates of cardiac complications during ECT in patients with and without existing heart disease. Researchers found that the complication rate was significantly higher in those with pre-existing cardiac disease. The researchers suggested that a reduction in the use of ECT for patients who are elderly and have existing cardiovascular issues could reduce the risk of complications.

ECT is effective for a range of depressive disorders, including unipolar bipolar and mania. It can also be used to treat other mental health issues like schizophrenia with catatonic features and psychosis induced by antiparkinsonian drugs. It is also used to treat severe dementia particularly when it is caused by a life-threatening illness.

If you're considering ECT, you and your physician should do a thorough psychiatric evaluation before you have the procedure. Your doctor should review your medical records in order to determine if there are any medical conditions that might influence your response to treatment. If you have heart disease or other heart condition, your doctor may recommend an electrocardiogram (EKG) or chest X-ray before you receive ECT.

Psychotherapy

Depression in the elderly is often difficult to identify and treat. Seniors often have a harder time admitting that they are depressed because of the stigma associated with mental illness. They may be reluctant to seek help and are afraid of being a burden to their families. Depression can also increase a person's heart disease risk and make it more difficult to recover from other illnesses. Psychotherapy is an effective what treatment is there for depression for depression in people who are older.

Depression is a prevalent disorder in the elderly, however many of them aren't diagnosed or treated. This is due to a variety reasons such as misdiagnosis or lack of awareness by health professionals. Patients may experience symptoms like inactivity, apathy in daily activities, sleep disorders, and recurrent thoughts about death. These symptoms are usually attributed to dementia and aging however, they are usually caused by depression treatment types.

A comprehensive evaluation of a depressed patient should include thorough medical history collection review of the patient's response to previous treatment and laboratory tests as well. A minimum battery should include haemogram, liver function tests and renal function tests as well as urine analysis. Numerous tests such as thyroid function test, folate and vitamin B12 levels should be conducted in case of a possible nutritional deficit since they can contribute to the onset, persistence and maintenance of depression in the older.

The initial phase of treatment for depression should be centered on achieving remission and must be tailored to the needs of the patient. When combined with antidepressant medicines and a psychotherapy program, a psychotherapy program is suggested. The psychotherapy can be short-term, or it could be a long-term. It may be aimed at addressing overt behavior and cognition, or it may be directed towards understanding and resolving deeply-rooted emotional and interpersonal issues.

In the maintenance and continuation phase the same antidepressant must be used as in the acute phase. This should be done in conjunction with careful monitoring of remission and relapse rates. It is important to monitor the relapse rates of elderly patients, as they are more likely to have a relapse.

Social Support

Social support is a key element of mental wellbeing. Studies show that people with strong social networks are less likely to suffer from depression and are better equipped to cope with life stresses. It is also crucial for maintaining an immune system that is healthy. This is especially applicable to older adults, who have higher levels of stress and fewer healthy strategies for coping. This is likely to be the reason that older adults require more social support than younger people.

In reality it is true that a lack of family and social support is linked to poor health outcomes for older adults. It has been shown that social support can help reduce the negative impact of life events, such as a loss of a loved one or an illness of a serious nature. It can also have a positive effect on the hypothalamic-pituitary-adrenal cortex (HPA) and noradrenergic systems. It is therefore important to determine and correct any problems in this area to improve a patient's quality of life.

There are many natural ways to treat depression and anxiety that healthcare professionals can provide social support for a depressed senior. These include psychotherapy, pharmacotherapy electroconvulsive therapy, as well as transcranial magnetic stimulation. These treatments can improve mood and function, and increase independence. The level of care the patient receives will determine the level of his or her recovery.

Social support can be described as both instrumental and emotional support in addition to the presence of a sense of belonging and a sense of belonging. Emotional support includes the ability to speak to others about problems and feelings, instrumental support is the capacity to receive help with tasks and informational support refers to the ability to get advice from an authoritative source.

In Vietnam there are a variety of types of social support available, including immediate family friends, neighbors, and professional helpers. For psychiatric treatment, social support has been proven to enhance the quality of life of elderly patients, and also reduce morbidity and mortality from suicide and other medical conditions. This is also associated with lower costs for psychiatric treatment and health care. This is a major benefit for both the public and private health system.