Don’t ignore depression

Depression may be more common as people age, but perhaps the biggest threat to older adults’ mental health is that many of them fail to recognize its symptoms and seriousness.

A 2020 poll conducted by GeneSight Mental Health Monitor found that 61% of people ages 65 and older who worry they may have depression don’t seek treatment. About one-third believe they can “snap out of it” on their own.

This all-too-common attitude can cause many to unnecessarily suffer from a treatable illness.

“Depression still carries a stigma, especially among older adults, who have trouble admitting they have a problem,” says Dr. Caroline Bader, a geriatric psychiatrist with Harvard-affiliated McLean Hospital. “But it’s a common and treatable problem, and older people should know they are not alone and do not need to suffer in silence.”

Facing new life changes

Older adults often resist the reality of depression because they write it off as just another health problem that comes with age, which isn’t necessarily true. “It’s not a normal part of aging to feel depressed,” says Dr. Bader.

While depression affects both genders, older men in particular can be more vulnerable. Today’s older men were typically breadwinners for much of their lives, so their energy, purpose, and identity were wrapped up in work.

But now, in retirement, many have lost that sense of self, according to Dr. Bader. “It’s a huge change for many men, and they don’t know how to fill that space,” she says. “This can lead to a sense of purposelessness and hopelessness that often contributes to depression.”

Seeking treatment

The first step toward facing depression is to recognize the symptoms and not ignore them (see “Look for the signs”). Speak with your doctor if any of these apply to you. He or she can offer a diagnosis and prescribe antidepressants if needed. Many people respond well to medication and may prefer this course of treatment.

“Opening up to friends and family also can help you gain perspective on whether depression symptoms have become a problem in your life and you need to seek more help,” says Dr. Bader.

Look for the signsIf you experience several of the following most days for at least two weeks, you may have depression and should seek help:loss of enjoyment in favorite activitiespersistent sad or “empty” moodincreased boredom and apathyfatigue or loss of energyrestlessness or irritabilityinsomnia or spending too much time in bedfeelings of hopelessness or pessimismtrouble concentrating or making decisionsunintentional weight gain or loss.

There are other ways to address and manage your symptoms. Here are some strategies you can try. “When you recognize depression as something real and treatable, you can begin to improve many aspects of your life,” says Dr. Bader.

Make small changes. Adding regular structure to your daily life can help ward off and even treat many common symptoms. “You don’t have to make sweeping changes,” says Dr. Bader. “Small adjustments can often have a significant impact.” For example, make daily exercise a priority (like a 10-minute walk), get involved in your religious community, or volunteer. Even during a pandemic, you can join virtual religious services, or volunteer by making phone calls or partaking in a letter-writing campaign for an organization or charity. “This helps create a greater sense of purpose,” says Dr. Bader.

Try mindfulness or meditation. These practices teach you to manage stress that can exacerbate or lead to depression symptoms. Many online instructions and apps show you the basics. Some examples include Calm (, Ten Percent Happier (, and Headspace (, all of which offer free trials.

Explore online psychotherapy. The pandemic has led to a surge in telehealth, especially online therapy. “Talk therapy can be a positive experience for many and helps address issues that are triggering symptoms,” says Dr. Bader. “Plus, this approach can be an option for men who are more reluctant to do in-person therapy.” Ask your doctor to recommend a mental health expert, and inquire about online sessions. If the therapist doesn’t offer them, ask for names of colleagues who do.

Bible verses for today’s meditation and inspiration: Matthew E. McLaren

“If you, then, though you are evil, know how to give good gifts to your children, how much more will your Father in heaven give good gifts to those who ask him!” – Matthew 7:11

 “A cheerful heart is good medicine, but a crushed spirit dries up the bones.” – Proverbs 17:22

 “Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God.” – Philippians 4:6

 “Above all else, guard your heart, for everything you do flows from it.” – Proverbs 4:23

 “For God has not given us a spirit of fear, but of power and of love and of a sound mind.” – 2 Timothy 1:7

 “Consider it pure joy, my brothers and sisters,[a] whenever you face trials of many kinds, because you know that the testing of your faith produces perseverance.” – James 1:2-3

 “In all your ways acknowledge him, and he will make straight your paths.” – Proverbs 3:6

 “Commit your actions to the LORD, and your plans will succeed.”- Proverbs 16:3

 “Consider the ravens: They do not sow or reap, they have no storeroom or barn; yet God feeds them. And how much more valuable you are than birds!” Luke 12:24 – Luke 12:24

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