Enjoying the golden years: diagnosing and treating depression

Depression affects up to one in ten older adults at any one time. It is more common in those with physical health problems and is associated with shorter life expectancy. In initial screening, all possible symptoms of depression should be counted toward meeting the criteria of a depressive episode regardless of a coexistent physical disorder. Screening tests typically miss more cases in older adults with physical morbidity. The best available evidence suggests that cognitive behavioral therapy or antidepressants are effective for mild-to-moderate major depressive episodes. Antidepressants or electroconvulsive therapy may be considered in more severe episodes