Depression Amid the Frivolity

During this blessed Christmas season, most of us are excited and maybe just a little frantic with preparations for family gatherings, parties and celebrations of all sorts. Sometimes in the midst of our business we forget that for many this is a sad time, a time even when depression is a huge problem. Being alone, loss of loved ones, and ill health all contribute to the problem, and a real problem it is.

Depression is a serious medical illness that must be diagnosed and treated by trained professionals. If left untreated, depression, which can last months or even years, can cause unnecessary suffering for the person and their family members, worsen other diseases, lead to disability or premature death, and result in suicide (Those over 65-years-old account for more than 25% of the nation’s suicides).

Being depressed is not a normal part of aging, and it’s impossible “to just snap out of it”. Unlike sadness, which does not impact engaging in regular activities, depression interferes with the ability to function. According to the National Institute of Mental Health, other symptoms are: sadness that lasts more than two weeks, unexplained physical pain or gastrointestinal problems, excessive worry about finances and health, difficulty with sleeping and concentrating, weight changes, no interest in personal hygiene and appearance, and withdrawal from regular, social activities.

Like other illnesses, there are various types and levels of depression. Published in Cognitive Therapy and Research, a recent study determined that late-onset depression (in people over 60) can damage the brain’s executive functions (planning and control), and can spiral into excessive rumination (uncontrolled thought patterns that are repetitive, negative and destructive). Symptoms include inattention, a decline in the working memory, rigid thinking, and no inhibition.

Depression is sometimes difficult to diagnose among the ageing. Rather than be considered weak or crazy, an older person usually describes physical pain to the physician rather than feelings of hopelessness and worthlessness, loss of interest or prolonged grief. When properly diagnosed and treated, however, more than 80% of those suffering from depression recover fully and return to normal, productive lives.

Be aware of how the older people in your life are handling the holidays. Are they having as much enjoyment as you? Are they positive and looking forward? Are they hopeful? If not, perhaps you will need to pursue diagnosis and treatment. At least, begin with a conversation about how they feel and what you can do to make this Christmas season special for them.