Why Depression Goes Unnoticed in Older Adults

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  • Опубликовано: 31 мар 2019
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    Learn why depression goes unnoticed in older adults, straight from a leading psychiatrist Dr. Domenick Sportelli.
    Elderly mental health is tricky. The signs, symptoms, diagnosis, and treatment all vary from mental health issues in younger demographics. There is one very common mental illness in particular that doctors rarely catch: geriatric depression.
    Depression in older adults is often mistaken as a normal sign of aging - but this couldn’t be further from the truth. Mental health issues in the elderly hide in plain sight, yet there’s a 75% rate of full recovery when they’re actually diagnosed and treated. So we sat down with Dr. Domenick Sportelli to get the education needed to manage this highly treatable yet underdiagnosed illness. Welcome to the MedCircle original series, “Geriatric Depression: Overcoming It & Aging Gracefully.”
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Комментарии • 85

  • @MedCircle
    @MedCircle  5 лет назад +2

    Get EXCLUSIVE access to ALL of our in-depth video series with leading doctors across the country: bit.ly/2ZRaYN7

  • @maryhaynes8633
    @maryhaynes8633 Год назад +12

    As an older person, I can say the one thing that helps which is not drugs so much as not being invisible to people. You just seem to go off everyone's radar when you reach a certain age, everyone is too busy to bother. Which I understand. But its very isolating and also people talk to you like you're an idiot. I have a very busy job in healthcare, very demanding and I'm over 70 so I am not mentally challenged to be talked down to like a child. I lost my husband five years ago and my life is very lonely now. I work from home, and have a very large family, all just very busy. Life has very little joy anymore
    Its very hard when you start to loose lifelong friends too.

    • @pete9688
      @pete9688 Год назад +1

      Similar situation here. I’m 63 raising my 5 year old daughter alone. It has it’s priceless/ loving moments… but you can’t stall Mother Nature fully. Seemingly , friends / acquaintances I had are becoming difficult to talk to. They are either deteriorating mentally quickly or physically or have passed. I find myself slowly disconnecting from most them. I’m forced to deal with mid 20 and 30 year old parents ( daughter’s school ) which I have to exercise tons of patience. Things have and are changing so much in this world. In short… I’ve disconnected with many people. As you said , you do , somewhat become invisible. Fortunately I haven’t had your experience Mary - the mistreatment of people when speaking to you - try to ignore that. Think of the Serenity Prayer. but I think it’s time to talk to my Dr. about this. I agree with what you said as well…. People have recently…at least, I’m starting to notice, are just too busy for anything lately. Sometimes I wonder if it’s me……?

    • @Low_Carb_Or_DIEt
      @Low_Carb_Or_DIEt Год назад +1

      I totally feel this. There is a struggle with whether life means anything anymore as the rest of the world alienates us.

    • @papitosabe
      @papitosabe 3 месяца назад

      ​@pete9688 you had a daughter at 58???

  • @Knaeben
    @Knaeben 3 года назад +16

    Older people don't want to talk to people about depression because they are afraid of chasing off the few people they have left.

    • @small_fries7573
      @small_fries7573 Год назад

      True. Refer to Robert!
      I know a sheltered old man name Robert A. Please if you're retired don't be like him.
      1. Super frugile
      2. Broken, worn out driveway. Has $ to get it fixed but too cheap.
      3. Sheltered
      4. Wife goes out while he stays home
      5. Smoke 🚬 🚭
      6. Drinks too much Coke
      7. Don't turn on da air con even when the weather is over 90°...he has money and a retirement plan
      8. Worships demonic idols/demons posted outside his house
      9. Superstitious. Never exits nor enter the front door of his house.
      10. Wasting precious water on grasses n plants 🪴. Illegal watering. 3-4 times a week! Only limit to 2x per week
      11. No vacations, no stay-cation.
      12. Doesn't know how 2 cook at all. His wife have been shopping 🛍 & cooking for him daily. Don't dine out.
      13. Rarely exercises if u don't count watering plants

  • @Golden-Eagle781
    @Golden-Eagle781 2 года назад +6

    Love is the cure.

    • @ladyelton4373
      @ladyelton4373 2 года назад

      Gold Eagle, So said Elton John! It works for my Elton, but I don't need or want love!!!! 💔🙏✌

  • @ladyelton4373
    @ladyelton4373 2 года назад +2

    I keep my problems to myself as I don't want to be a burden ANYMORE!!!!

  • @adityavardhan428
    @adityavardhan428 3 года назад +8

    My father has anxiety and depression symptoms but he will never speak to me on these topics. As a supporter to my father I need to help him.

    • @small_fries7573
      @small_fries7573 Год назад

      Let ur dad know the following!
      I know a sheltered old man name Robert A. Please if you're retired don't be like him.
      1. Super frugile
      2. Broken, worn out driveway. Has $ to get it fixed but too cheap.
      3. Sheltered, no friends no social life!
      4. Wife goes out while he stays home
      5. Smoke 🚬 🚭
      6. Drinks too much Coke
      7. Don't turn on da air con even when the weather is over 90°...he has money and a retirement plan
      8. Worships demonic idols/demons posted outside his house
      9. Superstitious. Never exits nor enter the front door of his house.
      10. Wasting precious water on grasses n plants 🪴. Illegal watering. 3-4 times a week! Only limit to 2x per week
      11. No vacations, no stay-cation.
      12. Doesn't know how 2 cook at all. His wife have been shopping 🛍 & cooking for him daily. Don't dine out.
      13. Rarely exercises if u don't count watering plants

  • @yolandalutton7775
    @yolandalutton7775 2 года назад +9

    Shame there was such a push for MEDS with no discussion on the value that non-pharmacological treatment options bring to recovery

    • @emmetran27
      @emmetran27 2 года назад +1

      Psychiatrists are more involved on the medicine aspect while psychologists (and LPCs, MFTs, etc.) are not

    • @small_fries7573
      @small_fries7573 Год назад

      I know a sheltered old man name Robert A. Please if you're retired don't be like him.
      1. Super frugile
      2. Broken, worn out driveway. Has $ to get it fixed but too cheap.
      3. Sheltered, no friends no social life!
      4. Wife goes out while he stays home
      5. Smoke 🚬 🚭
      6. Drinks too much Coke
      7. Don't turn on da air con even when the weather is over 90°...he has money and a retirement plan
      8. Worships demonic idols/demons posted outside his house
      9. Superstitious. Never exits nor enter the front door of his house.
      10. Wasting precious water on grasses n plants 🪴. Illegal watering. 3-4 times a week! Only limit to 2x per week
      11. No vacations, no stay-cation.
      12. Doesn't know how 2 cook at all. His wife have been shopping 🛍 & cooking for him daily. Don't dine out.
      13. Rarely exercises if u don't count watering plants

    • @small_fries7573
      @small_fries7573 Год назад

      @@emmetran27 I know a sheltered old man name Robert A. Please if you're retired don't be like him.
      1. Super frugile
      2. Broken, worn out driveway. Has $ to get it fixed but too cheap.
      3. Sheltered, no friends no social life!
      4. Wife goes out while he stays home
      5. Smoke 🚬 🚭
      6. Drinks too much Coke
      7. Don't turn on da air con even when the weather is over 90°...he has money and a retirement plan
      8. Worships demonic idols/demons posted outside his house
      9. Superstitious. Never exits nor enter the front door of his house.
      10. Wasting precious water on grasses n plants 🪴. Illegal watering. 3-4 times a week! Only limit to 2x per week
      11. No vacations, no stay-cation.
      12. Doesn't know how 2 cook at all. His wife have been shopping 🛍 & cooking for him daily. Don't dine out.
      13. Rarely exercises if u don't count watering plants

  • @946towguy2
    @946towguy2 2 года назад +6

    My mom seemed to be suffering from depression until my family decided to commit to spending more time engaging with her and getting her out of the house several times per week.

    • @small_fries7573
      @small_fries7573 Год назад

      I know a sheltered old man name Robert A. Please if you're retired don't be like him.
      1. Super frugile
      2. Broken, worn out driveway. Has $ to get it fixed but too cheap.
      3. Sheltered
      4. Wife goes out while he stays home
      5. Smoke 🚬 🚭
      6. Drinks too much Coke
      7. Don't turn on da air con even when the weather is over 90°...he has money and a retirement plan
      8. Worships demonic idols/demons posted outside his house
      9. Superstitious. Never exits nor enter the front door of his house.
      10. Wasting precious water on grasses n plants 🪴. Illegal watering. 3-4 times a week! Only limit to 2x per week
      11. No vacations, no stay-cation.
      12. Doesn't know how 2 cook at all. His wife have been shopping 🛍 & cooking for him daily. Don't dine out.
      13. Rarely exercises if u don't count watering plants

  • @Golden-Eagle781
    @Golden-Eagle781 2 года назад +2

    To be sad is about circumstances. It is situational and not a disease.

  • @tomwilliams6744
    @tomwilliams6744 6 месяцев назад +2

    I'm a male, 66, never married and no kids. I have been retired for two-a-half-years, which happened unexpectedly because things got bad at my job after working there for 15 years.
    I get a lot of anxiety and depression. I worry a lot about how my life will come to an end. I guess death in itself isn't bad for me, it's the "on the way" to it I worry about. Also I feel like I have limited amount of friends and family; and they are not much support for me. So I feel alone and scared a lot. Also I feel like things, in general, will never improve; but there's a good chance it can get worse.

  • @JeannieHardesty
    @JeannieHardesty 5 лет назад +5

    The way you guys are sitting makes it hard to watch this. And it's a good subject. I live in a Senior Care facility, 7 years now. But I'm only 63. Yeah, I have ME/CFS. They screwed my windows shut because 2 fellows in another facility jumped out their windows, I think it was the same night, and died. It was Royal something, Birmingham, AL. I'm fighting to get one window unscrewed so I can open it for my dog. This place is something else. It is NOT A PSYCHIATRIC FACILITY. But I am busy with my channel, so they think I stay in my room because I'm depressed. Sheesh!!

    • @405OKCShiningOn
      @405OKCShiningOn 2 года назад

      Please hang in there. Support to you strength to you.

  • @jordannzuki4100
    @jordannzuki4100 3 года назад +2

    Thank you i am going through this with my grandparents. Good points.

    • @small_fries7573
      @small_fries7573 Год назад

      Let ur grandparents know about this following story.
      I know a sheltered old man name Robert A. Please if you're retired don't be like him.
      1. Super frugile
      2. Broken, worn out driveway. Has $ to get it fixed but too cheap.
      3. Sheltered, no friends no social life!
      4. Wife goes out while he stays home
      5. Smoke 🚬 🚭
      6. Drinks too much Coke
      7. Don't turn on da air con even when the weather is over 90°...he has money and a retirement plan
      8. Worships demonic idols/demons posted outside his house
      9. Superstitious. Never exits nor enter the front door of his house.
      10. Wasting precious water on grasses n plants 🪴. Illegal watering. 3-4 times a week! Only limit to 2x per week
      11. No vacations, no stay-cation.
      12. Doesn't know how 2 cook at all. His wife have been shopping 🛍 & cooking for him daily. Don't dine out.
      13. Rarely exercises if u don't count watering plants

  • @lysagreen2314
    @lysagreen2314 4 года назад +5

    How can a person who knows they are seriously depressed (again) come forward to get (properly) treated? I am 59, and have had depression in varying degrees since I was 12. In 1995, I was initially dx with Dysthymia and put on SSRIs. Within 2 months, my dx was changed to: major depression, then psychotic depression, and I was 5150'd. Over the next 10 years, my dx changed to: Bipolar, PTSD, Schizophrenia, OCD, DID, Borderline personality, and finally; Schizoaffective D/O, OCD, PTSD. I was involuntarily hospitalized 20 times in 6 years. I was given 25 different meds:SSRIs, Lithium, mood stabilizers (anti-convulsants) and anti-psychotics. Finally, in hospital, I was given 12 ECT treatments, that I did not consent to (I don't know who did). In 2005, I took myself off all the meds, as I was not sure if I was even alive. I got a job, and have not been seriously depressed (except holidays) since then; until now. In December 2019, I was evaluated for ASD, and told I met the DSM5 diagnostic criteria for ASD 1. Now I am struggling to accept that diagnosis, though I know that it is the most accurate ( Psych px from age 4). I know at present I am severly depressed (not actively suicidal), but am terrified to tell my therapist for fear that that 10 year journey to HELL will start again. I am not willing to go through that again!!!!!! How do I get treated without this catastrophic snowballing? I do not trust mental health professionals who almost "helped" me to death?

    • @ralph7545
      @ralph7545 2 года назад +1

      Thank you for sharing ur story.. I think many doctors unfortunately misdiagnose and over prescribe.

    • @everythingsfine-d3099
      @everythingsfine-d3099 2 года назад

      Hey Lysa,
      Your comment as been here for a while now… wondering how you’re doing.
      I just lost my dad to it, reason why I’m here. About your question, I’d say it’s really important to talk to someone that is a professional and tell him about your snowball fears. I say a professional because they can recognize what’s happening and where you’re at, as in my own personal experience, common people (like me) are often not able to seriously comprehend ones own situation and the seriousness of it and at the end, they (we) fail at helping.
      Hope you found a path and wish you lots of courage!

    • @richformisano3424
      @richformisano3424 2 года назад

      Omg. I am 59 and 10 years ago ran the same gauntlet and now diagnosis autism spectrum disorder I think I knew about since age 3,ssri medication made me a dangerous man with clenched 👊 ✊ 👊 fists a pot belly and a smoker addicted to cola

  • @octoberskye1049
    @octoberskye1049 5 лет назад +6

    Sounds lovely, however many of the meds you mention are absolutely contraindicated for people who have inconveniences like epilepsy. Remeron can exacerbate depression, confusion, weakness, liver problems... and cause seizures. Just a few of the side-effects. RESEARCH, people. 🐯

  • @carygottlieb4422
    @carygottlieb4422 10 месяцев назад +1

    1. Perhaps emphasizing the importance of talk therapy before putting someone on medication is a good idea.
    2. This video omits the fact that many older adults do not have access to mental health due to staffing shortages, and the deductibles they encounter due to only having Medicare A or a Medicare Advantage plan.

  • @iamlight1
    @iamlight1 5 лет назад +2

    I loved listening to this doctor talk about psychotropic medications. It made me gain better understanding. I took care of a lady with dementia who would have benefited from being better evaluated and treated. When in the presence of others, she would be the life of the party but, when she thought she was left alone, she would cry frequently and she would never eat. I think she was depressed and would hide by acting like life was a bawl of cherries. Sad. Remeron would have helped her eat and gain weight that she was losing. And Wellbutrin might have helped her depresion. Just because they have dementia doesn't meant they don't know something is wrong with them. Plus all the anxiety that ensues, anxiety is a major cause for depression. One lady I looked after used to ask: "what's wrong with me". Once in a while they might say: "how do I get over what I have?" meaning they know something is wrong with their mind. Depression is something common in the elderly who lose their independence.

  • @946towguy2
    @946towguy2 2 года назад +1

    Older people often make it to being old because they live life without complaining.

  • @fonduebear6530
    @fonduebear6530 5 лет назад +5

    Remeron; worst medication I have ever been on. Soooooo much weight gain! There doesn't seem to be an off switch to 'wanting' food.

    • @Knaeben
      @Knaeben 3 года назад

      Try the keto diet. It does good controlling hunger once you get adapted to it.

  • @sheedy9
    @sheedy9 3 года назад +2

    Let's see the actual statistics and how these studies were undertaken. Antidepressants only work for 18 months.

    • @peaceandhumanity5705
      @peaceandhumanity5705 3 года назад

      Meds are just not it for me!
      Personally I would advice taking walk, listening to soul music, exercise, read books, get a pet, talk to someone and just do whatever makes you happy!
      Do you mind giving your honest opinion on what you think of these tips?

    • @pete9688
      @pete9688 Год назад +3

      @@peaceandhumanity5705 if one is unable to even get to your step 1 - I agree on all your suggestions btw - there exists another problem, and that may need medication to kick start a regimen. I know someone who won’t even get out of bed because he simply doesn’t want to. He’s currently being persuaded to take a small dose of Wellbutrin.

    • @pete9688
      @pete9688 Год назад

      @@peaceandhumanity5705 thanks for asking. He’s doing a lot better. Once we physically got him some help and was cooperative, he seemed to open up more. But he’s a lot better now.

    • @pete9688
      @pete9688 Год назад

      @@peaceandhumanity5705 sure.

    • @pete9688
      @pete9688 Год назад

      @@peaceandhumanity5705 no I’m not. Just FB. And you?

  • @rebekahbrown4052
    @rebekahbrown4052 5 месяцев назад

    Baloney… a pill will not help with chronic illness and the terrible loss aging brings into your life. We do not have support systems for the elderly or their caregivers. The system is a nightmare

  • @marilyn6168
    @marilyn6168 2 месяца назад

    To me it’s like they’re talking about this depressed group like “easy, let’s give them more medication to solve their problem” when the root cause such as loneliness, anxiety, grief, or lack of life meaning is not even mentioned. They need to feel that they matter to society and I don’t think antidepressants will give them that… a psychiatrist is not the answer to everything folks, as charming as they are

  • @pmarie2003
    @pmarie2003 4 года назад +9

    Meds, meds, meds,.... No thanks. I'll try walking my dogs in the park.

  • @papitosabe
    @papitosabe 3 месяца назад

    How about L-dopa instead if these crappy mental drugs....

  • @Dragonrider00111
    @Dragonrider00111 3 года назад

    I am in depressed for more than 4 years

    • @TopGun_-
      @TopGun_- 2 года назад

      Know that you’re not alone in this. There are many out there right now who know exactly what you are going through. Nothing is forever. There will be a light at the end of all this and you will come away much stronger. Here for you if you need to vent or seek different insights. 🙏🏻

  • @dr.froghopper6711
    @dr.froghopper6711 5 лет назад +3

    What thought do you have on 60+ folks using ketamine in a therapeutic setting?

  • @willowithywindle
    @willowithywindle 4 года назад +3

    This made me laugh! 65 makes you elderly???

    • @lunawilder8739
      @lunawilder8739 4 года назад +8

      Yeah it does

    • @carleavesceo709
      @carleavesceo709 3 года назад +2

      You are offered all the "senior citizens" discounts. I'm 66 but most people believe that I am much younger. Look, we all are getting older. So enjoy the ride.

    • @Bojan_V
      @Bojan_V 3 года назад

      I guess this are some american standards of being elderly🤔...

    • @Colt-ii4qn
      @Colt-ii4qn 9 месяцев назад

      Elderly to me is a frail person 70 and up

  • @panfrick
    @panfrick 5 лет назад +4

    Who is the new host? Where’d the guy with glasses go? So confused.

  • @tamarackmi9195
    @tamarackmi9195 2 года назад

    Why cant people let the elderly die happy? Let them define that!

  • @aking3624
    @aking3624 5 лет назад +7

    It's difficult to feel sympathy for older adults that have spent a lifetime manipulating family & friends to suit their own needs... 🤔 Including lying to Doctors about physical & mental issues...

    • @mkkrupp2462
      @mkkrupp2462 4 года назад +4

      A King I’m sorry for your personal experiences.

    • @andreuxs
      @andreuxs 3 года назад +2

      This is so true. How do you handle it? I'm having the same problem with my grandmother and everything is so messed up

  • @shrinkelizabeth
    @shrinkelizabeth 5 лет назад

    Just discovered Kyle Kittleson's past vocal support for Trump, which while now revoked is pretty damn disappointing given the reality of who Trump always has been, and it kinda ruined this channel for me. So that sucks.

    • @lunawilder8739
      @lunawilder8739 4 года назад +2

      It's funny that you don't like someone because of there politica l life not everyone one is gonna like who you like dose not mean you hate them🤦🏽‍♀️

    • @karahv9349
      @karahv9349 4 года назад +2

      Trump is aight

    • @davidwall951
      @davidwall951 4 года назад

      Congrats...you’re narrow minded and prejudice

    • @ladyelton4373
      @ladyelton4373 2 года назад +2

      Elizabeth, What does senior depression have to do with Trump?

    • @philipcox5041
      @philipcox5041 Год назад

      I hope you get help Sir