Sometimes a change is not expressed in words. Less interest in meeting people, giving up a hobby or lacking the energy to start the day can cause concern. You do not need to decide that it is depression before offering a conversation and assessment. Listen and explore what feels difficult.
Depression is not “just part of getting older”
Depression can occur in older age, but is not a necessary or normal part of ageing. Persistent mood changes, loss of interest or impaired function deserve assessment. Treatments can help; distress should not be accepted as something that cannot be addressed.
Not everyone with depression says “I feel sad”. Older people may describe emptiness, low energy or other concerns. Changes in behaviour and habits also matter.
Which signs should you notice?
Possible signs include less interest in favourite activities, social withdrawal, tiredness, sleep or appetite changes, poor concentration and hopelessness. Not all signs need to be present, and they are not specific to depression.
There may also be reduced social or daily function and physical complaints. Do not dismiss pain or a new symptom as psychological without medical assessment; the overall picture needs evaluation.
Can depression affect memory?
Yes. Depression can involve concentration and memory difficulties. But memory decline does not prove depression, and depression can coexist with dementia. Do not decide at home that it is “only mood” or that every memory difficulty must be dementia.
When should you seek assessment?
Assessment considers symptom duration, frequency and impact. A period of about two weeks forms part of the criteria for some diagnoses, but there is no need to wait two weeks before seeking help for significant distress or deterioration.
You can start with the family doctor. Assessment may cover mood, sleep, appetite, function and important life events, alongside medical conditions and medicines. Referral for mental health care may be appropriate.
Which treatments can help?
Treatment may involve psychological therapy, medicines or both. The choice depends on symptom severity, health, personal preferences and response. Adjustments may be needed over time.
In older age, interactions with regular medicines and possible side effects deserve particular attention. Prescribed medication requires follow-up. New confusion or deterioration after a treatment change should be reported to the doctor. Do not change or stop treatment yourself.
Social support and suitable activities can help, but do not replace professional treatment when needed. Family can assist with appointments, accompaniment and non-judgmental listening.
How can you start a conversation?
Instead of “You need to snap out of it”, try: “I have noticed things have been harder recently and you seem to enjoy them less. I want to help you get support.”
You do not need to convince someone that they are depressed before suggesting assessment. Start with difficulties they describe, such as sleep, energy or daily activities.
Statements about wanting to die or self-harm must be taken seriously. It is appropriate to ask directly and sensitively about suicidal thoughts. If there is immediate danger, do not leave the person alone; contact Magen David Adom on 101 or an emergency department immediately.
