Did you know depression in an older adult does not always present the same symptoms found in a younger person?

In some older adults, depression may be less about moodiness and more about a reduced interest in activities previously enjoyed. It often involves complaints about memory difficulties. The depressed person may talk excessively about physical problems, such as aches and pains for which no physical cause can be found. The depressed older adult is more likely to exhibit posture changes and a slowed gait. Irritability, especially in older men, can be a defining characteristic.

Perhaps most importantly, an older adult does not as easily admit to the possibility of depression. If you query them about “being depressed” it is likely to be denied.

The federal Agency for Healthcare Research and Quality (AHRQ) suggests one simple way to identify the possibility of depression in an older adult: Ask two questions, preferably without using the word “depressed.”

• Question 1. “Over the last two weeks, have you felt let down or hopeless?”
• Question 2. “Over the past two weeks have you felt little interest or pleasure in doing things?”

“Yes” to both questions should lead you to seek a formal diagnosis from a well-informed health-care provider. Diagnosis by a knowledgeable clinician is an important step in the treatment process. Depression is highly treatable. Early diagnosis means greater likelihood of good treatment outcome.

Seek treatment — the earlier the better.

For additional information, visit the Mastery of Aging Well learning lesson Depression in Later Life.