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what is the most effective treatment for depression in older adults quizlet

by Prof. Elena Abbott Published 3 years ago Updated 2 years ago

Research also suggests that for older adults, psychotherapy is just as likely to be an effective first treatment for depression as taking an antidepressant. Some older adults prefer to get counseling or psychotherapy for depression rather than add more medications to those they are already taking for other conditions.

Selective serotonin reuptake inhibitors (SSRIs) are antidepressants commonly prescribed to older adults. A psychiatrist, mental health nurse practitioner, or primary care physician can prescribe and help monitor medications and potential side effects.3 days ago

Full Answer

What are the best antidepressants for depression in older adults?

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What are the APA guidelines for the treatment of depression?

What are the SSRIs that should be avoided in older adults? Frequent first-line SSRIs and SNRIs: citalopram, sertraline , escitalopram ; venlafaxine , duloxetine What are the first line geriatric depression medications?

What is the most common cause of depression in older adults?

Treatment: Electro Convulsive Therapy (ECT) -Safe and effective for severe depression -Use after patient is unresponsive to antidepressant -Short term treatment, especially in the elderly with comorbid diseases -During ECT, an elderly patient receives a pulsed, brief, charged stimuli which results in seizures enduring from 35-100 seconds

What is the most common treatment for depression?

Bupropion is the antidepressant drug used in the treatment of depression. The adverse effect of this drug is increased blood pressure. Fluoxetine is used in the treatment of depression. Anxiety and insomnia are the adverse effects of this drug. Trazodone is used in the treatment of depression. Sedative effects are the adverse effects of this drug.

What is the most effective treatment for depression in older adults?

Research also suggests that for older adults, psychotherapy is just as likely to be an effective first treatment for depression as taking an antidepressant. Some older adults prefer to get counseling or psychotherapy for depression rather than add more medications to those they are already taking for other conditions.

Is depression in older adults treatable?

Depression is a true and treatable medical condition, not a normal part of aging. However older adults are at an increased risk for experiencing depression. If you are concerned about a loved one, offer to go with him or her to see a health care provider to be diagnosed and treated.

How can older adults prevent depression?

Here are some tips to keep active and feel better – physically, mentally and socially.Exercise. Stay active. ... Stay in touch with others. ... Get enough sleep. ... Eat healthy meals, making it a point to avoid too much sugar and junk food.Volunteer, care for a pet, or find a good movie or book that makes you laugh.Aug 23, 2021

What type of depression is most common in older adults?

Clinical depression in older people is common. That doesn't mean it's normal. Late-life depression affects about 6 million Americans ages 65 and older.Jun 4, 2020

What are the two treatment approaches for treating older adults with depression?

Examples of approaches specific to the treatment of depression include cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT). Medications for depression that may balance hormones that affect mood, such as serotonin. There are many different types of commonly used antidepressant medications.

What kind of therapy is used to treat depression?

Because cognitive therapy and behavioral therapy work well together to treat depression and anxiety disorders, the two are often combined in an approach called cognitive behavioral therapy (CBT). CBT focuses on addressing both the negative thought patterns and the behaviors that contribute to depression.Dec 7, 2020

How can elderly improve mental health?

6 Ways to Improve Mental Health in SeniorsPlay Mind Games. Just as the body needs physical activity and stimulation to stay healthy, the brain needs stimulation to stay sharp and avoid cognitive decline as we age. ... Get Physical. ... Stay Connected with Friends. ... Pick up a New Hobby. ... Volunteering. ... Caring for a Pet.Dec 14, 2020

Which SSRI is best for elderly?

SSRIs considered to have the best safety profile in the elderly are citalopram, escitalopram, and sertraline.

How does depression in older adults differ from depression in younger adults?

Elderly people report less depressed mood. There is a high rate of anxiety in elderly patients with major depressive disorders compared with younger depressive patients. The high coexistence of anxiety and depression in the elderly suggests that depression is part of a depression-anxiety syndrome.

Which treatment for depression is also known as Counselling or talk therapy?

Psychotherapy is also known as talk therapy or psychological therapy. Different types of psychotherapy can be effective for depression, such as cognitive behavioral therapy or interpersonal therapy. Your mental health professional may also recommend other types of therapies.

Why is it important to use a soft toothbrush?

Thrombocytopenia occurs with most chemotherapy treatment programs; using a soft toothbrush helps prevent bleeding gums.

What does elation mean in psychology?

As depression increases, thought processes become slower and verbal expression decreases due to lack of emotional energy. Elation is associated with bipolar disorder, manic episode; the affect of a depressed person is usually one of sadness, or it may be blank.

Is lithium carbonate a bipolar drug?

Episodes of mania followed by hypomania and depression are indicative of bipolar disease. Lithium carbonate is the drug of choice to treat this condition and should be administered only by the oral route. The nurse suspects serotonin syndrome in a client prescribed second-generation antidepressants for depression.

What is depression in older adults?

Depression in the older adult is most often associated with the loss of family members and friends (e.g., death, relocation) and declines in mobility, health, and income. A client is admitted with a bipolar disorder, depressed episode.

Does selegiline help with Parkinson's?

Oral forms of selegiline are approved to treat symptoms of Parkinson disease. A client with depression was prescribed fluoxetine. After two days, the client arrives at the hospital and reports restlessness, confusion, and poor concentration. Upon assessment, the nurse finds an elevated body temperature.

What are the symptoms of serotonin syndrome?

Hyperthermia and rhabdomyolysis are symptoms observed in severe cases of serotonin syndrome. Delirium, hyperreflexia, and muscle spasms are common symptoms of this syndrome. A client with depression is to be given fluoxetine.

Is depression a sign of fatigue?

2, 5. Insomnia and general fatigue are symptoms of depression that are often overlooked for the older adult client. Anxiety, weight loss and weight gain are all symptoms of depression; however, these symptoms are not often overlooked for the older adult client. A new mother is diagnosed with depression.

Why do people take a syringe?

They are also taken to relieve symptoms such as restlessness, anxiety and sleep problems, and to prevent suicidal thoughts. This information is about using medication to treat the most common form of depression, known as unipolar depression.

What is the most common form of depression?

This information is about using medication to treat the most common form of depression, known as unipolar depression. The treatment options for manic depression (bipolar disorder) aren't discussed here. Like psychotherapy, antidepressants are a key part of treating depression. They aim to relieve symptoms and prevent depression from coming back.

How long does it take for depression to go away?

Once that has been achieved, the treatment is continued for at least four to nine months. This continuation therapy is necessary to stop the symptoms from coming back.

Do antidepressants work?

They aim to relieve symptoms and prevent depression from coming back. Opinions vary on how effective antidepressants are in relieving the symptoms of depression. Some people doubt that they work well, while others consider them to be essential.

Why do we have depression?

Even though not all details are known, experts believe that depressionis caused by an imbalance of certain chemical messengers (neurotransmitters) like serotonin, which means that signals can't be passed along the nerves properly.

How long does it take for an antidepressant to work?

An antidepressant can already have an effect within one or two weeks. But it may take longer for the symptoms to improve.

Do antidepressants help with depression?

In other words, antidepressants are effective against chronic, moderate and severe depression. They don't help in mild depression. The various antidepressants have been compared in many studies. Overall, the commonly used tricyclic antidepressants (SSRIs and SNRIs) were found to be equally effective.

What is the best treatment for depression?

This evaluation will help determine a diagnosis and a treatment plan. Common forms of treatment for depression include: Psychotherapy, counseling, or “talk therapy” that can help a person identify and change troubling emotions, thoughts, and behavior.

What is the purpose of antidepressants?

Antidepressants are medicines that treat depression . There are many different types of antidepressants. They may help improve the way your brain uses certain chemicals that control mood or stress. You may need to try several different antidepressant medicines before finding one that improves your symptoms and has manageable side effects.

What are the risk factors for depression?

There are many things that may be risk factors of depression. For some people, changes in the brain can affect mood and result in depression. Others may experience depression after a major life event, like a medical diagnosis or a loved one’s death.

How long does it take to get depression?

However, some of the most common symptoms are listed below. If you have several of these symptoms for more than 2 weeks , you may have depression.

Is depression a mood disorder?

Depression is more than just feeling sad or blue. It is a common but serious mood disorder that needs treatment. It causes severe symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating, and working.

What is the meaning of "difficulty"?

Difficulty concentrating, remembering, or making decisions. Difficulty sleeping, waking up too early in the morning, or oversleeping. Eating more or less than usual, usually with unplanned weight gain or loss. Thoughts of death or suicide, or suicide attempts.

How does age affect medicine?

As you get older, body changes can affect the way medicines are absorbed and used. Because of these changes, there can be a larger risk of drug interactions among older adults. Share information about all medications and supplements you’re taking with your doctor or pharmacist.

What is life review therapy?

Life review therapy assumes exploring memories and working through them helps older people resolve previous conflicts and reconstruct their life stories in a way that reduces depression and increases well-being.

What is behavioral activation?

Behavioral activation teaches clients to identify and engage in rewarding activities. 1. Pleasant activity scheduling involves monitoring the relationship between mood and activities and engaging in more pleasant activities daily (g = 1.04). 2.

What is the first wave of therapy?

The first wave is usually represented by behavioral therapies, the second wave by cognitive therapies, and the third wave by therapies emphasizing life goals and acceptance of experiences (instead of trying to control them). 1. Acceptance and commitment therapy, developed by Steven C. Hayes, promotes psychological flexibility ...

What is interpersonal therapy?

Interpersonal psychotherapy is a structured and relatively brief form of therapy that stresses attachment patterns and relationship issues. 1. Full interpersonal therapy uses the full manual and is longer (g = 0.57).

What is psychodynamic therapy?

Psychodynamic therapy attempts to help clients become aware of their unconscious conflicts, many of which have their source in the past. Therefore, considerable time in therapy is spent exploring childhood experiences and past relationships with significant others, particularly parents.

What is non directive therapy?

According to the authors, it is “any unstructured therapy without specific psychological techniques other than those common to all approaches such as helping people to ventilate their experiences and emotions and offering empathy. It is not aimed at solutions, or acquiring new skills.” 1

What are common factors in therapy?

For instance, compared to people not in therapy, those in therapy are more motivated to change, are engaged in a healthy and supportive relationship with a therapist who shows empathy and care, and are given hope and positive expectations for change and improvement, etc. 2. 1.

What are the symptoms of depression?

Depression symptoms: Symptoms are seen as having both biological (e.g., sleep/wake functioning, eating patterns) and psychological (e.g., sadness; feelings of guilt) underpinnings . Social functioning: The way one interacts with significant others and responds to social situations.

What is the second generation of antidepressants?

Second-generation antidepressants (selective serotonin reuptake inhibitors — SSRIs, serotonin-norepinephrine reuptake inhibitors — SNRIs or norepinephrine/dopamine reuptake inhibitors — NDRIs) are recommended for older adults due to the reduced risk of side effects and safety in the event of overdose.

Why do older people need SSRIs?

Second-generation antidepressants (SSRIs, SNRIs or NDRIs) are recommended for older adults due to the reduced risk of side effects and safety in the event of overdose. If considering medication for older adults with depression, the panel recommends combining it with interpersonal psychotherapy.

What is the APA clinical practice guideline?

APA's Clinical Practice Guideline recommends three psychotherapy interventions as well as a second-generation antidepressant (selective-serotonin reuptake inhibitors — SSRIs, selective-norepinephrine reuptake inhibitors — SNRIs or norepinephrine-dopamine reuptake inhibitors — NDRIs) for the treatment of depression in older adults.

How much venlafaxine is in Effexor?

venlafaxine (Effexor): 150-300 mg daily. Side effects and frequency of prescriber visits. Side effects of second-generation antidepressants are generally mild to moderate that can be tolerated or managed with over-the-counter remedies (e.g., headaches, nausea, drowsiness).

What is cognitive behavioral therapy?

Cognitive-behavioral therapy targets current problems and symptoms and focuses on the relationship among behaviors, thoughts, and feelings, and aims to change those patterns that reduce pleasure and interfere with a person’s ability to function at his/her best.

What is group CBT?

Group-CBT is recommended for the treatment of depression in older adults. How Group-CBT can help treat depression in older adults. CBT can teach people how to differentiate between their thoughts and feelings and regulate their feelings by questioning their assumptions and beliefs.

What is the APA clinical practice guideline?

APA's Clinical Practice Guideline recommends seven psychotherapy interventions as well as a second-generation antidepressant (selective serotonin reuptake inhibitors — SSRIs — serotonin-norepinephrine reuptake inhibitors — SNRIs — or norepinephrine/dopamine reuptake inhibitors — NDRIs) for the treatment of depression in adults.

How does behavioral therapy help with depression?

Treatment usually begins with the therapist providing an overview of the behavioral theory of depression and explaining how actively engaging in pleasant activities and reducing avoidance/withdrawal in difficult situations can improve one’ s mood over time.

Is MBCT good for depression?

MBCT is recommended for the treatment of depression in adults. How MBCT can help treat depression in adults. Several theories suggest how depression develops and recurs in adults. People with depression often hold rigidly negative views of themselves, the larger world (including other people), and their futures.

What is cognitive therapy?

The cognitive therapy model proposes that holding negative views (also known as “schemas”) of the self, the world, others and the future are likely to lead to the development of unhelpful thinking patterns that play a role in the biological and emotional symptoms of depression.

How many sessions of cognitive therapy are there?

Cognitive therapy for depression emphasizes modifying these unhelpful thinking patterns. On average, adults receive eight to 28 weekly sessions of cognitive therapy. Cognitive therapy is recommended for the treatment of depression in adults. How cognitive therapy can help treat depression in adults.

What are the symptoms of depression?

Depression symptoms: Symptoms are seen as having both biological (e.g., sleep/wake functioning, eating patterns) and psychological (e.g., sadness; feelings of guilt) underpinnings . Social functioning: The way one interacts with significant others and responds to social situations.

How many sessions of CBT are there?

CBT targets current problems and symptoms and is typically delivered in six to 20 weekly sessions. CBT is recommended for the treatment of depression in adults. How CBT can help treat depression in adults.

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