Assessing Depression in Elderly Patients
Charles A. Shamoian M.D.,Ph.D.1
1 Cornell Medical College, Geriatric Services at the New York Hospital—Cornell Medical Center, Westchester Division, 21 Bloomingdale Road, White Plains, New York 10605
Depression is not a universal pathological state inevitably found among the aged. Yet it is common, easily misdiagnosed, or not diagnosed at all among those in the later stage of the life cycle. The assessment of depression in the elderly requires a comprehensive medical, neurological, and psychiatric evaluation. Although our diagnostic acumen and clinical abilities are challenged by the elderly, 75 to 80 percent of depressed elderly individuals can be successfully treated. Amelioration of depression will reduce morbidity and prevent unneccessary long-term institutionalization.