Depression is not “just aging”: treatments that work
Mood disorders in later life are common and treatable. They are not character flaws, laziness, or inevitable grumpiness. Many people—especially proud generations—wait too long, blaming sleep or pain alone.
How depression can look different after 60
- More aches, less “sad crying,” more irritability or withdrawal.
- Loss of interest in hobbies without naming sadness.
- Memory complaints that improve when mood lifts—pseudo-dementia.
Medical mimics worth ruling out
Hypothyroidism, B12 deficiency, Parkinson’s, chronic pain, sleep apnea, and medication side effects can mimic depression. That is why clinicians review labs and pills—not because they doubt your feelings.
Therapy types that fit real schedules
Problem-solving therapy, cognitive behavioral therapy, and interpersonal therapy all have evidence in older adults. Telehealth lowers transport barriers; written summaries help if hearing or processing speed varies day to day.
Medications: start low, go slow, but actually start
Antidepressants often need weeks. Side effects like nausea or sedation appear before benefits—your prescriber can adjust timing or dose. Never stop abruptly; withdrawal and rebound symptoms are real.
Caregivers: support without hovering
Offer rides to appointments, sit in waiting rooms, and celebrate tiny wins (burnout guide). Avoid cheerleading that dismisses pain (“Just think positive”)—validation opens doors better than slogans.
Reviewed by A. Nguyen, MD · May 2026