August 26, 2024

The Unexpected Depression Sign a Geriatrician Is Begging People Over 50 to Pay Attention To

Dr. Sue Maixner was quoted in this article. 

Read the full Parade article here. 

[...]

Dr. Susan Maixner, MD, a professor of geriatric psychiatry at the University of Michigan, explains that depression causes stress hormones in the brain to increase. This causes sleep and appetite disruptions. “We have less interest and therefore are less motivated. All of these factors can contribute to low energy,” she says.

Both doctors explain that this type of fatigue is not due to getting older. When fatigue is a symptom of depression, there are other symptoms as well. Dr. Maixner says other symptoms can include sleep changes, appetite changes, feeling hopeless, helpless or worthless, feeling guilty or feeling like a burden, or sometimes even feeling life isn't worth living, wishing to die or thoughts of suicide.

[...]

How To Manage Depression Fatigue

If an older adult is regularly experiencing fatigue, Dr. Atai says the first step should be to see their primary healthcare provider. It’s important to make sure there is not a medical reason for the fatigue. Dr. Maixner agrees, saying thyroid disorders, heart conditions, low blood iron and B12 deficiency can all cause both low energy and low mood.

[...]

“For mild to moderate depression, therapy can provide a confidential place to discuss problems, and to give techniques to manage anxiety and depression. For moderate to severe depression, medications help significantly and work even better in conjunction with counseling,” Dr. Maixner says.

There are ways to manage the fatigue that stems from depression while you are seeking help. Both doctors say it’s important to eat nutrient-rich meals, which will provide your body with energy. Exercising (as you’re able to) can help too. Dr. Maixner recommends re-establishing daily routines, including regular sleep and awakening times.

When creating your routines, Dr. Atai says to think about what you can integrate into your schedule that you can look forward to. For example, can you set up a weekly lunch date with a friend? Volunteer to pick up your grandchild from school a couple of times a week? Sign up for a new class that meets once a week? “Being social and around others often helps with energy and decreases our focus on fatigue,” adds Dr. Maixner.

Most importantly, Dr. Maixner emphasizes that depression is treatable and not a normal part of aging. If you are experiencing suicidal thoughts or need immediate help managing your depression, call or text the Suicide and Crisis Helpline at 988. Taking the first step to ask for help is the beginning of overcoming depression. That way, your golden years can be as vibrant as they’re meant to be.