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Age
Growing old is not easy: Friends and family members die. A satisfying professional life may be a thing of the past. Physical frailty usually may replace health, and the need for assistance with cooking, bathing, and dressing often replaces the ability to live independently. Still, depression should not be accepted as a normal part of aging. When left untreated, depression in the elderly causes needless suffering, both for individuals who could otherwise be leading a fruitful life and for family members whose emotional and financial resources may be depleted caring for those individuals.
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In the doctor's office, the older person may not discuss feelings of hopelessness or prolonged grief after a loss. But there is no stronger evidence of the problem of depression in older adults than the suicide rate. Suicide is often seen as a young man's act of desperation. But in fact, the elderly, particularly older white males, have the highest rates. Most older suicide victims have been to see their primary care physicians within the month of their death, many with a depressive illness that was not diagnosed, let alone treated.
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