Society & Culture
Misdiagnosis of Depression in Older Adults Hinders Effective Treatment
Older adults often experience depression symptoms manifesting as physical ailments, leading to misdiagnosis and delayed treatment. This is compounded by stigma surrounding mental health in older generations and a potential reluctance among both patients and physicians to address mental health concerns. Research from Pascal Schlechter at the University of Münster, Germany, and a longitudinal study involving over 11,000 individuals, reveals similar depressive symptoms in older and younger adults, although older adults often present with more somatic symptoms, attributing them to aging. Albino Oliveira-Maia, head of the Neuropsychiatry Unit at the Champalimaud Foundation in Lisbon, Portugal, highlights the challenges of medication interactions and potential toxicities in older patients, potentially influencing physicians to prioritize physical health issues. Both experts express reservations about self-diagnosis via awareness campaigns, emphasizing the importance of consulting healthcare professionals.
While awareness campaigns increase recognition of mental health issues in younger populations, older adults may dismiss symptoms or fail to seek help due to stigma and misattribution to physical aging. The study underscores the need for earlier diagnosis and intervention, improved physician training, and strategies to reduce stigma surrounding mental health in older adults. Delayed treatment due to misdiagnosis can result in chronic depression and poorer outcomes.