Depression in Older Adults

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Depression in Older Adults

Dec 2, 2016

While the holiday season is a festive time, it can also bring sadness for those that may be alone or missing loved ones. For many, this sadness is situational, brought about by the holidays. For others, it could be much more. Michael Fresé, Ph.D., is a clinical psychologist specializing in geropsychology. He recently sat down with e-Connections to talk about the signs and symptoms of depression among seniors.


Do you feel down and depressed, more days than not? Have you lost interest and pleasure in activities you once enjoyed? Are you experiencing difficulty with your appetite, energy level, sleeping? Have you been feeling helpless, hopeless, or very tired?

If you can answer yes to some of those questions, you might be depressed.

As we age, we often experience the many changes associated with later life – death of loved ones, worsening medical issues, retirement – and depression can creep in like a thief in the night. It can happen when we least expect it and we may not even notice it. Often times, it is our family members and friends who recognize the change in our mood. Depression, however, doesn’t only affect mood - it can impact our appetite, concentration, energy level, memory, physical health, and sleep.

As the symptoms of depression vary from person to person, there are several red flags to be aware of:

  • Sadness
  • Sleep disturbances (insomnia, hypersomnia)
  • Fatigue
  • Feelings of worthlessness, self-loathing, worry about being a burden
  • Losing interest or pleasure in activities that you once enjoyed and looked forward to
  • Isolation and social withdrawal (not returning phone calls, reluctance to have visitors)
  • Loss of appetite and/or weight loss
  • Fixation on death, suicidal thoughts or attempts


When asked, many depressed older adults deny feeling sad. Physical complaints such as increased arthritic pain, gastrointestinal distress, or more pronounced back pain are often the symptoms of depression. If you suspect an older adult might be depressed yet they deny feeling sad or depressed, ask yourself if you have noticed any of the following symptoms:

  • Anxiety and worries
  • Difficulty concentrating
  • Feelings of helplessness and hopelessness
  • Irritability
  • Lack of motivation and energy
  • Loss of interest in socializing and participating in activities/hobbies
  • Memory difficulties
  • Neglecting personal care (forgetting medications, neglecting personal hygiene, skipping meals)
  • Slowed movement and speech
  • Unexplained aches and pains


While depression is a common problem in older adults, it is often overlooked or not taken seriously. People might believe that they have good reason for feeling blue, or that being depressed is part of growing old. Social isolation, which can lead to depression, may result in few social contacts who would notice an individual’s distress. Often times, people don’t realize the relationship between physical pain and emotional pain. Further, people are often reluctant to talk about their feelings or ask for help.

There are many causes of depression in older adults, including (but not limited to): fears, health issues, isolation/loneliness, loss of identity/reduced sense of purpose, and recent bereavements. Several medical conditions can cause depression in older adults also, such as cancer, COPD, diabetes, lupus, heart disease, multiple sclerosis, Parkinson’s disease, stroke, thyroid disorders, and vitamin B12 deficiency.

If you or a loved one are depressed, the best thing to do is to address it- whether through exercise, social contact with others, or seeking help from a psychologist. The more active you are – mentally, physically, and socially- the better you will feel!

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Recent Articles

Jun 3

Los Angeles Jewish Health Awarded $28 Million From California Department of Health Care Services

Los Angeles Jewish Health (LAJH) has long worked in close partnership with the state of California in helping to set the standard for comprehensive senior care. This spring, California Governor Gavin Newsom and the California Department of Health Care Services (DHCS) announced an extension of this work by awarding LAJH $28 million to support the expansion of inpatient behavioral health services.The grant is funded through Proposition 1, a bond initiative passed by voters in 2024 to establish the state’s Behavioral Health Continuum Infrastructure Program (BHCIP). The award to LAJH is a vital step in addressing California’s growing senior behavioral health crisis at a time of intensifying need: California’ senior population is projected to double by 2040, and with it, the number of older adults experiencing behavioral health challenges (particularly those who are low-income, medically complex, or socially isolated) is rising sharply.This funding will support the expansion of inpatient behavioral health services for seniors“This grant is a transformational investment in improving the mental health of our community’s seniors, empowering us to expand access to high-quality, compassionate inpatient care for seniors in acute psychiatric distress,” said LAJH President and CEO Dale Surowitz. “We are tremendously proud of our past successes meeting seniors’ most critical healthcare needs, and we look forward to extending that track record of achievement in ways that will strengthen the fabric of our entire community.”Governor Newsom underscored the importance of Proposition 1 in his remarks announcing the awards.“Californians demanded swift action to address our state’s behavioral health crisis when they voted for Prop 1 in March 2024…and we’re delivering our biggest win yet,” he said. “Whether it’s crisis stabilization, inpatient services, or long-term treatment, we’re ensuring that individuals can access the right care at the right time.”This funding is part of California’s broader strategy to modernize the behavioral health system—increasing transparency, broadening access, and building the infrastructure necessary to provide a full continuum of care for individuals living with mental illness and substance use disorders. Through Proposition 1 and BHCIP, the state aims to create more than 6,800 new residential treatment beds and 26,700 outpatient treatment slots, addressing urgent gaps in care across every region of California.“Our seniors require the very best mental health care possible,” Dale said, “and this new grant helps ensure we will continue to deliver the care and compassion they deserve.”The expansion will take place in the Mark Taper Building on the Grancell Village campus
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Jun 3

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Results are still pending, but Dr. Marco notes that preliminary data are highly encouraging.“We wanted to know, going into the study, whether someone in their later stages of life could, by modifying their diet and adding a little exercise, change markers of longevity, frailty, and health, even in a short period of time,” Dr. Marco says. “Based on our findings, the answer is clearly ‘yes!’”He points to one example as anecdotal evidence of the study’s success.“We had a participant who has been diabetic most of her adult life; for 20 years, she was on three different medications. As a result of this study, she now has better control of her disease and is down to one medicine,” he says. “We saw lots of things like this: improvement in people’s cholesterol and blood sugar levels, significant weight loss, weight gain in one instance where the resident needed it. 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May 15

Los Angeles Jewish Health Awarded $28 Million from California Department of Health Care Services

Major Investment Will Dramatically Expand Inpatient Mental Health Services for Seniors in Need (LOS ANGELES, CA – May 15, 2025) — As one of California’s leading providers of coordinated senior health services, Los Angeles Jewish Health (LAJHealth) is proud to announce it has been awarded $28 million by the California Department of Health Care Services (DHCS) as part of Proposition 1’s Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready initiative. The funding, announced by Governor Gavin Newsom, is part of an historic $3.3 billion investment in behavioral health infrastructure, supporting 124 projects statewide.At LAJHealth, this funding will support the expansion of inpatient behavioral health services for seniors, a critical step in addressing California’s growing senior behavioral health crisis. This expansion comes at a time of intensifying need. California’s senior population is projected to double by 2040, and with it, the number of older adults experiencing behavioral health challenges—particularly those who are low-income, medically complex, or socially isolated—is rising sharply.“California is facing a senior behavioral health crisis,” said Dale Surowitz, President and CEO of Los Angeles Jewish Health. “This transformative investment allows us to act urgently and proactively by expanding access to high-quality, compassionate inpatient care for seniors in acute psychiatric distress. We are deeply grateful to Governor Newsom and DHCS for recognizing the urgency of this need and investing in a more sustainable, responsive future for our aging population.”Governor Newsom underscored the importance of Proposition 1 in his remarks announcing the awards:“Californians demanded swift action to address our state’s behavioral health crisis when they voted for Prop 1 in March 2024. Today, we’re delivering our biggest win yet. Whether it’s crisis stabilization, inpatient services, or long-term treatment, we’re ensuring that individuals can access the right care at the right time.”This funding is part of California’s broader strategy to modernize the behavioral health system—increasing transparency, expanding access, and building the infrastructure necessary to provide a full continuum of care for individuals living with mental illness and substance use disorders.Through Proposition 1 and BHCIP, the state aims to create more than 6,800 new residential treatment beds and 26,700 outpatient treatment slots, addressing urgent gaps in care across every region of California.
Read More