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(p. 152) Depression in Late Life 

(p. 152) Depression in Late Life
Chapter:
(p. 152) Depression in Late Life
Author(s):

Amy Fiske

, and Alisa O’Riley Hannum

DOI:
10.1093/med-psych/9780190492243.003.0008
Page of

date: 25 August 2019

Abstract: The chapter focuses on the assessment of depression in older adults. Assessing depression in older adults presents unique challenges to clinicians for several reasons. First, depression may be underreported because clients and their families often assume depressive symptoms are normal in late adulthood. Second, depression can be difficult to differentially diagnose because of the prevalence of comorbid physical and cognitive problems. Finally, it may be difficult to diagnose depression in older adulthood because older adults often demonstrate presentations of the disorder that differ from typical presentations in other age groups. This chapter begins with a review of the nature of the disorder followed by a review of clinical assessment instruments designed for the assessment purposes of (a) diagnosis, (b) case conceptualization and treatment planning, and (c) treatment monitoring and evaluation. Recommendations are included for instruments with the greatest scientific support and for assessing depression in a clinically sensitive manner.

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