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Summary
Summary
Clinical depression is a serious medical illness that not only can turn a happy retirement into a time of misery, but also leads to a wide range of health problems. Depression increases the rate of disease such as stroke, heart disease, and Alzheimer's disease and worsens the course of others such as diabetes, chronic lung disease, and cancer. It also contributes to avoidable disability and premature death.
Beat Depression to Stay Healthier and Live Longer alerts readers to this untold story. It challenges beliefs that depression is normal in old age because old age is depressing, instead helping readers see that depression is a serious brain disease, often related to changes in the brain associated with the aging process. Gary S. Moak clearly and compassionately explains depression as a physically destructive state, in which a brain on overdrive runs the body ragged, accelerating age-related wear and tear. Depression is not a harmless condition older adults can live with, and Dr. Moak addresses the impact of depression on specific geriatric health problems. Case stories, taken from the author's experience practicing geriatric psychiatry for thirty years, are used to illustrate the physically and mentally harmful effects of depression and the road to recovering well.
The book is a call to action. It encourages readers to seek treatment for depression, offering hope that older adults can get their lives back before it is too late. It provides practical guidance and advice for patients and family members about working with healthcare professionals to ensure that sufferers receive effective treatment for their depression and appropriate medical care for their physical needs. By shedding light on the impact of depression on physical health, Dr. Moak spotlights the importance of recognizing the signs and symptoms of depression and brings much needed attention to a subject that is so often overlooked.
Author Notes
Gary S. Moak, M.D. is a past president of the American Association for Geriatric Psychiatry and 2011 recipient of its clinician-of-the-year award. He is a practicing geriatric psychiatrist with over 30 years experience treating older adults with a wide range of psychiatric and behavioral problems related to diseases of aging. Dr. Moak is assistant professor of psychiatry at the Geisel Medical School at Dartmouth, where he serves as Chief of Geriatric Psychiatry at the New Hampshire Hospital. In addition to his clinical work with older adults and their families, Dr. Moak is a clinical educator. He teaches medical students and doctors in training, in psychiatry and primary care medicine, about mental health and aging and the treatment of late-life mental health problems. Dr. Moak regularly speaks to audiences of older adults and members of their families about mental health and aging.
Reviews (1)
Booklist Review
Just as smoking is hazardous to health, so is depression, especially in old age. As a past president of the American Association for Geriatric Psychiatry and an assistant professor of psychiatry at Dartmouth, Moak certainly holds the right credentials to tackle the topic. He divides his footnoted guide into three sections. The first focuses on understanding depression in the elderly, the second covers its effect on health problems such as diabetes and cardiovascular disease, and the third describes what to do. (An example: people with manic depression should take mood stabilizers, not antidepressants.) Moak uses unnamed patients to illustrate conditions such as depression after stroke and reactions such as the all-too-common refusal to get help. Indeed, most older adults with depression don't get treatment, which is a serious problem because the elderly, especially men over 85, have the highest rate of suicide of any group. He covers myths such as the erroneous belief that mental illness in old age must be senility. While not groundbreaking, this is a useful overview which presents a good case for getting treatment.--Springen, Karen Copyright 2016 Booklist
Table of Contents
| Preface | p. vii |
| Depression Is a Life and Death Matter: A Tale of Two Sydneys | p. 1 |
| Part I Depression in Late Life: What It Is and What It is Not | |
| 1 Old Age Is Not Depressing: Truth and Fiction | p. 11 |
| 2 What Causes Depression?: It's Not What You Think It Is | p. 23 |
| 3 Depression in Other Brain Diseases | p. 31 |
| 4 What's in a Name?: Why Correct Diagnosis of Depression Matters | p. 43 |
| Part II Depression is Bad For You: How Depression Can Wreck Your Health and Shorten Your Life | |
| 5 'What You Don't Know Won't Hurt You": Wrong! The More You Know about Depression, the Healthier You Can Be | p. 67 |
| 6 When Heartache Causes Heart "Ache": Depression and Heart Disease | p. 79 |
| 7 Treatment of Depression May Be a Stroke of Luck: Depression and Stroke | p. 89 |
| 8 Depression and Diabetes | p. 101 |
| 9 Breathe Easier: Depression and Chronic Lung Disease | p. 111 |
| 10 Depression and Chronic Kidney Disease | p. 121 |
| 11 Depression and Cancer | p. 131 |
| 12 Depression and Arthritis | p. 143 |
| 13 Depression and Parkinson's Disease | p. 151 |
| 14 Depression and Alzheimer's Disease | p. 161 |
| 15 Depression Can Be a Real Pain: Depression and Pain | p. 171 |
| 16 Don't Take the Fall for Depression: Depression and Falling | p. 181 |
| Part III How to Beat Depression to Stay Healthier and Live Longer | |
| 17 "You Can Lead a Horse to Water...": Getting a Reluctant Elder to Accept Treatment | p. 191 |
| 18 You're Never Too Old: Treatments for Depression Work! | p. 207 |
| 19 When Life Gives You Lemons, Make Lemonade: Antidepressant Medications | p. 219 |
| 20 Lifestyle Practices, Herbal Treatments, and Nutritional Supplements | p. 233 |
| 21 There Is No Magic Pill: Why Good Treatment Can Take So Long | p. 243 |
| 22 The Shocking Facts about Shock Treatment | p. 259 |
| 23 Getting the Treatment You Need: Being an Educated Consumer | p. 265 |
| Notes | p. 283 |
| Bibliography | p. 303 |
| Index | p. 315 |
