Mental Health in Older Adults: Warning Signs Families Miss

As our parents and grandparents age, it’s natural to notice changes in mood, memory, and energy. But when does “just getting older” cross the line into something more serious — like depression in older adults?

Unfortunately, late-life depression is often underdiagnosed and misunderstood. Many families assume sadness, forgetfulness, or social withdrawal are normal parts of aging. In reality, they may be early warning signs of a treatable mental health condition. Major depression affects about 2% of adults over age 55, and many cases go unrecognized or untreated.

Here’s what to look for — and how you can support an older loved one who may be struggling.

Understanding Depression in Older Adults

Depression doesn’t discriminate by age. However, its symptoms in older adults often appear differently than in younger people. Symptoms in older adults often differ — they may show more physical, cognitive, or somatic signs than overt sadness.

While younger adults may report feeling “sad” or “hopeless,” older adults are more likely to show physical or behavioral changes, such as fatigue, irritability, or loss of interest in hobbies.

Common Warning Signs Families Often Miss:

• Loss of interest in once-loved activities (gardening, reading, volunteering)

• Withdrawal from family or friends

• Changes in sleep or appetite — sleeping much more or less than usual

• Unexplained aches or pains without clear medical cause

• Increased forgetfulness or confusion

• Neglecting personal hygiene or responsibilities

• Frequent expressions of guilt, hopelessness, or being a burden

If several of these symptoms persist for more than two weeks, it may indicate clinical depression rather than normal aging. 

Why Depression Is Overlooked in Older Adults

1. Stigma and silence: Many seniors grew up in generations that saw mental illness as weakness. They may be reluctant to speak up.

2. Medical overlap: Physical illnesses (like thyroid disorders or heart disease) can mimic depressive symptoms.

3. Medication side effects: Certain prescriptions can trigger mood changes.

4. Loss and isolation: Retirement, bereavement, and reduced mobility can all contribute to emotional decline.

Because of these factors, depression in older adults is one of the most underdiagnosed mental health issues in the U.S. — yet one of the most treatable when identified early. Depression in older adults is not a normal part of aging — it’s a medical condition that can and should be treated.

What Families Can Do

1. Start the Conversation

Approach with empathy, not confrontation. Try:

“I’ve noticed you’ve seemed more tired and quiet lately — how are you feeling?”

Normalize the idea that mental health care is just as important as physical care.

2. Encourage Professional Help

If symptoms persist, encourage a visit to a primary care physician or mental health provider. A professional can assess whether it’s depression, medication side effects, or something else.

3. Support Social Connection

Isolation is a major risk factor. Suggest activities that foster connection — community centers, faith groups, or senior programs. Even video calls or neighborhood walks can help reduce loneliness.

4. Explore Treatment Options

At CPS, we offer comprehensive psychiatric evaluations and evidence-based treatments. Treatment for older adults often includes psychotherapy, medication, or a combination, adapted carefully given comorbid medical conditions including:

• Therapy and counseling designed for older adults

• Medication management when appropriate

• TMS therapy for treatment-resistant depression (safe and well-tolerated in seniors)

How CPS Supports Older Adults and Their Families

Our team understands the nuances of elderly mental health — from complex medication interactions to the role of isolation and loss. We work closely with families to ensure older adults receive compassionate, personalized care.

If you’re noticing concerning changes in a loved one’s mood, energy, or engagement, early action can make all the difference.

📞 Schedule a consultation with CPS today — and let’s work together to ensure your loved one’s emotional well-being is cared for, just like their physical health.