Activating or sedating ssri
It is important to realize that psychotherapeutic interventions may not be effective for all elderly patients with depression.That said, psychotherapy is regarded by many as being as effective as pharmacological treatments and should be considered as a first-line treatment for depression in elderly patients.Cognitive-behavioral therapy is a proven intervention for treating depression in people of all ages.Meta-analyses have compared the efficacy of psychotherapy (CBT) versus antidepressant medication for the treatment of major depression and anxiety disorders.However, this clearly isn’t always the case – some people have legitimate neurochemical imbalances (due to brain damage, genetic and/or epigenetic expression, etc.) that cannot be sufficiently controlled with lifestyle changes.If this is the case, pharmaceutical medications may be needed to help treat these neurochemical imbalances.Another study with adults that were nearly 70 years old, it was found that when the right dorsolateral prefrontal cortex was stimulated, depression also significantly decreased.Although TMS isn’t going to work for everyone, most medications also don’t work for everyone.
While many of these patients were already on medications, they clearly weren’t getting relief from them.
A therapist may be able to get down to the root of what’s causing the person’s depression, and may provide additional human social contact for someone that may have become isolated in old-age.
There also aren’t any side effects or interactions to worry about with psychotherapy.
The first couple I recommend are NOT medication, but have been shown to be just as effective as medication.
If you want to try the treatment with the biggest upside and lowest risk of side effects, transcranial magnetic stimulation is clearly your best bet.