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Late-life depression is often underdiagnosed, which is due to numerous reasons, including that depressed mood is commonly not as prominent as other somatic and psychotic symptoms such as loss of appetite, disruptions in sleep, lack of energy or anergia, fatigue, and loss of interest and enjoyment in normal life activities.
[3] [4] Older people with certain medical conditions such as diabetes, heart disease and dementia, are also more likely to have frailty. [5] [6] In addition, adults living with frailty face more symptoms of anxiety and depression than those who do not. [7] Frailty is not an inevitable part of aging.
Diagnosis is based on symptoms and a differential diagnosis because no diagnostic test is available. [7] [15] [16] [17] The illness can improve or worsen over time, but full recovery is uncommon. [12] No therapies or medications are approved to treat the condition, and management is aimed at relieving symptoms.
Other symptoms that may occur during PEM include cognitive impairment, flu-like symptoms, pain, weakness, and trouble sleeping. [6] [4] Though typically cast as a worsening of existing symptoms, patients may experience some symptoms exclusively during PEM. [6] Patients often describe PEM as a "crash", "relapse", or "setback". [6]
Geriatric psychiatry is a subspecialty of psychiatry dealing with the research, diagnosis and treatment of mental disorders in the later stages of life. [1] [2] [3] The field composes of the diagnosis, treatment, and management of areas such as depression, dementia, and Alzheimer's disease. A geriatric psychiatrist is also a licensed doctor ...
Diagnosis may be delayed or missed when symptoms are interpreted as "normal moodiness". [26] Elderly people may not present with classical depressive symptoms. [31] Diagnosis and treatment is further complicated in that the elderly are often simultaneously treated with a number of other drugs, and often have other concurrent diseases. [31]
Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome caused by an impairment in the heart's ability to fill with and pump blood.. Although symptoms vary based on which side of the heart is affected, HF typically presents with shortness of breath, excessive fatigue, and bilateral leg swelling. [3]
Fatigue in a medical context is used to cover experiences of low energy that are not caused by normal life. [2] [3]A 2021 review proposed a definition for fatigue as a starting point for discussion: "A multi-dimensional phenomenon in which the biophysiological, cognitive, motivational and emotional state of the body is affected resulting in significant impairment of the individual's ability to ...