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Instead of feeling sad or blue, seniors are apt to feel irritable or tired, have trouble sleeping, lose their appetite and be unable to concentrate, new research published in the Journal of Applied Gerontology finds. No wonder it's so much harder to diagnose depression in older adults. There are steps we can take to help both those suffering from depression and their friends or family members — if we know what to look for.

Here are seven key things to keep in mind about this increasingly common condition: Depression screening is one of the free services offered under the Welcome to Medicare visit provided through the Affordable Care Act, and mental health experts say it's helping more older patients get treatment.

He'd refused treatment for 2 1/2 months and gone back into the world the way he'd arrived: confused, incoherent, psychotic. They watch Will, and hope to take the same path toward freedom.

Two months later, he bludgeoned his mother to death with a hatchet. On this day in March, Will heads a few blocks around the corner to a 1960s split ranch, a doctor's office that has been converted into a supervised group home.

There he joins seven other mentally ill residents; four, like Will, have killed.

Each remains in the custody of the state but has earned the right to live in the community by following rules, taking medication and abiding by a structured court-ordered treatment plan.

After seven years in a psychiatric hospital, Will is taking his first steps toward freedom.

"I hope I don't come back." The last time he was discharged, Will was a different man. Inside Riverview Psychiatric Center are dozens of other forensic patients who've killed, assaulted or committed other offenses.

In 2000, research showed that fewer than 25 percent of patients over age 65 with probable depression received a diagnosis and treatment, but by 2007 that had jumped to nearly 52 percent.

The increase in screening, says Mayo Clinic psychiatrist William Bobo, M.

I was anxious all the time about everything: my friendships, the progression of this relationship, my success at work, being away from my family in a big city.

Unsurprisingly, things didn’t work out with the therapy shamer. I found myself experiencing a sense of shame the moment I stepped into my therapist’s lobby.




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