• Med. Clin. North Am. · Sep 2020

    Review

    Sadness and Worry in Older Adults: Differentiating Psychiatric Illness from Normative Distress.

    • Julie Lutz and Kimberly A Van Orden.
    • Department of Psychiatry, University of Rochester Medical Center, Center for the Study and Prevention of Suicide, 300 Crittenden Boulevard, Box PSYCH, Rochester, NY 14642, USA.
    • Med. Clin. North Am. 2020 Sep 1; 104 (5): 843-854.

    AbstractOlder adults experience greater emotional well-being in late life. However, older adults may be vulnerable to certain physiologic risk factors, including less physiologic resilience to prolonged stress. Depression and anxiety can be difficult to diagnose in late life owing to differences in self-reported symptoms from younger adults and unclear distinctions between normative and non-normative emotional experiences. We discuss age differences in the presentations of depression and anxiety, and normative and non-normative late life developmental trajectories around bereavement and grief, social isolation and loneliness, and thoughts of death and suicide. We provide recommendations for clinicians for assessing and diagnosing older adults.Copyright © 2020 Elsevier Inc. All rights reserved.

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