Changes in sex habits
are likely to occur and to take the form of reduced potency in men, menstrual
disturbances in women. According to one industrial physician, Dr. Rex.H.Wilson,
of the depressed people who suffer from digestive upsets, nausea, vomiting,
constipation, or diarrhea too often may be thought to have ulcers or colitis.
The depressed, he also notes, may develop urinary frequency or urgency,
sometimes accompanied by burning and sensations of pressure in the bladder
area; many feel heart palpitations, chest constriction, pain in the heart area,
and may seek medical help for "heart trouble"; still others may have
noises in the ears, visual disturbances, mouth dryness, numbness or tingling
sensations; and some develop red blotches on the body.
Nobody knows how many elderly people thought to be
hopelessly senile are really only depressed. "The depressions of the
geriatric patient often remain undiagnosed," says Dr. Sidney Cohen, Chief
of Psychiatry Service, Wadsworth Veterans Administration Hospital, and Los
Angeles. "There is the feeling that he is too senile, too little in
contact, to be depressed. Actually, depressions can contribute to or even cause
senile confusion." While depression in older people may lead to weakness,
sleeping difficulty, appetite loss, and many aches and pains, Dr. Cohen reports
that "another depressive syndrome in the aged consists of irascibility,
irritability, indecisiveness, and inertia.
These personality changes repel
family, friends, and physician. It is necessary to penetrate behind the disgruntled
attitude and annoying behavior to recognize the underlying depression.
Once depression is recognized, treatment for it may be
rewarding. New Treatments Until recent years, doctors had rather limited
treatment to use against depression. Now there are many medicines. Not long
ago, when 170 of the nation's outstanding medical clinicians and researchers
were polled on the most significant new drug developments of recent years, one
major advance listed was an antidepressant medication introduced in 1959.
Another major advance listed was an antidepressant
introduced in 1965. There are other valuable antidepressants in addition. No
one medicine is a panacea. The therapeutic compound that helps one patient may
be of little or no value for another. Careful selection is needed. Many
physicians prefer to use these medicines only when psychotherapy does not work.
They report that psychotherapy alone and it may be brief psychotherapy provided
by a family doctor, not necessarily a psychiatrist-often can work wonders. It
may take the form of a few sessions in which the patient is told about the
nature of his or her physical complaints, is encouraged to ventilate, or talk
out, worries and feelings, and is given realistic reassurance. When
psychotherapy and medicines do not help, electroshock very often does.
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