Recognition and differentiation of elderly depression in the clinical setting.

Primary care physicians must realize that depression is a prevalent source of excess disability among their elderly patients. However, when depression strikes the elderly patient, it often goes unrecognized and untreated. By maintaining a high index of suspicion, clinicians will be prepared to conduct a focused clinical interview that can uncover depression otherwise masked by prominent somatic and anxiety-related complaints. Initiation of antidepressant treatment in elderly depressed patients is an important life-enhancing and life-saving measure.