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Mohammed T. Abou-Saleh

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156 PRINCIPLES AND PRACTICE OF GERIATRIC PSYCHIATRYSymptoms of depression can be manifestations of either dementingor medical illnesses, both of which are common in the elderly.Psychosocial factors that are unique to the elderly may beetiologic in the genesis of depressive symptoms, but neverthelessrequire the clinician to assess each patient fully and treat asappropriate. Accurate treatment mandates as detailed history,often with collaboration with the family, and a thorough medicalevaluation for other co-morbid illnesses that may contribute tothe patient’s current presentation. The treatment of depressivesymptoms in the elderly requires an understanding of both theorigin of these symptoms and the proper treatment of theunderlying disorder, whether it be due to medical, dementing,psychosocial or melancholic factors.REFERENCES1. Ford DE, Mead LA, Chang PP et al. Depression is a risk factor forcoronary artery disease in men: the precursors study. Arch Intern Med1998; 158: 1422–6.2. 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