Section - Video Lectures

08. Later-Life Depression Prevention: Problem-Solving Therapy and Healthy Dietary Practices

Published on February 1, 2021 Expired on April 1, 2025

Charles F. Reynolds III, M.D.

Editor, American Journal of Geriatric Psychiatry Distinguished Professor of Psychiatry emeritus - University of Pittsburgh School of Medicine

Key Points

Major depressive episodes in older adults with mild or subsyndromal symptoms can be effectively prevented.
Depression prevention can be carried out in low-resource settings using either lay counselors or mental health specialists.

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Slides and Transcript

Slide 1 of 7

Colleagues, let’s continue our discussion which we began in the last video about nonpharmacologic approaches to preventing depression via the use of problem solving which we’ve already dealt with to some extent but also by lifestyle issues such as coaching and healthy dietary practices and by the use of cognitive behavioral therapy.

Later-Life Depression Prevention: Problem-Solving Therapy and Healthy Dietary Practices Slide 1 of 7

Slide 2 of 7

Again, a public health perspective for a moment. Preventing depression across the life cycle has become increasingly recognized as a global public health priority. And as I’ve mentioned earlier on, according to the World Health Organization, clinical depression has become a huge contributor to the global burden of illness-related disability right up there with cardiovascular disorders with which as you know depression frequently co-occurs. Preventing depression is also important because of the limited ability of currently available treatments to avert years lived with disability. As well, issues of stigma often preclude treatment seeking especially in racial and ethnic minority adults and older adults. Workforce limitations in the specialty mental health sector together with the financial barriers to the provision of mental health services also reinforce the need for effective, acceptable, and feasible depression prevention strategies.

References:

Reynolds, C. F. (2017). Evidence-Based Treatment and Prevention of Major Depressive Episodes in Later Life. In Halter, J. B., Ouslander, J. G., Studenski, S., High, K. P., Asthana, S., Supiano, M. A., Ritchie C. (Eds.), Hazzard's geriatric medicine and gerontology (7th ed., pp. 1071–1088). essay, McGraw-Hill Education Medical.

Later-Life Depression Prevention: Problem-Solving Therapy and Healthy Dietary Practices Slide 2 of 7

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09. Bereavement and Terminal Illness in Later-Life Depression: Complicated Grief and Palliative and Supportive Care

Learning Objectives:

After completing this activity, the learner will be able to:

Identify the consequences of major depression in later life and the importance of treatment.
Discuss the management of major depression in later life, including pharmacologic and nonpharmacologic treatments.
Describe the approaches to preventing depression.

Original Release Date: 02/01/2021

Review and Re-release Date: 03/01/2024

Expiration Date: 04/01/2025

Expert: Charles Reynolds, M.D.

Medical Editor: Lorena Rodriguez, M.D

Relevant Financial Disclosures:

None of the faculty, planners, and reviewers for this educational activity have relevant financial relationship(s) to disclose during the last 24 months with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

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This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of Medical Academy LLC and the Psychopharmacology Institute. Medical Academy is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement

Medical Academy designates this enduring activity for a maximum of 1.25 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.