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DEPRESSION page 68

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Joint Commission

on Accrecalhon ol *encore OrcaniWions

for their daily activities, and they
become even more isolated.
"The new medications are
wonderful, however, and with the
growth of the aging population
the specialty of the geriatric psy-
chiatrist has come into its own.
We know that a patient can take
a medication that helps her deal
with her problems so that she
changes her outlook, begins to
feel better and starts taking con-
trol of her life. When that takes
place, the medication is elimi-
nated."
Yet, only 10 percent of older
adults who need help get it be-
cause of misguided beliefs of care-
givers and some physicians that
depression is an inevitable, un-
treatable part of aging caused by
illness, bereavement and other
events that require difficult life
adjustments.
In addition, older patients
themselves are frequently em-
barrassed and reluctant to talk
about their depression, believing
they should be able to "snap out
of it" on their own.
Isolation, however, isn't some-
thing that just happens to the el-
derly. Bruce Leuchter, 23, of West
Bloomfield is a medical student
at Wayne State University.
Studying for exams easily brings
on feelings of isolation for him.
"It's very easy to get down on
myself during exams because I'm
so isolated, studying all the time,
sometimes doubting my ability
and if I've got a future in medi-
cine," says Leuchter.
'When I get the blues I try to
analyze what's taking place,
working through the pieces and
try getting in some physical ac-
tivity like jogging if I have the
time. I eventually realize that this
too will pass — until it's time for
the next exam."
Dr. Barry August, dermatol-
ogist, believes that there's so
much going on in life that if you
don't feel in control it's relatively
easy to become depressed.
'When I'm stressed I'll play a
round of golf or a game of tennis
to ward off anxiety and mood
swings," he says. "When my pa-
tients tell me they're feeling blue
I tell them to take the time and
do something they really enjoy.
"Feeling good about what
you're doing usually makes you
feel good about yourself"
Liz Warnick of Farmington
Hills is a role model for dealing
with the blues. Mrs. Warnick,
who lives with multiple sclerosis
that was diagnosed over 20 years
ago, simply refuses to dwell on
the negative.
"I just make it my business to
ignore the weather, for example.
If I'm having a bad day and it's
too hot and humid and my legs
hurt, I just slow down and do
those things that don't demand
a lot of energy. Tomorrow, I'll do
something different and maybe
better." 0