Depression in the elderly is best controlled by antidepressants. Over a two-year period, regular use of paroxetine (Paxil) was more effective at preventing a recurrence than psychotherapy. Doctors may want to keep depressed patients over age 70 on medication indefinitely—just as they would patients with diabetes or hypertension.

Also important: A depression care manager—a nurse, social worker or psychologist—to make sure the condition is kept under control.

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