Depression occurs in 5-10% of older adults. Risks for depression include recent loss of a loved one, sleep disturbance, loss of physical abilities, and a history of depression.
Older adults with persistent insomnia were more likely to have depression. Treatment for insomnia is important to overcome depression. Treatment consists of medications and altering behavior that occue with insomnia.
In order for behavioral strategies to work, the patient must be willing and open to change behaviors. Changing habits, or behaviors can be difficult to do. The following behaviors are suggested:
Restrict the time spent in bed.
Establish regular wake up time
Go to bed only when sleepy
Stay in bed only when asleep
Practices that help sleep include:
Regular daily exercise
Daily routines
Treating medical problems such as sleep apnea
Using the bed only for sleep and sexual activity
Practices that hurt sleep include:
Alcohol use
Caffeine use
Worries
Poor sleep environment
Using bed for things other than sleep or sexual activity
