Depression in older adults is a significant public health concern. Approximately 14% of older adults cope with depression. Older adults have the highest rate of suicide. Factors such as poverty, poor housing, social isolation, chronic illnesses, and functional limitations contribute to depression in older adults.
Depression can cause confusion and forgetfulness and is frequently, incorrectly, assumed to be signs of dementia. It is important that depressive symptoms be evaluated by a qualified professional to ensure effective treatment for depression is implemented to prevent worsening of the depression and its consequences. Additionally, dementia symptoms require evaluation to ensure a correct diagnosis, and an appropriate treatment plan is made.
Many older adults report difficulty in accessing mental health services. Cost of care is one frequently identified factor. In 2025, Medicare responded to this need by expanding coverage for mental health care. Older adults now have access to a more comprehensive range of services from family therapists, marriage counselors, and licensed social workers.
This increased access will enable more older adults to receive the care they need. If you need more information about Medicare coverage and mental health services, call the CHOICES program at the Agency on Aging 1.800.994.9422.