At Baptist Health System, we recognize that aging brings not only challenges, such as depression, anxiety or cognitive decline, but also strengths like resilience, wisdom and the capacity for growth.
Our senior inpatient psychiatric programs are designed to meet the complex mental health needs of older adults in San Antonio in a safe, structured and medically appropriate environment.
Each patient receives care from an interdisciplinary team that includes psychiatrists, psychiatric nurse practitioners, internists, social workers, nurses and activity therapists. Our team-based approach helps ensure a well-rounded plan of care that addresses both emotional and physical needs.
Together, this team provides personalized, confidential treatment for conditions such as:
- Depression
- Hallucinations
- Anxiety
- Suicidal thoughts
- Adjustment disorders
- Other serious mental health concerns
Our services include inpatient medication management, individual and group therapy, experiential therapies and supportive consultations. The following additional supportive therapies are also available to help address each patient’s overall health and well-being:
- Occupational therapy
- Physical therapy
- Nutrition services (as needed)
- Chaplain services
- Family services (as needed)
We are committed to treating the whole person, not just the diagnosis. When a mental health crisis arises, our inpatient units offer comprehensive 24-hour care to help stabilize and support recovery.
Healthcare is better together. If your aging parent or loved one is showing signs of mental health distress, call the Baptist Behavioral Assessment Team at 210-297-7411 to speak with a qualified professional.
Depression in the Elderly
Depression is a prevalent yet often overlooked mental health concern among older adults. While occasional feelings of sadness are a normal part of life, persistent depression is not a typical aspect of aging. Recognizing and addressing depression in seniors is crucial for their overall well-being.
When a person has depression, also known as depressive disorder or clinical depression, it affects their ability to feel, think and handle daily activities. In older adults, depression can be particularly concerning as it may coincide with other medical conditions and can be mistakenly attributed to aging or physical health issues.
Older adults may experience various forms of depression, including:
- Major depressive disorder - characterized by symptoms that interfere with daily life and last for at least two weeks
- Persistent depressive disorder (dysthymia) – a chronic form of depression with less severe symptoms that last for two years or more
- Depression related to medical conditions – a type of depression associated with a separate illness, such as heart disease or cancer
- Substance/Medication-induced depressive disorder – a type of depression triggered by the use or withdrawal of certain medications or substances
Depression in older adults may manifest differently than in younger individuals. Common signs include:
- Persistent sadness or feelings of hopelessness
- Loss of interest in previously enjoyed activities
- Fatigue or decreased energy
- Difficulty concentrating or making decisions
- Changes in appetite or weight
- Sleep disturbances
- Thoughts of death or suicide
Treatments for depression are available and can significantly improve quality of life. Some of the treatments for depression include:
- Psychotherapy/Counseling/Talk Therapy – are therapeutic approaches, such as cognitive-behavioral therapy, that can help individuals manage negative thought patterns
- Medications - antidepressant medications may be prescribed that may help balance chemicals in the brain, taking into account potential interactions with other drugs
- Lifestyle changes - engaging in physical activity, maintaining social connections and pursuing enjoyable activities can aid recovery.
If you or a loved one is experiencing symptoms of depression, it is essential to seek professional help. Early intervention can lead to better outcomes.
Anxiety in Seniors
Anxiety is a common yet frequently underrecognized mental health concern among older adults. While occasional worry is a normal part of life, persistent and overwhelming anxiety that interferes with daily activities may indicate an anxiety disorder. Approximately 10% to 20% of older adults are affected by anxiety disorders, though many cases go undiagnosed due to stigma and misconceptions about mental health in aging populations.
Anxiety disorders encompass a range of conditions characterized by excessive fear or worry. In seniors, these disorders can manifest differently than in younger individuals, often presenting with both psychological and physical symptoms.
Common types of anxiety disorders in older adults include:
- Generalized Anxiety Disorder: Individuals with chronic and exaggerated worry about everyday activities and fear the worst in every situation, even if that fear is unfounded.
- Phobias: Intense and debilitating fear of specific objects or situations that do not pose a major threat.
- Obsessive-Compulsive Disorder (OCD): Repetitive, unwanted thoughts and behaviors.
- Social Anxiety Disorder: Adults with social anxiety feel extreme nervousness and self-consciousness in everyday scenarios involving other people. They fear judgment from others and worry they will do something to embarrass themselves.
Symptoms of anxiety in older adults can be both mental and physical. Mental and behavioral signs include:
- Uncontrollable feelings of panic, fear or apprehension
- Obsessive thoughts
- Restlessness
- Trouble with memory and focus
- Insomnia
- Nightmares
- Avoidance of routine activities
- Ritualistic behaviors like repeated handwashing
Physical symptoms may involve:
- Racing heart or heart palpitations
- Trembling
- Hot flashes
- Headaches
- Frequent urination
- Shortness of breath
- Nausea
- Tense muscles
- Excessive sweating
- Cold or sweaty hands
- Dry mouth
It is important to note that anxiety is considered problematic when it interferes with daily functioning, quality of life or overall health. Anxiety disorders are highly treatable, and older adults can benefit from various interventions:
- Psychotherapy: Cognitive-behavioral therapy (CBT) may help individuals manage anxiety by changing negative thought patterns
- Medications: Antidepressants and anti-anxiety medications may be prescribed, considering potential interactions with other medications
- Lifestyle Modifications: Regular physical activity, relaxation techniques and social engagement can help make symptoms more manageable
- Support Groups: Connecting with others facing similar challenges can provide comfort and coping strategies
If you or a loved one is experiencing symptoms of anxiety that disrupt daily life, it is crucial to seek professional help. Early intervention can lead to better outcomes and improved quality of life.
