[Depression in the elderly. Principles of treatment]

Drug therapy must be reassessed regularly to avoid overdosing or poor observance. Use of multiple drugs must be carefully monitored. PSYCHOTHERAPY: Listening to the patient and establishing an understanding friendly relationship are essential to successful psychotherapy in the depressed elderly.

Repulsion is common because old age evokes death. The reactions of family and friends may take on many forms, sometimes leading to counter-transfer. EIGHT SIMPLE RULES FOR PRESCRIPTION: Ask key questions. Treat what is essential. Prescribe few drugs starting at low dose. Check observance. Favor good diet and hygiene. Help the patient accept the aging process. Avoid pseudo placebos. Use appropriate dose timing.