For more information about the author, click to view their website: North Baldwin Infirmary Senior Behavioral Health
Recognizing Late-Life Depression
Dora spent much of her day in bed - in a heavy gray fog. Many days, she let the phone and doorbell ring without answering them. In the kitchen, dishes, mail, and trash piled up, but she was too weak to clean or care.
Excessive sleep and a lack of energy are warning signs of a serious but treatable disease called depression.
Older adults face increased risks for depression. Surprisingly this common illness frequently goes undetected and untreated in late life.
Recognizing Depression
“Coexisting medical conditions, complicated medication regimes, and painful losses sometimes mask the symptoms of depression in late life,” says Janet Linton, M.D, medical director of Senior Behavioral Health at Mobile Infirmary, located in Mobile, and North Baldwin Infirmary, located in Bay Minette. “Some of the most visible signs of depression,” Dr. Linton says, “are significant changes in appetite, sleep, and energy level.”
These symptoms should always be reported to your physician. A checklist of other warning signs of depression follows. If someone experiences a number of these symptoms for more than two weeks in a row, it is time to see a doctor.
Many people - especially those who grew up in times or places where mental health problems were viewed as personal, religious, or moral failings—have difficulty talking about the emotional symptoms of depression. “ You can start by talking to your doctor about your physical symptoms,” says Dr. Linton “then move on to changes in moods or thoughts.”
Getting Help
Many people first see their family doctors for help with depression. There are, however, many mental health specialists who also treat depression:
Psychiatrists
Psychologists
Counselors and therapists
To find a mental health specialist, contact your local hospital, community mental health center, or senior center.
A little preparation can make that first visit to the doctor or therapist go smoother:
Make a list of your symptoms.
Write down your questions.
Take a list of the medications you take and their dosages.
If you feel anxious about the appointment, ask someone to go with you. If possible, take notes during your visit. That way it will be easier to recall your doctor’s recommendations.
Treating Depression
Depression can be successfully treated at any age. The most effective treatments are medication and psychotherapy.
Medications for depression are safe and effective, with very few side effects. They help improve mood, sleep, appetite, energy, and concentration.
Psychotherapy is private counseling with a trained professional. It helps you overcome the effects depression has on your moods, thought, and relationships. These treatments may be used separately or in combination. “With proper treatment,” says Linton, “most people experience relief from the symptoms of depression within a few weeks.”
Warning Signs of Late-Life Depression
Physical Changes
Mood Changes
Thought Changes
This article was submitted by Janet Linton, M.D., Medical Director Senior Behavioral Health at Mobile Infirmary and North Baldwin Infirmary. For more information contact North Baldwin Infirmary at Infirmaryhealth.org or 251-580-1770
Veterans Benefits for Non-Medical, Home Health Agency and Hospice CareVeterans who have served our nation deserve comprehensive support in their post-service lives, and the U.S. Department of Veterans Affairs (VA) offers a range of benefits to ensure their well-being. Beyond traditional medical care, many Veterans qualify for non-medical support, home health agency services, and hospice care. These benefits are designed to enhance quality of life, promote independence, and provide comfort during challenging times. Understanding these options can help Veterans and their families access the care they need.Non-Medical Benefits for VeteransNon-medical benefits encompass a variety of services that assist Veterans in their daily lives. One key program is the Veteran Directed Care (VDC) program, which allows Veterans to manage their own care by hiring personal aides, including family members or friends, to assist with tasks like bathing, dressing, or meal preparation. This program provides a monthly budget based on the Veterans needs, offering flexibility and control over how care is delivered. Another valuable resource is the Aid and Attendance (A&A) benefit, an additional pension for Veterans who require assistance with daily activities or are housebound. This financial support can be used to pay for non-medical caregivers, making it easier to age in place comfortably.Home Health Agency ServicesFor Veterans needing more structured support, the VA partners with home health agencies to deliver professional care at home. These services are available through the VA Home Health Care program and may include assistance from certified aides who help with personal care, light housekeeping, and mobility. While these services are not medical in nature (e.g., they dont involve skilled nursing or therapy), they play a critical role in maintaining independence. Eligibility typically requires enrollment in VA health care and a demonstrated need for assistance, as assessed by a VA provider. Veterans can also explore the Homemaker and Home Health Aide Program, which provides similar support for those with chronic conditions or disabilities, ensuring they receive consistent help tailored to their preferences.Hospice Care BenefitsWhen a Veteran faces a terminal illness, the VA offers hospice care to provide comfort and dignity in their final days. Hospice services focus on pain management, emotional support, and family counseling rather than curative treatment. Veterans enrolled in VA health care can access hospice through VA facilities, community partners, or at home. The VA Hospice and Palliative Care program ensures that care aligns with the Veterans wishes, often at no cost to the Veteran or their family. Additionally, Veterans receiving VA pension benefits may still qualify for A&A to offset hospice-related expenses, easing financial burdens during this time.Accessing These BenefitsTo take advantage of these programs, Veterans should contact their local VA office or use the VAs online portal at VA.gov. Eligibility often depends on factors like service history, disability rating, and income, so a consultation with a VA representative is key. These benefits reflect the nations commitment to honoring Veterans by supporting their independence and comfort at every stage of life. To learn more visit the Veterans Affairs website at www.va.gov/geriatrics or call 800-698-2411.
The SS United States: A Legendary Ocean Liners Final Chapter in Mobile, AlabamaFor decades, the SS United States was the pinnacle of American innovation, a sleek, steel-clad symbol of speed and luxury that ruled the high seas. Now, after years of uncertainty, this legendary ocean liner has found a temporary home in Mobile, Alabama, where it will undergo preparations for its final transformationbecoming the worlds largest artificial reef.As of March 28, 2025, the ship sits docked at the Port of Mobile, a ghost of its former grandeur but still commanding awe. Its arrival has sparked excitement, nostalgia, and even a bit of controversy as preservationists scramble for a last-minute rescue. But love it or mourn it, the SS United States is embarking on its final journey, and Mobile is playing a crucial role in its farewell.The Glory Days: Speed, Luxury, and Hollywood FameLaunched in 1952, the SS United States also known as the Big U was an engineering marvel. Built in Newport News, Virginia, it was designed to be both a luxury ocean liner and a secret military asset, capable of transforming into a troop transport if needed with the ability to carry 14,000 troops 10,000 miles without refueling. On its maiden voyage, it shattered records, crossing the Atlantic in just three days, 10 hours, and 40 minutesa feat no other passenger ship has beaten to this day.For nearly two decades, it was the way to travel between the United States and Europe. Celebrities, dignitaries, and socialites graced its decks, reveling in its opulent design and unparalleled speed. Hollywood took notice, too. The ship made memorable appearances in films like Disneys 1962 classic Bon Voyage!, where it served as the glamorous setting for a family adventure, and 1955s Gentlemen Marry Brunettes, where its sleek profile played a starring role. Even in 2013, the thriller Dead Man Down used the SS United States for atmospheric shots while it was docked in Philadelphia.But the golden age of ocean liners was not meant to last. By 1969, the rise of jet travel rendered transatlantic crossings obsolete, and the SS United States was retiredmarking the beginning of a long, uncertain future.From Neglect to New PurposeFor decades, the once-proud liner sat idle in Philadelphia, rusting away as preservation efforts struggled to secure funding. Dreams of transforming it into a hotel, museum, or entertainment venue never materialized. Then, in 2024, a decision was made: Okaloosa County, Florida, would purchase the vessel and repurpose it as an artificial reefa $10 million project that would give the ship a new purpose beneath the waves of the Gulf of America.Thus began the ships 401st and final voyage. On February 19, 2025, it was towed 1,800 nautical miles from Philadelphia to Mobile, arriving ahead of schedule on March 3. Spectators lined the waterfront, watching as the once-glorious ocean liner, now a shell of its former self, was guided into port.A Temporary Stay in MobileNow docked at Modern American Recycling Services (MARS), the SS United States is undergoing extensive preparation before its submersion. Over the next six to twelve months, crews will strip the ship of non-metal materials, wiring, and hazardous components, ensuring it is environmentally safe. Holes will be carefully cut into the hull so that when it is finally submerged, it settles uprightproviding a thriving habitat for grouper, snapper, and tuna.While many celebrate this transformation as a fitting second life, preservationists arent giving up without a fight. Organizations like the SS United States Conservancy continue to push for an alternative, hoping to turn the ship into a floating museum akin to the USS Alabama in Mobile Bay. A Tourist Boom in MobileRegardless of its fate, the SS United States has already left an impact on Mobiles tourism scene. Locals and visitors alike are flocking to catch a glimpse of this historic ship before it disappears beneath the ocean. Harbor cruises aboard the Perdido Queen and tours through Blakeley State Park have sold out quickly with maritime enthusiasts eager to snap photos and reflect on the ships remarkable past and those looking to explore Mobiles deep connections to the sea.The Final GoodbyeDespite the nostalgia, the clock is ticking. Soon, the SS United States will make its last journey, not to another port, but to the ocean floor off the coast of Florida. Once there, it will begin its final rolenot as a fading relic, but as a vibrant, living reef, fostering marine life for generations to come. For now, as it looms over the Port of Mobile, it remains a towering testament to American ingenuity, ambition, and the fleeting nature of technological supremacy. Whether you see it as a tragic loss or a poetic new beginning, one thing is certain: the legacy of the SS United States will live onabove the waves, beneath the ocean, and in the hearts of those who remember its glory.
How to Keep Your Kidneys Healthy: A Guide for Seniors Maintain a Healthy DietA balanced and nutritious diet plays a crucial role in supporting kidney health. Focus on consuming fruits, vegetables, whole grains, lean proteins, and low-fat dairy. Limit your intake of sodium, processed foods, and added sugars. Potassium-rich foods like bananas and sweet potatoes can support healthy blood vessels and blood flow, but consult your healthcare provider if you have concerns about your potassium levels.Protein is essential, but too much can strain your kidneys. Seniors with a family history of kidney issues or a history of kidney failure should monitor their protein intake carefully. A dietitian can help you create a meal plan tailored to your needs.Stay Hydrated with Extra WaterProper hydration supports kidney function by helping them filter wastes and maintain blood flow. Drinking extra water can reduce the risk of kidney stones by diluting the minerals that form them. However, seniors with heart disease or kidney issues should consult their doctor about the right amount of water for their needs. Control Diabetes and High Blood PressureDiabetes and high blood pressure are leading causes of kidney disease. Keeping your blood sugar level and blood pressure within healthy ranges is essential. Regular monitoring, taking prescribed medications, and following a healthy lifestyle can significantly reduce your risk for kidney disease. If you have diabetes and high blood pressure, work closely with your healthcare team to manage these conditions effectively. Exercise RegularlyRegular exercise, such as walking, swimming, or yoga, can improve overall health and support kidney function. Aim for at least 30 minutes of physical activity most days of the week. Exercise helps improve blood flow, manage weight, and reduce the risk of conditions like heart disease and diabetes that can harm your kidneys. Avoid Overuse of NSAIDsNonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen (Aleve) are commonly used for pain relief but can be harmful to your kidneys, especially when taken frequently or in high doses. Seniors should use these medications sparingly and consult a healthcare provider for safer alternatives if they experience chronic pain. Manage Risk Factors for Kidney DiseaseIf you have a family history of kidney problems or a history of kidney failure, you may be at a higher risk for kidney disease. Regular check-ups with your doctor are crucial. Routine tests, such as blood and urine tests, can help detect early signs of kidney damage. Early intervention and proactive care can make a significant difference in outcomes. Quit Smoking and Limit AlcoholSmoking damages blood vessels, reducing blood flow to the kidneys, and increasing the risk of kidney disease. Alcohol, when consumed in excess, can also harm your kidneys. Quitting smoking and moderating alcohol intake are steps that can keep your kidneys healthy. Monitor Your MedicationsCertain medications, including over-the-counter drugs and supplements, can strain your kidneys. Always consult your doctor before starting new medications, especially if you have a history of kidney issues. Ensure they are aware of all medications and supplements youre taking. Watch for Warning SignsBe alert for symptoms of kidney problems, such as: Swelling in the ankles, feet, or hands Fatigue Changes in urination (frequency, color, or amount) Persistent nausea or vomiting High blood pressure If you notice any of these symptoms, consult your doctor. Reduce StressChronic stress can negatively impact your overall health, including your kidneys. Activities like meditation, deep breathing exercises, and hobbies can help you relax and reduce stress levels. Know When to Seek Medical HelpIf you experience severe pain in your lower back or sides, it could indicate kidney stones or another kidney issue. Dont ignore these signs; seek medical attention promptly to prevent further complications. Prevent and Manage Kidney StonesKidney stones can be excruciating and lead to complications if untreated. Drinking extra water, maintaining a healthy diet, and limiting salt intake can help prevent them. If youre prone to kidney stones, your doctor may recommend specific dietary adjustments or medications. Keep Regular Check-UpsRoutine medical check-ups are vital for detecting and managing health conditions that affect your kidneys. Blood tests can measure your kidney function by evaluating markers like creatinine, while urine tests can check for protein or other abnormalities. Healthy Kidneys, Healthy BodyTaking care of your kidneys is essential for overall health and well-being. If youre unsure about your kidney health or have concerns about your risk factors, consult your doctor. Proactive steps today can make a significant difference in protecting and keeping your kidneys healthy for years to come. For better primary care, call VIPcare today at 251-257-2886 to make the switch!
Senior Behavioral HealthAt our senior behavioral services centers in Mobile and Bay Minette, we strive to provide encouraging and individualized care to evaluate and treat behavioral and mental problems aging brings. Our assessments, services and care are geared towards ensuring your loved is as mentally and physical fit as possible as they age.What Is Senior Behavioral Health?The practice of senior behavioral health medicine seeks to provide psychiatric support and treatment to those elderly adults who suffer from behavioral, mental or emotional problems because of the losses associated with the aging process. Physicians and psychologists specializing in this field seek to provide living and caring therapy and treatment options to help the elderly work through the aging process and be as mentally health and stable for as long as they can.Our staff seeks to treat elderly individuals with emotional illnesses such as:Sleeping too much or not being able to sleepConstantly cryingRefusing to eat or eating too muchBeing forgetfulNot wanting to be around other peopleAlways being sadAdmitted to being suicidalNot caring about how they lookWhat We Can Do to HelpOur state-of-the-art senior behavioral health centers in Mobile and Bay Minette provide a compassionate and supportive environment where elderly patients are provided the therapy and care they need to thrive later in life.The services we provide includes an initial evaluation to determine the cause, emotional or biomedical, of the behavioral change or disorder. After the initial evaluation, an individualized treatment program is formed which could include group therapy, individual therapy, lifestyle training, monitoring by social workers, education programs and assessment and care of secondary needs.Holistic, Family Centered TreatmentInfirmary Healths senior behavioral unit seeks to give family members the ability to be involved in their loved ones treatment process as well as ensure that the elderly patient has a strong support group surrounding them.What to Expect from Senior Behavioral HealthThe Senior Behavioral Health units at Mobile Infirmary and North Baldwin Infirmary provide 24-hour care inpatient hospitalization program. With admissions occurring 24 hours a day, initial assessments and treatment plans are conducted by specialist psychiatrists and physicians, respectively. The units are also staffed by mental health professionals to ensure that your loved receives the very best of care. Even after discharge, our staff of physicians seek to provide supportive care by developing an ongoing care plan, providing outpatient therapy, and even a day hospital program. The goal is to ensure that the patient lives life to the fullest as they age.If Your Elderly Loved One Is Struggling With Mental Illness, We Can Help