According to the Royal Australian College of General Practitioners, as we age, our bodies process medications differently, which can make older adults more sensitive to both the intended effects and side effects of antidepressants. Common risks associated with antidepressant use in older adults include falls, fractures, confusion, cognitive decline, and even admission to residential care.
A study published in the Medical Journal of Australia reported that about one in four Australians aged over 65 living in their own homes were prescribed antidepressants in 2025, and this is even higher in residential care settings.
Diagnosing mental health issues in older adults can be challenging, as highlighted by Clinical A/Prof Stephen Barnett from the University of Wollongong. He describes that low mood and fatigue associated with grief or loss can resemble symptoms of depression, while the loneliness that frequently accompanies ageing can intensify feelings of depression. Accurately distinguishing between these conditions is essential, as antidepressants may not always be the most appropriate treatment.
If you or the older person you care for is feeling unmotivated, sad, or mildly depressed, it’s important to consult your GP or another health professional. They can help you determine the nature of your feelings. Your Support at Home ongoing budget may be directed toward activities and services that can enhance mental health and overall well-being, so please contact your care partner to discuss the options that are right for you.
Depending on your service approvals, your Support at Home budget can be used to access allied health professionals, such as psychologists or social workers, participate in group exercise classes, attend social outings, chat with home visiting volunteers or simply increase the frequency of friendly support workers assisting you at home.
(Ref: https://www.mja.com.au/journal/2025/222/9/antidepressant-prescribing-australian-primary-care-time-reevaluate)