Treatment options

Several options are available to treat people diagnosed with Alzheimer's disease and depression:

• Antidepressants. Selective serotonin reuptake inhibitors (SSRIs) — for example, citalopram (Celexa) and sertraline (Zoloft) — are usually the first antidepressants chosen for people who have depression and Alzheimer's. These medications have a low risk of side effects and drug interactions.

  However, these medications may not be as effective at treating depression with Alzheimer's as they are at treating depression alone. Other antidepressants, such as venlafaxine (Effexor XR) or bupropion (Aplenzin, Wellbutrin, others), also may be used.

• Physical exercise. Regular physical exercise may help ease the symptoms of depression.
• Support groups and counseling. Support groups and professional counseling may help people with depression in the early stages of Alzheimer's disease, before their communication skills deteriorate.
• Decreasing social isolation. Continuing to participate in activities with other people may decrease depressive symptoms. It may also be helpful to find ways for your loved one with Alzheimer's disease to contribute to family activities, and let them know you appreciate their contribution.

Making the diagnosis of depression in people with Alzheimer's disease and getting appropriate treatment can help make life easier and more enjoyable for both the person with Alzheimer's and his or her caregivers.