The primary therapeutic approaches for depression include biological, psychological, and psychotherapy approaches. Depression can interfere with an older adult’s capacity to operate independently and lead to poor health outcomes. Depression can create pain and upheaval in the family. Depression symptoms might linger for years if not treated. Most older individuals can benefit from several effective therapies that help alleviate their depressive symptoms. Increasing the accessibility of these therapies is a critical step toward improving the quality of care for older individuals. One of the essential aspects of providing good care is the relationship you develop with an older senior. Building a therapeutic relationship entails respecting the older adult, demonstrating your competence in aging and depression concerns, and speaking empathetically with the older adult. Cultural and generational differences, as well as physical changes associated with aging, may have an impact on how you engage with older individuals. Taking an interest in how older individuals see the nature of their issues and the coping strategies they use might improve your connection with them. A person-centered approach to care should emphasize the goals established by the older adult (Pompili et al., 2019). Treatment non-adherence is another ethical issue when treating the elderly population (Julius et al., 2019). Treatment non-adherence can manifest itself in various ways, including dropping out of therapy before the goals have been met, a lack of consistency in attending scheduled therapy meetings, and non-adherence in obtaining prescriptions, taking prescribed medication, or following medical instructions. Noncompliance with treatment has significant personal and societal consequences. Non-adherence has apparent negative effects on the depressed person’s quality of life, everyday functioning, and capacity to self-care on a personal level (Schlenk et al., 2014). Noncompliance can also contribute to a decline in one’s mental health and relapses into depression (Schlenk et al., 2014). At the societal level, non-adherence to treatment relates to increased expenditures, mainly owing to indirect expenses such as lost output due to absenteeism and early retirement (Schlenk et al., 2014).

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