Well living: An integrative approach to depression in older adults by Diane Downing, MD, Amy Hawthorne, MS, LMFT, Stephanie Ludwig, PhD, MDiv, MA, Lisa Powell, MS, RDN LDN, and Mike Siemens, MS, RCEP

Depression has a devastating impact on society. Affecting more than 264 million people worldwide, this illness is "a major contributor to the overall global burden of disease" and "a leading cause of disability worldwide," according to the World Health Organization. In the United States, the Centers for Disease Control and Prevention says an estimated 10% of adults ages 18 and older has a depressive disorder. The incidence of depression increases to 13–19% of women and 11–14% of men among adults ages 65 and beyond. ... A combination of psychotherapy and antidepressant medication may be effective in addressing depression. However, older adults may be reluctant to add yet another prescription medication. Instead, they may want to explore effective integrative approaches to boosting mood. Research has shown that lifestyle factors including nutrition, sleep and exercise play a significant role in preventing and mediating the effects of depression. Connection with others and spirituality are also powerful contributors to positive affect.