Solitary Confinement -- for Life

Sixty-five year old Arthur Jones served a self-imposed life sentence - in his own home.

Arthur lived in a high crime neighborhood, so he built iron cages around his outside doors and installed bars on all the windows. No one could find it easy to break in to Arthur's house!

I met Arthur a few years ago, although you would hardly call our interaction meeting. When I arrived to deliver his meal, as part of the Meals-on-Wheels program, Arthur barely cracked open his front door even though his cage clearly protected him. He refused to open the cage door at all, so, to give him his meal, I had to angle the box through the bars. Without doubt, this maneuver scrambled the hot contents of his boxed meal, but Arthur would have it no other way. He clearly feared me, a 100-pound woman, and everyone else.

I wish I could say that Arthur's family came to his rescue, finding for him the medical and emotional treatment he needed. I cannot. Arthur's depression and paranoia compounded relentlessly, killing him at far too young an age.

Many elders live like Arthur, holed up in their own homes, barricaded against the world. Who cares? Family and friends must care, and they must assume the primary responsibility, acting before their elder's condition rivals that of Arthur. We cannot shift this burden to our government. We cannot wish it away. Those among us lucky enough to have elders in our lives must shoulder the responsibility of seeing that they do not succumb to depression.

At this holiday season, many elders experience transitory depression, as celebrations bring memories of friends and loved ones who have died. Decreased hours of sunshine may add to their depressed feelings. How do you know if your elder suffers from serious depression? And, if you suspect depression, what you should do? Here are a few tips.

What signs should lead you to suspect serious depression?

  • Lethargy and or refusal to get out of bed;

  • Changes in Sleep Patterns, such as sleeping all morning

  • Unusual Complaints

  • Memory loss and loss of ability to concentrate

  • Frequent sighs or weeping if unusual for the sufferer

  • Feeling fear and loneliness;

  • Thoughts of death

  • Refusal to eat

  • Refusal to take prescribed medications

  • Thoughts or talk of suicide (remember, the notion that suicides do not signal their plans is a myth!)

  • Significant changes in personality

  • Irritability

What Can You Do?

A few simple steps may improve their condition rapidly:

  • Call more often than usual.

  • Take your elder for outings away from the house.

  • Schedule a medical appointment to confirm or deny your suspicions, and be the one to take your elder to that appointment. Depression often accompanies the early stages of Alzheimer's disease and other dementias.

  • Check bottles to be certain that your elder is actually taking prescribed medications at the recommended dosages. Too many or too few pills in the bottle can warn you of problems. If you find evidence that medications are not taken as prescribed, gently probe to see if you can learn why.

  • Include the elder in parties and holiday festivities, but keep the duration of their participation at a level they can handle comfortably.

  • Drop in more often than usual on homebound elders.

You don't have to be a doctor or social worker to recognize the signs of depression. Take action now to protect those who protected you.

About The Author

Phyllis Staff, Ph.D. - Phyllis Staff is an experimental psychologist and the CEO of The Best Is Yet.Net, an internet company that helps seniors and caregivers find trustworthy residential care. She is the author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them. She is also the daughter of a victim of Alzheimer's disease. Visit the author's web site at http://www.thebestisyet.net

pando19@yahoo.com

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In this Oct. 15, 2008 file photo, Federal Reserve Chairman Ben Bernanke, right, listens to Timothy Geithner, president of the New York Federal Reserve, before speaking at the Economic Club of New York. President-elect Barack Obama is likely to name Timothy Geithner as Treasury Secretary in a time of intense economic turmoil as he rounds out the upper echelon of his Cabinet, a senior Democratic official familiar with the deliberations said Friday. (AP Photo/Mark Lennihan)AP - President-elect Barack Obama intends to name Timothy Geithner, president of the New York Federal Reserve, as his treasury secretary to confront the nation's intense economic turmoil, senior Democratic officials said Friday.



President-elect Barack Obama, with money in hand, looks to pay for his order during a visit to Manny's Deli in Chicago, Friday, Nov. 21, 2008. (AP Photo/Charles Dharapak)AP - While President-elect Barack Obama publicly sidelined himself during congressional debate over an auto industry bailout this week, he and his top aides quietly prodded congressional leaders to find a solution to rescue struggling automakers.



Nebraska lawmakers Tom Carlson, left, of Holdrege, Lowen Kruse of Omaha, John Wightman of Lexington, and Norm Wallman of Cortland visit briefly Friday, Nov. 21, 2008, on the floor of the legislature just before the final vote of LB1, which puts a 30-day age limit on children who can be dropped off at Nebraska hospitals under the safe haven law. The bill easily passed 43-5. (AP Photo/Bill Wolf)AP - Gov. Dave Heineman signed into law Friday a bill adding a 30-day age limit to a safe-haven law that allowed 35 children — including teenagers as old as 17 — to be abandoned at state hospitals. The law, approved hours earlier by the Legislature in a 45-3 vote, goes into effect Saturday, and makes Nebraska the 14th state with a 30-day age cap. It had been the only state with a safe-haven law without an age limit.



Joerg Schoenbohm, Brandeburg state Interior Minister and current chairman of the German Interior Ministers Conference, center, opens the final day of the ministers meeting in Potsdam, Germany, on Friday, Nov. 21, 2008. At left is German Federal Interior Minister Wolfgang Schaeuble. German security officials said Friday they will drop their attempt to pursue a ban of the Church of Scientology after finding insufficient evidence of unconstitutional activity.  (AP Photo/Bernd Settnik Pool)AP - Germany is dropping its pursuit of a ban on Scientology after finding insufficient evidence of illegal activity, security officials said Friday.



Canadian Minister of National Defense Peter MacKay, center, shakes hands with his Australian counterpart Joel Fitzgibbon, as U.S. Secretary of Defense Robert Gates walks past at the conclusion of a news conference on Friday Nov. 21, 2008, in Cornwallis, Nova Scotia, Canada. The three are taking part in discussions of International Security Assistance Force's (ISAF) Regional Command South, which is comprised of forces from Canada, Australia, Denmark, Estonia, Netherlands, Romania, United Kingdom, and the United States. (AP Photo/The Canadian Press, Mike Dembeck)AP - Defense Secretary Robert Gates said Friday he would like to add significant U.S. forces to the war in Afghanistan before national elections scheduled for next year, and that grim depictions of backsliding in the seven-year-old war are "far too pessimistic."



AP - A college student committed suicide by taking a drug overdose in front of a live webcam as some computer users egged him on, others tried to talk him out of it, and another messaged OMG in horror when it became clear it was no joke. Some watchers contacted the Web site to notify police, but by the time officers entered Abraham Biggs' home — a scene also captured on the Internet — it was too late.

AP - The Nebraska Supreme Court on Friday ordered a year-old boy back into the home of an adoptive couple who had to give him up months ago after not telling the biological family the woman was pregnant.

Bulgarian archaeologists work near a Thracian bronze chariot discovered near the village of Karanovo. A bronze chariot dating back to the second century AD has been unearthed in a Thracian burial mound in southeastern Bulgaria, archaeologists said Friday.(AFP/BGNES)AP - Archaeologists have unearthed an elaborately decorated 1,800-year-old chariot sheathed in bronze at an ancient Thracian tomb in southeastern Bulgaria, the head of the excavation said Friday. "The lavishly ornamented four-wheel chariot dates back to the end of the second century A.D.," Veselin Ignatov told The Associated Press in a telephone interview from the site, near the southeastern village of Karanovo.



AP - Police have arrested a man suspected of leaving greasy, graphic imprints on the windows of stores, churches and schools in a small Nebraska town. A 35-year-old man was caught in the act by police early Wednesday morning, Cherry County Attorney Eric Scott said Friday. The man hasn't been charged yet, but authorities believe he is the vandal some townsfolk have dubbed the "Butt Bandit."

In this Nov. 12, 2008, file photo, Memphis Grizzlies' Quinton Ross defends New York Knicks Jamal Crawford (11) as he shoots a three point shot in the third quarter of an NBA basketball game in Memphis, Tenn. The Golden State Warriors traded disgruntled forward Al Harrington to the New York Knicks for guard Jamal Crawford on Friday. (AP Photo/Nikki Boertman, File)AP - The New York Knicks traded Zach Randolph and Jamal Crawford in separate deals Friday, parting with their two top scorers to free up coveted salary-cap space for the summer of 2010. Crawford was sent to Golden State for forward Al Harrington. Hours later, Randolph was shipped to the Los Angeles Clippers along with reserve guard Mardy Collins for Cuttino Mobley and Tim Thomas.



(From left) Senator Hillary Clinton, New Mexico Governor Bill Richardson, and Timothy F. Geithner, President of the Federal Reserve Bank of New York, are seen in a combination file photo. (From left Craig Mitchelldyer, Andrea Comas, Keith Bedford/Reuters)Reuters - President-elect Barack Obama on Friday moved toward nominating Timothy Geithner as Treasury secretary and charging the respected head of the New York Federal Reserve with helping pull the United States out of an economic nosedive.



Former Treasury Secretary Lawrence Summers (L) and Timothy Geithner, president of the Federal Reserve Bank of New York, in a composite image. (Files/Reuters)Reuters - U.S. President-elect Barack Obama may consider Lawrence Summers as a successor to Federal Reserve Chairman Ben Bernanke, whose term expires in January 2010, a Democratic source told Reuters on Friday.



Leaders of the U.S. automotive industry testify at a hearing held by the House Financial Services Committee on Capitol Hill in Washington November 19, 2008. From left are General Motors CEO Richard Wagoner, Chrysler Chairman and CEO Robert Nardelli and Ford president and CEO Alan Mulally. (Kevin Lamarque/Reuters)Reuters - Detroit automakers began work on turnaround plans demanded by Congress in return for $25 billion in aid as General Motors Corp said it would cut production more and give up two of its controversial corporate jets.



Citigroup Chief Executive Vikram Pandit in a file photo. (Peter Morgan/Reuters)Reuters - Citigroup Inc shares tumbled for a fifth straight day on doubts about its survival prospects after its chief executive downplayed speculation the bank might sell major businesses or merge with a rival.



Traders work in close quarters on the main trading floor of the New York Stock Exchange early in the trading session in New York City, November 21, 2008. (Mike Segar/Reuters)Reuters - U.S. stocks stormed higher in a late rally on Friday to cap another volatile week as investors welcomed reports that President-elect Barack Obama has chosen his point person to combat the U.S. economic crisis, instilling confidence about the administration's ability to take action.



A British military vehicle drives past an Afghan man in Lashkar Gah, capital of Helmand province October 20, 2008. (Abdul Qodus/Reuters)Reuters - The Pentagon is considering a plan to send more than 20,000 troops to Afghanistan over the next 12 to 18 months to help safeguard elections and quell rising Taliban violence, officials said on Friday.



President Bush walks across the South Lawn to board Marine One at the White House, November 21, 2008. (Jim Young/Reuters)Reuters - U.S. President George W. Bush held talks on ending North Korea's nuclear program with Chinese leader Hu Jintao on Friday, the first in a series of meetings U.S. officials hope will lead to a renewal of six-party talks by early December.



A cleric walks past the national flag and a nuclear logo while visiting the International Koran exhibition at the Imam Khomeini grand mosque in Tehran September 3, 2008. (Morteza Nikoubazl/Reuters)Reuters - Iran rejected Friday U.S. reports it had enriched enough uranium to make an atom bomb, saying this would require steps it had ruled out like ejecting U.N. inspectors and leaving the Non-Proliferation Treaty (NPT).



Peruvian President Alan Garcia delivers a speech during the opening of the Asia-Pacific Economic Cooperation (APEC) CEO Summit in Lima. Leaders of the 21-member APEC group are to seek ways of turning back the world economic crisis as they gather in Lima amid unrelenting bad news from the Asia-Pacific region.(AFP/Presidencia)AFP - US President George W. Bush began Friday his last scheduled foreign trip, meeting the leader of increasingly important China ahead of a summit aimed at containing a spiraling financial crisis.



Children are being forcibly recruited into the ongoing conflict in Congo. Profile of a former child soldier. Duration: 02:06(AFPTV)AFP - Congo demanded a stronger mandate for UN troops in the conflict-torn east Friday, while residents of a squalid refugee camp said government soldiers killed a woman during a looting spree.




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