My 84 year old mom cries all the time, with or without medicine. She has a whiny voice all day long! I ask her if she is sad or hurting anywhere and she tells me no, she doesn't know why she is crying. It's hard to live around this 24/7. Any ideas? I redirect and it helps, but it always seems to be there.
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I wonder if elders don't have dopamine depression caused by too little external stimulus. If you can engage them, repeatedly, it would improve, perhaps. Things like favorite shows, favorite music, more visitors, conversation, trips out to anywhere, future plans to look forward to, trying something new -- these increase dopamine.
The anti-depressant meds are for serotonin increase, not dopamine.
I apologize if this comment sounds "out there" and far fetched. It's a thought I've had many times just due to personal experience and observation. Does your mom drink coffee? Does her sadness get better after a cup of coffee or tea? CNS stimulants like caffeine increase dopamine and I think that's what's lacking in some elders, what causes the depression when an SSRI is being taken, it's low dopamine.
A medication to consider would be a very small dose of dextroamphetamine. It can cause mood swings. But honestly, if I were 84 and not getting relief from SSRIs/SNRIs, a small dose of a DNRA (stimulants, amphetamines) would be very welcome to at least try.