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Depression

Help with depression in later life.

We all feel a bit down from time to time, but we can usually shrug off a low mood after a few days and it does not stop us working or living life.

But if that mood persists and gets so bad that you cannot see anything positive about the future; if feelings of prolonged sadness and guilt sap your energy and concentration, affecting your sleep and appetite; if you even start to think life is not worth living, you may have depression.

Because it is an illness, just like pneumonia or a broken leg, and is NOT due to a personality defect or lack of “moral fibre”, depression is also treatable. Talking therapy or antidepressants can often resolve even a serious depression in a few weeks.

Find out more about depression

What are the symptoms?

No two people with depression are the same. There are many symptoms of depression including:

  • feelings of sadness or low mood that won’t go away
  • feeling anxious
  • lack of energy and a feeling of exhaustion
  • loss of interest in day-to-day activities and hobbies
  • a feeling of physically slowing up, or sometimes feeling restless
  • loss of concentration and memory
  • thoughts of self-harm or suicide

Some of the symptoms also occur in other conditions, like anxiety disorder, thyroid disease or dementia, so it is important for it to be diagnosed by a doctor with the appropriate skills.

What are the causes?

Depression can come on after a life event such as retirement or bereavement, but often there is no clear trigger. People who have some physical illnesses (such as stroke or Parkinson’s disease) or are socially isolated are more prone to depression. It is thought that changes of a chemical in the brain called serotonin may be linked to depression.

Key facts about depression

  • It affects 1 in 3 people at some point in their lives.
  • According to the World Health Organisation, it is the leading cause of disability in the world, affecting about one in 20 people at any one time.
  • Up to 10% of people with depression will attempt suicide
  • Depression can be effectively treated

How will it affect me?

Depression can affect all aspects of your life. You may notice that you are not able to work as efficiently. You may withdraw from friends and social activities and not enjoy life as much. You may notice that you lack energy to do even simple things like mowing the lawn or walking the dog. Some people with depression cry for no reason or get more irritable.

How is it diagnosed?

The only way to diagnose depression is for a doctor who is experienced in making the diagnosis to assess your mood. They will take a full account of your symptoms, background, current circumstances, and medical history. There are no blood tests or scans that will aid the diagnosis, but a doctor may order these to rule out medical problems that mimic the symptoms of depression.

What is the treatment for depression?

A lot can be done to help people with depression. Firstly, just talking through your symptoms with an experienced professional can help. You realise you are not alone and that help is at hand.

A course of antidepressant tablets can be very effective. They usually take a couple of weeks to begin to work so it is important to persevere. The doctor will advise on the best tablets for you (there are many different types of antidepressants) and will monitor any side effects.

Talking therapy such as cognitive behavioural therapy (CBT) is also effective. This consists of meeting with a therapist every week for about 12 weeks. The good thing about CBT is that it may protect you from future relapse of depression. Quite often a doctor will advise having antidepressants and CBT at the same time.

Just as important as medical treatment for depression is making sure that you have enough, and the right kind of, social support. It may be you need help with some daily tasks for a few weeks while you recover, or have someone to help you pay bills so you have one less thing to worry about.

If you have any medical conditions (such as diabetes and high blood pressure) these may have an impact on your depression, and your depression may affect the treatment for these conditions! For this reason, holistic management , looking after all your medical and psychological needs in a joined up way is really important.

We’re Red & Yellow Care, the
health experts for later life.

At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

Meet some of our consultants.

Dr James Warner

Consultant Psychiatrist

Psychiatry

Dr Hema Ananth

Consultant Psychiatrist

Psychiatry

Dr Brian Parsons

Consultant Psychiatrist

Psychiatry

How we can help

Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

Clear and simple pricing.


First appointment up to 90 minutes, priced at £450.

Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

Home visit supplements starting from £100.

Get started now

Smarter, faster, easier and
more thorough healthcare.

Expert

We have the best consultants and other specialists dedicated to the health of older people.

Fast

We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

Flexible

We fit our service around you. Planning your appointments where and when suits you best.

Comprehensive

We are committed to
giving you the most thorough assessment, treatment and care.

Request an appointment today – call us on 0203 7000 163

prev next
  • I have got my dad back. We’ve seen massive improvements – his morning confusion is gone, he’s not forgetful or perplexed, and his motivation has improved.

    Natalie – daughter and carer
  • The fact that you promised to tailor your service around my mother and give full and constant support was very attractive and not something we had come across previously.

    Philip – person with depression
  • Dr Warner was amazing, we found him fantastic, and not just because the diagnosis was what we wanted. My father doesn’t always respond well to people but he responded to Dr Warner and we would all very much like to see him again.

    Anita – daughter and carer
  • Your team have been amazing. I’m happy again; laughing, walking, talking, playing the piano, and have no worry.

    Harry – person with mild cognitive impairment

    Dr James Warner

    Dr Warner is a consultant psychiatrist specialising in older adult’s mental health. He qualified as a doctor from Charing Cross Hospital Medical School in 1986. After further training as a physician he undertook training in psychiatry in Liverpool before a series of academic appointments at Charing Cross Hospital, Royal Free Hospital and then Imperial College London.

    He has been a consultant psychiatrist at Central North West London Foundation Trust since 1998 specialising in diagnosis and treatment of dementia, depression, psychosis and other mental illnesses. His training as a physician as well as a psychiatrist enables me to provide holistic care for my patients.

    He was elected as chair of the Faculty of Old Age Psychiatry at the Royal College of Psychiatrists in 2012, he is the UK representative for Old Age Psychiatry in the World Psychiatric Association and was appointed National Professional Advisor for old age psychiatry at the Care Quality Commission in 2014. He is also the Medical Director of Red & Yellow Care.

    Expertise

    James is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy body dementia
    • Other dementias
    • Anxiety states including panic disorder and generalised anxiety
    • Schizophrenia and other causes of psychosis
    • Assessment of capacity

    Research and Publications

    Dr Warner an honorary reader in psychiatry at Imperial College London. His academic interests include research and teaching. He has led several research projects in mental health, dementia and mental capacity. He has published over 60 peer-reviewed articles and co-authored three books. Selected publications include:

    Lowery D, Cerga-Pashoja A, Iliffe S, Thuné-Boyle I, Griffin M, Lee J, Bailey A, Bhattacharya R and Warner J ‘The effect of exercise on behavioural and psychological symptoms of dementia: the EVIDEM-E randomised controlled clinical trial’, International Journal of Geriatric Psychiatry 29: 819-827 (2014)

    Warner J and Jenkinson J ‘Psychiatry for the elderly in the UK’, The Lancet 381: 1985 (2013)

    Graham N and Warner J, Understanding Dementia, BMJ Family Doctor Series, ISBN-13: 978 1 903474-617 (2009)

    Warner J and Nomani E, ‘Giving consent in dementia research’, The Lancet 372; 183-185 (2008)

    McCarney R, Fisher P, Iliffe S, van Haselen R, Griffin M, van der Meulen J, Warner J ‘Ginkgo biloba for mild to moderate dementia in a community setting: a pragmatic, randomised, double-blind, placebo-controlled trial’, International Journal of Geriatric Psychiatry 23: 1222-1230 (2008)

    Warner J, McCarney R, Griffin M, Hill K, Fisher P ‘Participation in dementia research: rates and correlates of capacity to give informed consent’ Journal of Medical Ethics 34: 167-170 (2008)

    Warner J, Butler R and Prabhakaran P ‘Which Treatments are effective for cognitive, behavioural and psychological symptoms in dementia?’ Evidence Based Mental Health 6: 69-71 (2003)

    Assessment and Treatment

    James provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Alex Bailey

    Dr Alex Bailey graduated in Clinical Sciences from the University of Leeds in 2003 and subsequently gained a Postgraduate Certificate in Systemic and Family Therapy and a Master’s in Education from Imperial College. He is currently working as a Consultant in Old Age Psychiatry at Westminster Older Adults and Health Ageing Community Mental Health Team, where he has lead several service improvement initiatives. His previous appointments include Clinical Advisor to the NHS Medical Director at the Department of Health and Teaching Fellow at Central and North West London NHS Foundation Trust. Teaching has always been an integral part of his practice and he is currently Foundation Champion for North West Thames Foundation School and Honorary Lecturer at Imperial College. He is also on the Old Age Faculty Executive at the Royal College of Psychiatrists and has recently published a new edition of the popular book “Alzheimer’s at your fingertips”

    Expertise

    Alex is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    Anxiety Disorders
    Depression
    Alzheimer’s disease
    Vascular dementia
    Lewy Body dementia
    Mild Cognitive Impairment
    Panic Disorders
    Capacity Assessment

    Assessment and Treatment

    Alex provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Brian Parsons

    Dr Brian Parsons is a Consultant Psychiatrist specialising in the mental health of older adults. He studied Medicine at University College, Dublin. After completing his Medical and Surgical residency posts he trained in General Practice and obtained membership of the Irish College of General Practitioners. Dr Parsons then went on to train in psychiatry in Ireland, Australia and the United Kingdom gaining a CCT (Certificate of Completion of Training) in General Adult and Old Age Psychiatry with an endorsement in Liaison Psychiatry. He took a substantive consultant post with Surrey & Borders Partnership NHS Foundation Trust in 2007 where he is currently working as a Community Consultant Old Age Psychiatrist.

    Dr Parsons has previously managed in-patients with functional mental illness and dementia, as well as providing Liaison Psychiatry services to St. Peter’s Hospital in Chertsey. He was the Trust Clinical Lead for the “Enhancing Quality Programme for Dementia” and his Memory Service has been accredited as “Excellent” by the Memory Services National Accreditation Programme (Royal College of Psychiatrists) in 2015.

    Dr Parsons has recently completed a four year term as an Elected Member of the Executive Committee of the South East Division of the Royal College of Psychiatrists. He became a member of the Royal College of Psychiatrists in 2002 and was awarded a Higher Diploma in Healthcare Risk Management in 2003.

    Expertise

    He is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Anxiety disorders
    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy body dementia
    • Mild cognitive impairment
    • Panic disorders
    • Capacity assessment
    • Psychosis

    Research and Publications

    Das K, Davis R, Du Toit B, Parsons B ‘Sporadic Creutzfeldt-Jakob disease: a description of two cases’,
    International Psychogeriatrics  24(7): 1183-1185 (2012)

    Parsons B, Agrawal N ‘Acute confusional state’, British Medical Journal, e-learning on-line programme
    http://learning.bmj.com/learning/search-result.html?moduleId=10007766

    Campbell F, Parsons B, Loane R ‘An analysis of referral letters to a department of Old Age Psychiatry’, Irish Journal of Psychological Medicine  25(1) (2008)

    Parsons B, Kennedy M ‘A review of recorded information given to patients commenced on clozapine and the development of guidelines on disclosure, a key component of informed’,  Journal of Medical Ethics  33:564-567 (2007)

    Walsh I, Regan J, Sowman R, Parsons B, McKay AP ‘Prevalence of language, communication and swallowing disorders in mental health service attenders’, Irish Journal of Psychological Medicine  24(3):89-93 (2007)

    Campbell F, Parsons B ‘Anxiety disorders mental health distance learning module’, Forum, Journal of the Irish College of General Practitioners  23(12): module 112 (2006)

    Murphy M, Nathan M, Lee E, Parsons B, Gunasekera L ‘Oedipism: autoenucleation in a patient with schizophrenia’, case report
    Irish Journal of Psychological Medicine  23(4): 159-160 (2006)

    Parsons B, McCabe B ‘Diagnosis and management of anxiety disorders in primary care’, Forum, Journal of Irish College of General Practitioners 6(1): 14-18 (2006)

    Bedford D, Igoe G, White M, Parsons B, Foyle D, Howell F, Corcoran, R ‘The acceptability of pneumococcal vaccine to older persons in Ireland’, Irish Medical Journal 93 (2): 48-9 (2000)

    Parsons B ‘General Practice and the ageing Irish’, Forum, Journal of the Irish College of General Practitioners 12 (3): 38-40 (1995)

    Assessment and Treatment

    Brian provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Feeling low or sad


    Help with feeling low in later life

    Most people can feel sad, depressed, stressed or anxious at times. This is a normal part of life.  As you grow older, some of life’s events and experiences can leave us feeling in low spirits or cause depression.

    Low mood may be  a symptom of an underlying health condition. It may be due to depression, thyroid gland conditions, anaemia, stroke or bereavement.  If low mood lasts more than a few days, it may be symptom of one of these conditions.

    Feeling low in mood has an impact on motivation.  Motivation is important for engaging in everyday living.  When you are feeling low, lack of motivation to get involved in social activities and the community is common.

    Feeling low may also affect your sleep pattern, leaving you feeling exhausted and unable to complete everyday chores. People who feel low may also feel anxious, which increases their distress even more.

    We’re Red & Yellow Care, the
    health experts for later life.

    At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

    How we can help

    Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

    We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

    Clear and simple pricing.


    First appointment up to 90 minutes, priced at £450.

    Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

    Home visit supplements starting from £100.

    Get started now

    Smarter, faster, easier and
    more thorough healthcare.

    Expert

    We have the best consultants and other specialists dedicated to the health of older people.

    Fast

    We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

    Flexible

    We fit our service around you. Planning your appointments where and when suits you best.

    Comprehensive

    We are committed to giving you the most thorough assessment, treatment and care.

    Request an appointment today.

    prev next
    • Having started the medication prescribed by Dr Warner 1 week ago, I have felt better in the last few days. I am more motivated, concentration is better and I’m also sleeping better.
      Philip – person with depression
    • Red & Yellow have made a huge difference to my life. I no longer feel I am fighting a battle alone. They have given me help, guidance and the strength to support my husband.
      Rebecca – wife and carer
    • I have got my dad back. We’ve seen massive improvements – his morning confusion is gone, he’s not forgetful or perplexed, and his motivation has improved.
      Natalie – daughter and carer
    • Your team have been amazing. I’m happy again; laughing, walking, talking, playing the piano, and have no worry.
      Harry – person with mild cognitive impairment

      Dr Ana Saiz

      Dr Saiz qualified as a medical doctor in the Basque Provinces in the North of Spain; she then undertook psychiatric training in London “Guy’s and St Thomas’ training programme” and obtained the Membership with the Royal College of Psychiatrist in 1995.

      Dr Saiz is a Consultant Psychiatrist specialised in older adults services (people over 50). She has been a Consultant for Oxleas NHS Foundation Trust since 1999. Her special interest is the assessment, diagnosis and treatment of neurodegenerative conditions like dementia. She has been the Clinical Lead for the Memory Services in the Trust for the past three years having contributed to the development of this service and the subsequent accreditation with the Royal College of Psychiatrist.

      She has done a lot of work in primary care settings helping to promote early diagnosis of dementia and early interventions to improve the prognosis of this condition.

      Expertise

      Ana is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

      • Dementia of Alzheimer’s
      • Vascular dementia
      • Lewy-body dementia
      • Other less common types of dementia
      • Advise to families and carers on the impact of dementia on behaviour, and other associated mental health problems
      • Younger people with dementia
      • Depression
      • Anxiety disorders
      • Bipolar disorder
      • Other psychotic conditions
      • Assessment of capacity

      Assessment and Treatment

      Ana provides thorough diagnostic assessments, treatment and ongoing reviews. She aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

      Appointment prices

      Initial assessment of 90 minutes incl. report, priced at £450.

      Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

      Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

      Home visit supplements starting from £100.

      Dr Ramin Nilforooshan

      Dr Ramin Nilforooshan is a Consultant Psychiatrist, specialising in Older Adult Mental Health. He completed his psychiatric training in Guy’s and Maudsley Rotation and has been a Consultant Psychiatrist for Older Adults in Surrey and Borders Partnership NHS Foundation Trust since 2011 and is now also Associate Medical Director for research and development.

      He is specialty lead for dementia research for Kent, Surrey and Sussex, Honorary Senior Clinical Lecturer at University of Surrey and Senior Research Fellow at King’s College London.

      Expertise

      He is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

      • Anxiety disorders
      • Depression
      • Alzheimer’s disease
      • Vascular dementia
      • Lewy body dementia
      • Assessment of Capacity
      • Schizophrenia and all psychosis

      Assessment and Treatment

      Ramin provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

      Appointment prices

      Initial assessment of 90 minutes incl. report, priced at £450.

      Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

      Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

      Home visit supplements starting from £100.

      Dr Hema Ananth

      Dr Hema Ananth qualified from UCL in 1995 and has now been established as a Consultant Psychiatrist for 12 years. She completed her Psychiatric training on the Royal Free Training Scheme. Hema was awarded the Fellowship of the Royal College of Psychiatrists in 2012 for her contribution to Psychiatry. Her NHS work is in Hertfordshire, where she is the lead for the local Memory Service. This involves close work with the Alzheimer’s Society, with whom she has been involved in a voluntary capacity. Hema is the Chair of the Herts Old Age Psychiatry Group and also sits on the Ethics Executive. She has been involved in private practice for 10 years.

      Hema is actively involved in Medical Education of Junior Doctors and is a Tutor and enrolled in a Masters in Medical Education. She was elected Secretary of the Psychiatry Council at The Royal Society of Medicine where she promotes Psychiatry and inputs into conferences. She has previously been on the Liaison Faculty and Women in Psychiatry Group at The Royal College of Psychiatrists and remains an active member of the Old Age Faculty.

      Expertise

      Hema is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

      • Anxiety Disorders
      • Depression
      • Alzheimer’s disease
      • Vascular dementia
      • Lewy Body dementia
      • Mild Cognitive Impairment
      • Panic Disorders
      • Capacity Assessment
      • Cognitive Behavioural Therapy (CBT)

      Research and Publications

      Beveridge E A, Ananth H, Scurlock H J ‘What protection for the unborn child of a psychologically vulnerable adult?’ Journal of the Royal Society of Medicine.96(2):92-93, February 2003.

      Ananth H, Jones L, King M and Tookman A ‘The Impact of Cancer on Sexual Function:A Controlled Study’ Palliative Medicine, 2003; 17: 202-205

      Invited speaker at Marie Curie Research and Development Conference 2002, 2005 and St George’s Hospital 2002.

      Campbell PG and Ananth H ‘Graduates: In: Jacoby R, Oppenheimer C, eds: Psychiatry in the Elderly’ Oxford: Oxford University Press, 2002, pp 762-799.

      Ananth H, Popescu I, Good CD, Critchley HD, Frackowiak RSJ, Dolan RJ ‘Cortical and Subcortical Gray Matter Abnormalities in Schizophrenia: Optimized Volumetric Voxel-Based Morphometry of Structural Magnetic Resonance Imaging’ Am J Psychiatry 159:1497 – 1505, September 2002

      Poster presentation at International Schizophrenia Conference, Davos 2002.

      Critchley HD, Ananth H, Popescu I, Good CD, Frackowiak RSJ, Dolan RJ: Cortical and thalamic grey matter abnormalities in Schizophrenia: optimized volumetric Voxel-based morphometry of structural magnetic resonance imaging Schizophrenia Research 53, Suppl A181

      Currently collaborating with Research & development team looking into category-specific object naming in dementia: Category-Specific Object Naming in Dementia of Probable Alzheimer Type: naming pictures of living and non-living things, actively recruit for DENDRON.

      Posters at Royal College of Psychiatrists: 2012 Prevalence of Depression in non-referred patients in the General Hospital, 2015 Eating Disorders in the Elderly and Developing a Template for GP letters following a Memory Clinic Assessment

      Assessment and Treatment

      Hema provides thorough diagnostic assessments, treatment and ongoing reviews. She aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms at The Medical Chambers Kensington or Queen Square Private Consulting Rooms.

      Appointment prices

      Initial assessment of 90 minutes incl. report, priced at £450.

      Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

      Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

      Home visit supplements starting from £100.