
Late-Life Depression
Compassionate Care for Aging Adults
Depression in older adults can be subtle. You may notice changes in energy, sleep, or concentration, or a gradual loss of interest in things that once felt meaningful. These shifts are often dismissed as part of aging, but they can be signs of depression—something real, and something that can improve with the right support.
At Paxina Health, we offer thoughtful, evidence-based senior depression treatment designed specifically for the unique needs of aging adults. We take the time to understand your symptoms and history, then design a treatment plan that supports clarity, steadiness, and relief.
What Is Late-Life Depression?
Late‑life depression goes beyond feeling occasionally down or fatigued. It involves persistent, often subtle changes in mood, motivation, and cognitive function that last for weeks or months.
It may also include symptoms like:
- Slowed thinking
- Loss of interest in usual activities
- Increased withdrawal
- Sleep disturbances
- And even memory loss
Many people and their families assume these changes are unavoidable parts of aging. They’re not. Depression in older adults is real and treatable. At Paxina Health, we specialize in identifying these patterns early and providing senior depression treatment that supports your quality of life.
Common Symptoms of Late-Life Depression
Late-life depression doesn’t always look like sadness. In many older adults, it shows up quietly—through changes in energy, memory, or day-to-day functioning. Some of the most common signs we see include:

Persistent Fatigue
You may feel tired even after resting, or find that everyday tasks take more effort than they used to.

Memory Loss & Slowed Thinking
Difficulty concentrating, forgetfulness, or feeling mentally “foggy” can all be signs of depression—not just aging.

Sleep Changes
Trouble falling asleep, waking up too early, or sleeping much more than usual are all common in late-life depression.

Loss of Interest
Hobbies, social visits, and activities that once brought joy may now feel like chores—or no longer feel worth the effort.

Irritability or Withdrawal
Some people become more irritable or emotionally flat. Others may isolate themselves from friends or family.

Changes In Appetite
You may notice a loss of appetite—or increased cravings for comfort foods.
Why Late-Life Depression Is Often Misunderstood & Misdiagnosed
Depression in older adults is frequently overlooked or mistaken for something else. Here’s why:
It’s Mistaken for Normal Aging
Changes like low energy, slower thinking, or disrupted sleep are often brushed off as part of getting older. But when these shifts affect daily life, they may be signs of depression, not aging.
Overlap With Other Medical Conditions
Conditions like arthritis, heart disease, or cognitive decline can mask or even mimic symptoms of depression. Too often, the emotional side goes unaddressed while physical symptoms take priority.
Generational Stigmas
Many older adults were raised to “push through” emotional pain or avoid talking about it. This can lead to suffering in silence, even when support is available.
A Different Symptom Profile
While younger people might describe sadness or hopelessness, older adults may express depression through irritability, forgetfulness, or loss of interest. These subtle differences often lead to missed diagnoses.
At Paxina, we don’t reduce your experience to a number on a chart. We take the time to understand what you’re feeling and how it’s impacting your life—because your emotional well-being matters at every stage of life.
How Paxina Health Can Help
Late-life depression often requires a careful, multi-layered approach. Whether symptoms are new or long-standing, we help you understand what’s happening and identify treatments that support safety, clarity, and long-term relief.
Our services include:
General Psychiatry & Medication Management
For many older adults, care begins with a thorough evaluation: What’s driving changes in mood, energy, or cognition? We review your medical history, current medications, and overall health to create a treatment plan that’s safe, clear, and grounded in evidence. Expected availability in March 2026.
Explore Our Psychiatry ServicesTranscranial Magnetic Stimulation (TMS)
TMS is an FDA-approved, non-invasive treatment for major depression in adults. It uses magnetic pulses to activate underactive brain regions involved in mood regulation. Because it’s medication-free and generally well-tolerated, it may be a strong option for older patients—especially those who haven’t found relief with antidepressants.
Learn More About TMS TherapySPRAVATO® (Esketamine Nasal Spray)
SPRAVATO® is FDA-approved for adults with treatment-resistant depression. While not specifically approved for late-life depression, it may be considered on a case-by-case basis when standard medications haven’t worked. Expected availability in March 2026.
See If SPRAVATO® Is Right for YouWhat You Can Expect From Us

Your Care Comes First
Too many interventional clinics are built around volume, not people. At Paxina, your care comes first. We never recommend treatments that aren’t right for you, and we never rush the process. Every decision, from the treatment approach to the pace of your care, comes back to one question: what is truly best for you?

You’ll Be Heard, Never Rushed
Effective mental health care starts with listening. We take the time to not only understand what’s happening but why it’s happening. Patients often tell us it’s the first time they’ve felt truly seen in a clinical environment.

An Environment That Supports Healing
When it comes to treatment, the setting matters. From the serene courtyard of our Del Mar clinic to the thoughtfully designed treatment rooms, everything about Paxina is meant to put patients at ease.

Physician-Led Treatment
At many clinics, treatments are carried out by staff with limited psychiatric training. Paxina is different. Founded by psychiatrists Dr. Todd Young and Dr. Nicodemus Watts, every aspect of our practice is grounded in clinical expertise and guided by empathy and curiosity.


Why Patients Trust
Paxina Health
Your Care Comes First
Too many interventional clinics are built around volume, not people. At Paxina, your care comes first. We never recommend treatments that aren’t right for you, and we never rush the process. Every decision, from the treatment approach to the pace of your care, comes back to one question: what is truly best for you?
You’ll Be Heard, Never Rushed
An Environment That Supports Healing
Physician-Led Treatment


Who We Are
Paxina Health was founded by psychiatrists Dr. Todd Young and Dr. Nicodemus Watts with a shared mission: to create a practice where patients are truly seen, heard, and cared for.
Here, recovery starts with compassion, grows with understanding, and evolves as your needs change.

Healing Starts Here
Wherever you are on your journey, Paxina Health is ready to help you heal the whole you. All you have to do is take the first step by reaching out.



