Licensed Clinical Social Worker (LCSW) Practice Exam

In the context of social work, what is an example of a symptom of depression in older adults?

1. Increased social activity

2. Difficulty with memory

3. Heightened optimism about the future

4. Inability to experience pleasure in activities

The correct answer is: Inability to experience pleasure in activities

The inability to experience pleasure in activities, often referred to as anhedonia, is a common symptom of depression, particularly in older adults. Depression can manifest in various ways, and in this demographic, it often presents as a lack of interest or pleasure in previously enjoyable activities. This symptom is crucial for identifying depression because it highlights the emotional and motivational changes that accompany the disorder. In older adults, this symptom can be mistakenly attributed to normal aging processes or viewed as a sign of physical decline, thereby making it essential for social workers and healthcare professionals to recognize its significance. Addressing this symptom is critical, as it can greatly impact the overall quality of life and functioning of older persons, influencing their social interactions and engagement with the community. Contrastingly, the other options reflect behaviors or states that are not indicative of depression. Increased social activity and heightened optimism about the future do not align with the hallmark features of depression and may suggest a healthier emotional state. Difficulty with memory, while it can be associated with depression, may also point to other issues such as cognitive decline or dementia, rather than being a direct symptom of depression itself. Recognizing anhedonia as a primary symptom can help practitioners support older adults effectively.