Introduction: There are many difficulties encountered when diagnosing depression in its early stages in the elderly. The role ofthe GP is vital for prompt diagnosis.Aim: The aim of this paper is to provide a critical citation and discussion of the issues involved when diagnosing depression ofthe elderly in the community.Method: For this purpose, a systematic literature review of Greek and international databases were performed seeking referenceson the obstacles encountered when diagnosing depression.Results: Analysis revealed four major themes under which the papers fell: i) General difficulties in diagnosing depression, ii) Thelimitations GPs have when they diagnose depression, iii) The limits patients place on GPs during the diagnostic procedure and iv)The limits GPs and patients set on each other when depression is being consideredConclusions: The findings show that GPs are confronted with numerous detractors which may lead to misdiagnosis especiallywhen depression is mild or moderate. Yet, early recognition can lead to effective treatment. It is suggested that nurses treatinghospitalised patients be alerted to the early warning signs of depression in their patients. In order to support GPs and to make thingseasier for the patient, nurses should be encouraged to use their observation skills during their greater exposure time with thepatient and to advise the patient to discuss these with their GP once discharged so that effective treatment can be initiated ifnecessary
