It can be challenging for caregivers to diagnose depression in long-term care medicine, even though depression in facilities such as nursing homes and assisted living facilities is common. How can long-term care physicians recognize the early signs and symptoms of depression, and determine when pharmacologic or other forms of therapy are most appropriate? What quantitative screening tests and management tools are helpful for physicians to use in diagnosing and treating depression? Dr. Jay Luxenberg, director of medical services at the Jewish Home in San Francisco, and clinical professor in the School of Medicine at the University of California, San Francisco, weighs the options of antidepressant therapy versus other non-pharmacologic treatments for patients with depression in long-term care facilities. What evidence demonstrates the efficacy of bright light therapy, family involvement and other activities in improving the symptoms of depression? Dr. Eric Tangalos hosts.