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Depression take a longer time to deliver the desired results in the elderly until it is well advanced. Sometimes these disorders tend to mask various symptoms of depression. Depression episodes could last for years. Sometimes serious illnesses and specific medications for curing these illnesses could induce depression. Many chemical changes. Seasonal depression occurs primarily during winter months. Chronic inability to sleep could also cause depression. Similarly, women facing harassment at work develop low self-confidence levels and a feeling of helplessness which may encourage the development of clinical depression. Substance abuse and social exclusion could also cause depression.