To the Editor: We appreciate the comments regarding our article, and agree with the authors of the letter that treatment of depression in the elderly is an important area that warrants further research. Our study did not specifically look at the treatment of depression in the elderly, and we do not have sufficient numbers in our data to address this topic specifically. We would encourage researchers to address this topic. The biological comorbidities, the psychological adjustments, the social stressors, and the existential search for meaning that occur through the aging process make depression more likely to occur and more complicated to treat.