Aging is a natural process that may present challenges for some individuals and their families. Although many older adults look forward to moving from middle age into their later years, it may be difficult for others to adjust.

All adults may experience health issues and stress as they approach and pass middle age, and the support of a therapist or other mental health professional may help ease the transition.

While some adults may approach their “Golden Years” eagerly, anticipating retirement, grandchildren, or simply a new phase of life, others may dread the physical and mental effects of aging. Tim Brewer at reminds us that, it may be difficult for some adults to face the transition to retirement, deal with new frailty or medical conditions, or find enjoyable, meaningful activities if they do experience physical challenges that limit their mobility. It may also be difficult for some older adults to face mortality, especially when friends, peers, or spouses and partners pass on, and they may come to experience isolation in the wake of many such deaths. Older adults may also find it challenging to attend to basic needs in the presence of Alzheimer’s disease or other forms of dementia, which affect approximately one in ten Americans of retirement age.

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Geriatric Mental Health Specialists:

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Medical Issues of Aging:  One of the challenges older adults may experience is distinguishing the normal effects of advancing age from signs of actual physical or mental illness. Many people over the age of 65 continue to live happy and healthy independent lives. Most older adults will experience some changes in cognition, but this is a normal part of the aging process. Researchers have found that healthy older adults often experience mild decline in the areas of:

  • visual and verbal memory
  • visuospatial abilities
  • immediate memory, or the ability to name objects
  • hearing and vision
  • bodily strength
  • appetite and energy level

Those who spend time with or care for older adults can help reduce the impact of these issues by using certain strategies to allow for varying degrees of impairment. Caregivers and family members might, for example, use plain language and focus on important details rather than unnecessary information, clearly communicate directions and use written reminders as memory aids, provide written information in an easy-to-read format and consider providing an audio format when necessary, and speak clearly and face to face.

Older adults who experience some limitations on their activity and abilities due to aging are often able to adapt to these changes and continue their lives in the manner they wish, occasionally with some type of assistance or accommodations.

Therapy for Geriatric Issues:  Therapy can help older adults who may have difficulty with the transitions of aging to manage their emotions, find new sources of enjoyment and meaning, and find new support systems. It can help people face their fears of death, if they have such fears, and deal with grief as friends and family members pass on. Family or individual therapy can also assist family members who may be caretakers of their elder relatives, as it can assist them in dealing with their emotions, communication issues—which may be especially helpful if an elder has some form of dementia—and community resources. Possible diagnoses associated with aging might be include depression or anxiety. Dementia is technically a medical diagnosis rather than a mental one, but therapeutic treatment such as using a home health care provider may be able to help treat some of the symptoms associated with dementia.

Many older adults also enter therapy to seek treatment for mental health issues not related to aging, in higher numbers than they did in the past. This appears to be due to the fact that attitudes pertaining to mental health issues have begun to change as awareness increases. Many older adults grew up in a time when mental illness was stigmatized and when all mental issues faced by seniors were written off as aging or dementia. But now, therapy is considered by many older adults as a form of treatment, and research shows that seniors are often more serious about therapy, realizing that their time is limited, and that they tend to obtain results more quickly than younger people do. In therapy, seniors may address issues from childhood or early adulthood; current life adjustments; and issues such as stress, anxiety, depression, or family concerns, among others.

Older adults may also be more likely to enter therapy late in life now than they were in the past simply because people live longer now than they did previously. A person who is 60 years of age is likely to have 15 or 20 years remaining in life, and the transitory period that occurs for many at this stage may begin a process of reflection that leads many older adults to seek therapy.


Visit our Reading Room and Resources specifically designed for seniors and senior care givers. Each book has been hand selected by our Therapists and have been posted as a resource for you.