There are many perceptions and stereotypes when it comes to ages, and the majority aren’t good. Many tend to think of aging as a time of decline, something that brings increasing medical, physical, social, and financial concerns. While aging does bring about change, not all of these changes are negative.

As humans, we strive to “feel good”. This is natural for you at any age. Goals and functioning do not have to change dramatically with age. While our goals may remain consistent, we may face different challenges at various life stages. As we age, we may begin to face new obstacles such as “empty nest syndrome,” loss of loved ones, and new health concerns related to aging.

While many anticipate physical health changes as they age, you may not be on the lookout for emotional health changes. As we age you may notice that your mood changes as well, you may experience more worry, sleep and eating patterns may change. Some of this can be expected and some may require a closer look. Learning what to look out for can be helpful, you aren’t alone.

What Are Some Facts About Aging?

• Your emotional health can improve as you age. A number of studies reveal that the emotional health of older adults tends to improve despite physical and cognitive aging. In a landmark study done by Charles, Reynolds and Gatz (2001), it was reported that “the tendency exhibited by most people to have a positive outlook extends into the senior years.” While there can be an increase in medical, social, and emotional challenges, a good number of seniors can see improvement in emotional health.
• Socioemotional Selectivity Theory is working in your favor. This theory explores the tendency for older adults to be more conscious of the value of time, potentially leading one to focus more on positive thoughts and memories, while more effectively facing their negative emotions. Developed by Stanford psychology professor Laura Carstensen, this theory also asserts that as we age, goals that lead to more meaning and positive emotions are prioritized. This can lead to a great deal of growth and positive experiences.
• You are not alone. According to the National Institute of Mental Health (NIMH) and the Centers for Disease Control and Prevention (CDC), approximately 20 percent of older adults (55 years and older) are experiencing symptoms of an emotional condition (depression and anxiety) and/or a neurodegenerative disorder (Alzheimer’s, Parkinson’s, etc.). If you are experiencing symptoms, you are not alone, and help is available.
• Physical/Medical symptoms can mask the emotional symptoms. It is common that the symptoms of an emotional condition are not readily recognized because of medical symptoms. In fact, many who are diagnosed with depression or anxiety, for example, initially seek treatment for something else. Symptoms of anxiety can often present initially as cardiac concerns. Early intervention can be key in reaching remission sooner.
• Depression, anxiety and mood disorders are some of the most common conditions. Based on statistical reports, depression, mood disorders and anxiety are the most prevalent emotional conditions among the seniors. The World Health Organization also reports that a significant number of aging individuals are either undiagnosed or underdiagnosed causing many to go without appropriate treatment.

What Makes You More Susceptible to Emotional Health Concerns?

According to the Geriatric Mental Health Foundation, you are more susceptible to poor emotional health if you experience any of the following:

• Physical disability
• Long-term illness (e.g., heart disease or cancer)
• Dementia-causing illness (e.g. Alzheimer’s disease)
• Physical illnesses that can affect thought, memory, and emotion (e.g. thyroid or adrenal disease)
• Change of environment, like moving into assisted living
• Illness or loss of a loved one
• Medication side effects
• Alcohol or substance abuse
• Poor diet or malnutrition

Symptoms of Cognitive or Emotional Concerns

Becoming forgetful can naturally come with aging. Cognitive impairment and constant memory loss, however, are serious symptoms that must not be ignored. Other symptoms that A Place for Mom suggests paying attention to are:

• Sad or depressed mood lasting longer than two weeks
• Social withdrawal; loss of interest in things that used to be enjoyable
• Unexplained fatigue, energy loss, or sleep changes
• Confusion, disorientation, problems with concentration or decision-making
• Increase or decrease in appetite; changes in weight
• Memory loss, especially recent or short-term memory problems
• Feelings of worthlessness, inappropriate guilt, helplessness; thoughts of suicide
• Physical problems that can’t otherwise be explained: aches, constipation, etc.
• Changes in appearance or dress, or problems maintaining the home or yard
• Trouble handling finances or working with numbers

There are other red flags of deteriorating emotional health:

The BC Medical Journal notes the following as potential causes for concern;

• Repeated ER visits or hospital admissions
• Neglect of medical problems
• Lack of follow-up for appointments
• Noncompliance with medication
• Acute deterioration in ADLs or cognition
• Unexplained weight loss or failure to thrive
• Refusal of appropriate and needed as­sistance (e.g., home care, meal delivery)
• Threat of eviction
• Motor vehicle accidents or moving violations
• “Doctor shopping”
• Decline in financial status
• Sudden appearance of new “caregiver”

Chronic medical conditions can contribute to poor functioning and susceptibility to other conditions. Depression, anxiety and mood disorders can complicate cognitive aging. Financially challenged older adults may be at higher risk.

What Can You Do?

Early intervention can make a world of difference. You aren’t alone, therapy can help. Seeking the intervention of a trained professional can be helpful as they can assess what is affecting you and help to develop a plan to address your emotional health concerns.

If aging isn’t what you’d like it to be, you may benefit from the help of a qualified therapist independently contracted with Carolina Counseling Services – Cameron, NC. At this phase in your life, it can be important to address your concerns as they arise. Don’t wait. Call today to schedule your first appointment!