homepage logo

Health & Wellness: Mental health and aging: Coping with depression, anxiety, cognitive decline and loneliness

By Jacob Bingham - Special to the Daily Herald | May 17, 2023


As individuals age, they face unique challenges that can impact their mental well-being. Depression, anxiety and cognitive decline are common mental health concerns among the elderly population.

Fortunately, there are plenty of coping strategies and interventions that older adults can employ to help promote mental health in older adults.

Mental health conditions and aging

Depression affects a significant number of older adults and can have a profound impact on their quality of life. Various factors contribute to the development of depression in aging individuals, including biological changes, chronic health conditions, social isolation and loss of loved ones. According to some sources, approximately 5-10% of the elderly population experience major depressive disorder. 

Moreover, older adults often experience anxiety disorders, including generalized anxiety disorder (GAD), panic disorder and specific phobias. Anxiety in aging individuals often coexists with depression and may stem from concerns about health, finances and social isolation. More research suggests that anxiety disorders affect around 10-20% of older adults.

To cope with depression and anxiety, older adults can benefit from a multimodal approach that includes both pharmacological and nonpharmacological interventions. Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), have shown effectiveness in treating depression in older adults and can also alleviate symptoms of anxiety. Additionally, cognitive-behavioral therapy (CBT) can help individuals address negative thought patterns, develop healthier coping strategies, and improve overall well-being.

Cognitive decline in aging

Cognitive decline can also pose significant challenges for older adults. Cognitive decline — including mild cognitive impairment (MCI), dementia and Alzheimer’s disease — can manifest as memory loss, difficulty concentrating and impaired decision-making abilities. 

While the progression of cognitive decline cannot be prevented entirely, certain interventions can slow down its advancement. For example, engaging in mentally stimulating activities — such as reading, solving puzzles and learning new skills — has been associated with a lower risk of cognitive decline. Emerging research also suggests that computer-based cognitive training programs may improve cognitive functioning in specific domains, such as memory and attention. 

Interventions aimed at improving physical health can also help prevent or ameliorate cognitive decline. Regular physical exercise, a balanced diet and social engagement are crucial for maintaining cognitive function.

Combating loneliness

Loneliness is a prevalent issue among older adults and can significantly impact their mental health and well-being. Social isolation, loss of loved ones, retirement and physical limitations can contribute to feelings of loneliness in aging individuals. Research also indicates that loneliness can exacerbate mental health conditions such as depression, anxiety and cognitive decline. Therefore, maintaining social connections and fostering meaningful relationships are paramount for promoting mental health and mitigating the effects of loneliness.

“A vitally important but often overlooked aspect of healthy aging is a strong sense of community,” says Haley Jurbala, a behavioral health consultant at Generations Healthcare. “Our staff recognizes this and works tirelessly to provide opportunities for our patients to find meaning in their communities.”

Older adults can combat loneliness in a number of ways, like engaging in community activities, joining support groups, utilizing technology and staying in touch with family and friends. 

Mental health issues — including depression, anxiety, cognitive decline and loneliness — are prevalent among the aging population. Understanding the factors that contribute to these conditions and implementing appropriate coping strategies and interventions can significantly improve the mental well-being of older adults. A combination of pharmacological treatments, psychotherapy, cognitive stimulation and lifestyle modifications can offer substantial support for individuals struggling with mental health challenges in later life. 

Jacob Bingham is a project manager at Stage Marketing, a full-service content marketing agency based in Provo.


Join thousands already receiving our daily newsletter.

I'm interested in (please check all that apply)