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Seniors and Mental Health

 

Mental Health is an issue for people of all ages, as we age those issues can get even more complicated. According to the Substance Abuse and Mental Health Services Administration's (SAMHSA) National Mental Health Information Center:

The capacity for sound mental health among older adults notwithstanding, a substantial proportion of the population 55 and older—almost 20 percent of this age group—experience specific mental disorders that are not part of “normal” aging . Research that has helped differentiate mental disorders from “normal” aging has been one of the more important achievements of recent decades in the field of geriatric health. Unrecognized or untreated, however, depression, Alzheimer’s disease, alcohol and drug misuse and abuse, anxiety, late-life schizophrenia, and other conditions can be severely impairing, even fatal; in the United States, the rate of suicide, which is frequently a consequence of depression, is highest among older adults relative to all other age groups (Hoyert et al., 1999).

Treating seniors with mental health issues can be tricky. First, there is the difficulty in differentiating it from other aging processes. Once you suspect the problem is not a normal aging process, how do you approach this senior? Many seniors have a bias against the whole notion of mental health as a problem that can be treated. Many older folks hear the word “crazy” when someone starts to talk about depression and anxiety. They do not share the view that drug and alcohol abuse may be related to mental health issues. They do sometimes recognize when one of their neighbors “seems to have a problem”, but like most of us, do not recognize this same problem in themselves.

Getting the elderly to talk is usually easy. They can tell stories from a time when the world seemed quite innocent. But ask about how they feel mentally, many do not want to discuss that topic. They are very good at denial. This is most certainly a defense mechanism and can be overcome with time and therapy. Unfortunately, therapy is for “crazy” people according to some seniors.

One option is support groups and social sharing. The 70 and 80 year old crowd is very group oriented due in part to their shared experience of the Great Depression and WWII. They will come to a meeting, join groups or participate in group activities readily. If a Mental health care professional can moderate covertly then these can turn into helpful group therapy sessions. All of us benefit from hearing that we are not alone and that someone else has experienced what we have gone through.

There are many resources to help with Senior Mental Health. Start with your local area Council on Aging and you can find the help you need.

The Substance Abuse and Mental Health Services Administration's (SAMHSA) National Mental Health Information Center provides information about mental health via a toll-free telephone number (800-789-2647), a web site, and more than 600 publications.




 

In The News
Feeling tired all the time?  You’re not alone.  In fact, fatigue is one of the most common complaints that bring adults to doctors’ offices. Numerous studies indicate that people who see their doctor about fatigue have generally experienced it for a considerable length of time — anywhere from six months to several years!

Fatigue can be due to numerous causes, such as medical conditions like congestive heart failure, hypothyroidism or diabetes. It can also be a result of sleep disturbances brought on by menopause, or by physical changes that accompany aging. But while fatigue may be an inescapable part of life, there’s no need to take it lying down. Your body is geared toward generating energy as well as expending it. And there are numerous strategies to help regain the physical and mental energy needed to enjoy life to its fullest.

Eat for energy

The tried-and-true advice for healthful eating also applies to keeping your energy level high:

• Eat a balanced diet that includes a variety of carbohydrates, proteins, and fats with an emphasis on vegetables, whole grains, and healthy oils. Taking a daily multivitamin will ensure that you get the vitamins and minerals you need, but taking extra amounts of individual nutrients won’t give you more energy.

• Eating certain types of foods in particular amounts can help prevent fatigue. Because different kinds of foods are converted to energy at different rates, some — such as candy and other simple sugars — can give you a quick lift, while others — such as whole grains and healthy unsaturated fats — supply the reserves you’ll need to draw on throughout the day.

• Eat small, frequent meals. Where energy is the issue, it’s better to eat small meals and snacks every few hours than three large meals a day. This approach can reduce your perception of fatigue because your brain, which has very few energy reserves of its own, needs a steady supply.

Reduce stress

The most common cause of persistent fatigue is stress and the emotional response to it. People who feel fatigued most of the time don’t necessarily have more stress in their lives than other people, but they may be more sensitive to its effects. Stress-induced emotions consume huge amounts of energy. Relaxation therapy can be an effective tool for reducing stress and naturally boosting your energy, particularly when used in combination with cognitive behavioral therapy. Meditation, self-hypnosis, yoga, and tai chi are all relaxation techniques. One of the easiest techniques to use is progressive muscle relaxation, which involves systematically tightening and releasing sets of muscles, beginning with your toes and progressing up your legs, torso, hands, and arms. You might also consider other relaxation therapies, including aromatherapy and massage.

No matter what age you are, there are things that you can do to feel more energetic. Harvard Health Publications’ Boosting Your Energy report will help you take the first steps toward discovering the causes of your fatigue. This Special Health Report provides you with the latest information about fatigue and offers strategies to help you regain your physical and mental energy. The report discusses medical conditions that may be the cause of your fatigue as well as ways to naturally boost your energy.

Reprinted from Boosting Your Energy — A Special Health Report from Harvard Medical School, Copyright © 2007 by the President and Fellows of Harvard College. All rights reserved.

 
 
   


 

 

 

 

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