Mental Health Concerns with Older Loved Ones
This has been an exceptionally trying year for all of us.Few were hit as hard as our older population. Vaccines, quarantines, reported deaths, full hospitals and ICU’s, nursing home and senior community scares.Many were and remain afraid to venture out. Loneliness and isolation play a huge role in our mental health.
For those of us helping older loved ones manage their physical health we need to remember that healthy living extends beyond managing chronic conditions.
The National Council on Aging (NCOA) tells us that one in four older adults will experience a mental disorder.
Some common questions we receive at your local Morgantown, WV Right at Home office include:
- Are changes in personality and behavior normal – just a part of aging?
Health problems, the loss of a spouse or a job, isolation due to COVID, or changing roles after retirement can all lead to changes in how our loved ones react to their new normal. It is important to help discern if changes are normal or of a concern. Left untreated NCOA reports that mental health concerns can lead to fatigue, illness or even suicide.
- What are some signs that my loved one might be experiencing a mental health condition that should be addressed?
Changes can be gradual and subtle. A conversation with their physician may be necessary if your loved one is:
-Sleeping much more or much less than usual.
-Feeling unusually confused, on edge, worried or afraid without cause.
-Low to no energy.
-Eating much more or much less than is normal for them.
-Experiencing the feeling of prolonged grief that does not subside.
-Loss of interest in activities they once enjoyed.
-Feelings of helplessness or hopelessness.
-Smoking, drinking or using drugs more than is normal for them.
-Expressing thoughts of suicide or self-harm.
- What if they refuse help?
They may. They may feel that is a sign of weakness. They feel the need to go it alone. Reassure your loved one that it is a sign of strength to take charge of these situation in their life.
- What if my loved one talks about suicide? What can I do?
Number one answer is to take it seriously. Never ignore comments such as “Everyone would be better off without me” or “Life is no longer worth living”. The American Psychological Association warns that other signs might include buying a firearm, stockpiling pills, withdraw, or giving away possessions. Older adults have the highest rates of suicide of any age group in the US and depression is its foremost risk factor. If you believe your loved one is in crisis contact the National Suicide Prevention Lifeline at 1.800.273.8255 to talk to a trained counselor day or night.
Be aware that life changing conditions such as hearing and vision loss or stroke can lead to depression and anxiety. Sometimes just such an event can have a “bidirectional cause and effect” and raise the risk of a mental health issue. Conditions such as heart disease, stroke, memory loss, or diabetes can affect not only the brain but the whole body and increase problems with memory loss, raise blood pressure, and cholesterol, worsen digestive disorders and heart disease. Remember too that some medications may also play a role.
An integrated medical assessment is often necessary to provide the best possible solutions and outcomes. There is an entire medical community available to you as well as clergy, and support groups. Reach out for help.
