Anxiety is NOT normal with aging and can be effectively treated. Unfortunately, anxiety in the elderly often goes undetected and untreated largely due to the false belief that with age it’s normal to have a mental health problem.

Good news:  Anxiety is highly treatable in older adults!

Here's what you'll learn in this episode:

• [03:11] What is anxiety?
• [05:10] What are the different types of anxiety disorder older adults experience? 
• [05:40] Signs and symptoms of anxiety in the elderly?
• [06:55] How common are anxiety disorders among older adults?
• [07:51] What is the most common anxiety disorder among older adults? 
• [08:34] What causes anxiety in older adults?
• [10:40] Anxiety and depression commonly go together
• [11:38] What happens when anxiety goes untreated in older adults? 
• [12:31] Anxiety in elderly, treatment that works.
• [14:25] How to talk with older adults about getting mental health care

 Anxiety is...

 5 ways to care for and help a caregiver

If you have an aging parent who is a primary caregiver it can be hard to know what to say and do. Caregivers, especially spouses, may be hesitant to ask for help or a break. They may think that this is part of the vow that they made, thru sickness and health. These 5 tips will give you some ideas of how to be helpful. 

1. Be there for the caregiver

Simply being present and showing up for your caregiving parent can provide them with comfort and security in knowing that they're not alone. Caregiving can be challenging and rewarding.Hold space for both experiences. Some ways to be there and be present include:

• Calling and checking in with your caregiving parent regularly
• Acknowledging the importance of the care they're providing and the value that caregiving has.
• Validating how hard caregiving can be emotionally and physically.
• Identifying the meaning caregiving is bringing to you and...

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Understanding the stages of caregiving will help you to identify where you’re at in your own caregiver’s journey and the common struggles and goals in each stage.

Knowing that you’re not alone and having tools to manage challenges that may arise helps will help you along the caregiver's journey and reduce stress and feelings of guilt and overwhelm.

6 Stages of Family Caregiving 

There is no timeline for these stages along the caregiver’s journey. Some families receive a diagnosis of a terminal medical condition and move through these stages at lightning speed, and other families and illnesses (e.g., dementia disorders) can experience a drawing out of these stages.  

The following 6 stages of family caregiving are inspired by Denise Brown's 6 Stages of Caregiving and based upon  Caregiver Family Therapy by Dr. Sara Qualls and my near 20 years of providing family therapy to older families and as lead of a family couples...

Helping aging parents move into a senior living or assisted living environment can be overwhelming, and emotions can easily escalate. Here are 12 tips for managing those emotions during difficult conversations with elderly parents. 

1. Expect that this will be emotional. 

Expect that this is going to be emotional. Know that it is reasonable that this is emotional and that there will be some fallout. Everyone is entitled to their feelings about this transition. Starting this discussion with the understanding that this will indeed be an emotional conversation will help you get through it.

2. Prepare for "the Talk."

Before you have this conversation, take the time to prepare. Here’s how:

• Do a Dress Rehearsal

It can help to talk this conversation through with someone you trust before you bring it up with your loved one (like a dress rehearsal).

This has a couple of benefits:

1. It will help you to clarify exactly what you want to...

Dear Dr. Koepp, 

My 85 year old dad is calling me multiple times a day. It’s interrupting my time at work. Sometimes he needs something. Sometimes, he just wants to check in. He has someone assisting him, but he’s always calling me. Can you address how to handle an elderly parent who is calling me all day long. 

Thank you, 

Theresa 

Here are five strategies to try If your older loved one or your aging parent is calling you multiple times a day

1. Take the time to understand what's driving this behavior.

It's important to understand what may be prompting this behavior. Is there a new medical illness that's been diagnosed? Is there a worsening of an already established medical condition? Is there a progression of dementia disorder, or fear and anxiety around an existing condition? Are they going through any big changes or anticipating big changes? Like the loss of a loved one or of their home? Have they...

Have you helped your loved one move to a senior living or assisted living community only to find that in the midst of experiencing relief that your loved one is being cared for and is safe, you also have intense feelings of guilt and shame? 

You're not alone. Many caregivers struggle with guilt and shame after moving older loved ones into a senior living community. Perhaps you feel that you've let your older loved one down, like you're not being a dutiful spouse, daughter, or son. This can lead to emotional distress and discontent. 

To help you navigate the emotionally turbulent waters of caregiver guilt and shame, I've prepared 5 strategies for helping you to move through guilt and shame when helping your older loved one adjust to senior living. 

5  strategies for moving through guilt and shame when helping your older loved one adjust to senior living

1. Be...

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There may come a time when you're faced with the conversation of talking with your aging parents about moving into a senior living or assisted living community. Many people dread this conversation.

Even simply starting the conversation can bring up all sorts of worry and feelings of guilt and shame.

If you're facing this situation, it can help to prepare. In today's episode, I share:

• 6 Strategies for setting yourself up for success with the senior living discussion
• Examples of how to start the conversation
• Tips for managing escalation of emotions during this talk
• How to go about finding senior housing or assisted living communities
• The importance of taking care of yourself through it all.

6 Strategies for setting yourself up for success with the senior living discussion

1. Don't wait until there is a crisis

Starting these conversations long before your loved one has a medical, mental...

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When he was in his late 80s, Candy Cohn's father unintentionally stopped taking medication for a long-standing bipolar disorder and experienced a significant mental health crisis requiring hospitalization and intensive treatment. It was following this episode that Candy knew that she needed to help her older parents find a senior living community that would provide more continuity and medication management and offer opportunities for a better quality of life than they were getting at home. But, where to start?

I have witnessed many older adults living with significant mental health conditions, like bipolar disorder and schizophrenia, at times struggle to find senior living communities.

There are some mental health conditions that are expected in assisted living environments, like depression and anxiety, which often occur with dementia and medical conditions. In fact, one in three residents takes a medication for a...

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You may be surprised to hear that about half of today’s Veterans are 65 and older.

Chances are, if you're caring for an aging parent (65 or older) who served in the military, their service was influenced by WW-II, the Korean War, or the Vietnam War.

Offering the opportunity for your aging...