When to Consider Counseling in Later Life

By Silver Sitters

Counseling can offer support with grief, relationship difficulties, major transitions or the emotional effects of a health condition. An older adult does not need to wait for a crisis to ask about help. Friends and family can be supportive, while a qualified mental health professional provides assessment and treatment suited to the individual.

Changes worth discussing

Persistent sadness, increased worry, changes in sleep or appetite, or difficulty managing daily activities are reasons to speak with a healthcare provider. A primary care appointment can help identify possible medical causes and arrange appropriate mental health support.

Retirement, moving home or needing more assistance affects people differently. Ask how the person is feeling rather than assuming a transition must be distressing. Counseling may be useful when the person wants help understanding emotions or finding ways to cope.

Choose a professional who fits the need

Psychotherapy involves working with a mental health professional on troubling thoughts, emotions or behaviors. When contacting a provider, ask:

• What qualifications and experience do you have with older adults and this concern?
• What approach would you suggest, and what goals would we work toward?
• How will we review progress and adjust treatment if needed?
• What are the confidentiality arrangements, fees and insurance options?

Offer practical support

Ask whether the person would like help finding a provider, making an appointment or arranging transport. Let them decide what to share with relatives and whether someone should accompany them. For example, helping write down their own questions can be more useful than speaking for them.

Hobbies and social activities can remain part of everyday life. They do not have to be tried first as a condition of receiving professional care.

Get urgent help when needed

In the United States, call or text 988 for a mental health crisis or thoughts of suicide. For an immediate life-threatening emergency, call 911.