Resources For Aging Well

OverviewWatching a parent struggle with depression is a profoundly emotional experience. It can make you feel helpless, sad, angry, and confused. Parental depression, especially in aging parents, is complex and can be difficult to deal with, especially if youre the sole caretaker. Fortunately, there are meaningful steps you can take to support a parent through their depression while also prioritizing your own mental health. Having a plan in place can help you identify the signs, offer the right support, and foster hope for recovery. Keep reading to learn more if your dad or mom is depressed and you dont know how to help them.Recognizing the Signs of Depression in Aging ParentsThe Centers for Disease Control (CDC) estimates that around 4% of people over 70 have depressive symptoms. However, depression in older adults is often mistaken for general aging or other physical health issues. Be on the lookout for the 10 signs your elderly parent needs help.Emotional and physical symptoms of depression in older parents include:Persistent sadness or hopelessnessWeeping or cryingLoss of interest in activities once enjoyedChanges in appetite or weightSleep disturbancesIncreased irritability or restlessnessFatigue or low energyDiscontentmentTrouble concentrating or making decisionsPhysical complaints with no clear causeSocial withdrawal or isolationExpressing feelings of guilt, worthlessness or helplessnessOther negative thoughtsApproach the Topic with Sensitivity and EmpathyTalking about mental health with parents requires sensitivity and empathy. Start the conversation in a safe and comfortable environment and choose a time when you wont be interrupted. Approach the topic with compassion so its easier for them to open up and share their feelings.Tips to frame the discussion:Start with care and concern: Use language like, Ive noticed youve been feeling down lately, and Im concerned about you.Avoid judgment or blame: Avoid saying things like, Youre being negative or Why are you so sad? which can put them on the defensive or make them feel guilty.Be a good listener: Let them express their feelings without interrupting, and dont try to fix the problem.Normalize their emotions: Tell them that depression is a common but treatable medical condition. Remind them that seeking help from a mental health professional is a sign of strength, not weakness.Encourage Professional HelpBe patient if your parent hesitates at first. Your dad or mom might need therapy and wont go, and gentle encouragement can make a difference. Offer to help them find and schedule appointments. Their primary care doctor will evaluate symptoms to rule out other physical causes before recommending treatment options (which might include seeing a therapist). Professional mental health support can be a game changer when managing depression.You can also explore solutions on your own:Therapists or counselors: A licensed therapist can help your parent work through their feelings and develop coping strategies to manage their depression.Support groups: Group therapy and community support groups are good ways to connect your parent with others who have similar challenges. This can be even more beneficial if their depression is related to isolation.Medicare or insurance coverage: If cost is a concern, remind your parent that online therapy covered by Medicare or other insurance plans is available, offering an accessible option for older adults.Expert InsightWatching a loved one go through depression can be too close for comfort. At times, it can be hard to know when might be the right time to step in to help or when you should give space. Phases of life changes can take a toll; how we manage stress and maintain health can truly impact how we cope emotionally. But, even in close-knit families, appearing vulnerable in front of our loved ones can be tough. Encouraging outside professional support can be a great suggestion. If it is done with care and kindness, one might be more inclined to consider it.Licensed Certified Social Worker-Clinical, (LCSW-C), LICSW, MSWElizabeth KeohanExplore Treatment Options TogetherTreatment for depression often uses a combined approach. Therapy and medication can work together for the best outcome. Work with your parent and their doctor to explore the following options, but keep their comfort level and preference in mind.Therapy: Cognitive behavioral therapy (CBT) is a very effective type of therapy for depression, used to treat the negative thought patterns common with this conditionMedication: Antidepressants can help manage symptoms, but its critical that any depression medication is taken as prescribed and your parent shares any side effects they experience.Support Healthy Lifestyle ChangesLifestyle factors play a role in depression management. Help your parent make small, gradual changes, without pressure, to enhance mood and increase energy levels.Promote regular physical activityPhysical activity doesnt have to be demanding. Low-impact, gentle exercises like walking, stretching, water aerobics, or chair yoga can effectively boost endorphins and help reduce symptoms of depression. Even gardening or practicing tai chi can be beneficial.Encourage a balanced dietA healthy diet supports physical and mental health and can improve energy levels. Incorporate foods rich in Omega-3 fatty acids, whole grains, lean proteins, and fresh fruits and vegetables into their diet. Avoid processed foods and sugary snacks to stabilize energy levels further.Find meaningful activities or hobbiesHobbies like knitting, painting, volunteering, or doing puzzles can be entertaining and stimulating while offering a sense of purpose. Help your parents get involved in social and recreational activitieseven small onesthat they enjoy to keep their minds and bodies busy.Encourage Social ConnectionsIsolation worsens depressive symptoms, so social interaction is a critical part of treatment. Social support is a key component of recovery. Since loneliness in retirement is incredibly common, look for ways to help your aging parent stay connected with others.You can consider having them:Reconnect with old friends: Encourage them to contact old friends and family members theyve lost touch with.Join community activities: Suggest they become active at local senior centers, book clubs, or church groups.Engage in family gatherings: Plan regular family get-togethers or video calls.Look After Your Own Well-beingAlthough you might be happy to do it, supporting a parent with depression can be taxing. Take care of yourself so you can remain energized and focused on helping when your dad or mom is depressed.Here are some ways you can manage your emotional health:Seek support: Talk to friends, family members, or a therapist about your feelings.Set boundaries: Recognize your limits and share them with others. If you need one day a week off or you want evening hours to yourself, dont feel guilty about it.Practice self-care: Do things that help you recharge and relax. Exercise, meditate, do yoga, work out, or do hobbies you enjoy.Expert InsightDepression is a burden, and it can feel that way too for close loved ones, who in their own way endure the weight of it. It can be very demanding, both emotionally and physically. While its hard to take steps to move through it, it is so important to prioritize self-care to navigate it. As a family member, it is critical, not only in terms of helping but also in terms of managing your own robust emotional strength. Find support, keep exercise in your repertoire, and for sure, as cliche as it is, remember that you cant pour from an empty cup. Maintain your own health to support in a proactive way versus a reactive way.Licensed Certified Social Worker-Clinical, (LCSW-C), LICSW, MSWElizabeth KeohanMoving Forward with Patience and CompassionIf your father or mother is depressed, you need patience, empathy, and persistence to help them. Remember that progress may be slow, and the occasional setback is normal.Therapy can be a valuable resource that offers tools and coping strategies. Talkspace has convenient online therapy options covered by Medicare, so mental health support for aging parents and their families is accessible and affordable. Take the first step today and contact Talkspace to help your parent get online treatment for depression.See ReferencesDepression and agingHealthy Aging. September 3, 2024. Accessed November 20, 2024.Elizabeth KeohanLicensed Talkspace Therapist, Elizabeth Keohan has enjoyed working with clients in communities from Washington DC through rural Maine over the course of her career. While she has worked extensively with those experiencing anxiety and depression, she embodies a unique comfort working with the bereaved. Elizabeth combines a compassionate, holistic approach with Cognitive Behavioral Theory (CBT), to help clients counter their somatic response to stress, anxiety, mood, grief and loss.

OverviewLife after retirement should be a rewarding and exciting time. Youve given decades to your career, and you deserve a break. For many, though, the post-work transition can bring unexpected challenges that leave them feeling depressed. Depression after retirement is more common than most people think. Studies indicate that roughly 28% of retirees experience depression a rate significantly higher than that of the general adult population. However, its important to keep in mind that this condition is often underreported in older adults, which can delay seeking much-needed support. Some changes in daily life after retirement can be unsettling, like going from a structured environment to having no real schedule. The effects of such a change can have a considerable impact on ones mood and self-esteem. Retirement can cause feelings of isolation, loss of purpose, and, in extreme cases, maybe even an identity crisis. Limited social interaction and the possibility of financial concerns can also cause retirement depression.As mental health awareness continues to grow, discussions about post-retirement depression are becoming normalized. Its important for retirees and their loved ones to know about the risk of depression so they can learn strategies and find resources to overcome it. Keep reading to learn more about how to maintain mental well-being and thrive during retirement.Understanding Depression in RetirementRetirement marks a significant life milestone, and while the idea of that freedom may be exciting at first, the lack of daily structure in retirement can affect mental health, leaving you more vulnerable to depression. Losing your structured career can lead to depression due to a loss of identity, daily routines, and built-in social networks. There is also financial stress and increased health concerns, other factors that can impact overall emotional well-being.Recognizing post-retirement depression is important since addressing symptoms early offers the best chance for recovery. Its natural to feel a mix of emotions during this time in your life, but experiencing persistent or worsening signs of depression shouldnt be ignored.Common symptoms of depression in retireesDepression after retirement can manifest in several ways, affecting daily activities and mental well-being. There are physical, emotional, and behavioral changes to be aware of recognizing them will allow you to address them.Common symptoms of retirement depression include:Emotional symptoms: Persistent sadness, irritability, hopelessness, and apathyPhysical symptoms: Increased fatigue, change in appetite, difficulty sleeping, and unexplained aches and painsBehavioral signs: Withdrawal from social activities and interactions, losing interest in hobbies and people, and neglecting personal or self-careThe role of life transitionsWe go through countless transitions throughout life, and each one brings its own set of challenges. Acknowledging the emotional effects of these changes early can help retirees manage their mental health better. For retirees, the shift is about stepping away from work, which means redefining purpose and finding a new daily routine.Transitioning from a daily work schedule to retirement can be disruptive. Daily structures are gone, social connections in the workplace are diminished, and your sense of identity and status are challenged. Planning ahead can ease this adjustment by providing a framework for these changes. This period can be seen as a significant self-discovery phase.How to Cope with Depression in RetirementRetirement depression can be overwhelming. This condition can significantly impact mental health if not addressed properly. Fortunately, there are simple tools and practices that can improve mental health, help you find purpose again, and alleviate symptoms of depression. Here are some strategies you can use to cope and enjoy your retirement.Find new purposeRetirement is your opportunity for a second act. If youre struggling to find meaning, try exploring activities that align with your values and passions. You can volunteer, mentor, or contribute to something important. Volunteering not only enhances social interaction but also enriches the community. Finding noteworthy ways to spend your days can motivate and fulfill you.Expert InsightMany people have structured their lives around going to school, getting a job, and rising in their career. When retirement comes, it does not require our time, hard work, and attention as climbing the ladder of success did. Retirement may require a different skill set than what we learned when we were working. Being open to learning a different way of being that is not tied to accomplishments or productivity is key.Licensed Clinical Social Worker (LCSW), DDKarmen SmithBuild a new routineIf you live for your routine and dont do well with downtime, the casualness of retirement can feel more stressful than relaxing. Work meant you had a daily schedule that combated any aimlessness. By creating healthy routines, the uncertainty surrounding daily life decreases. Structure brings stability and purpose to your days. All you have to do now is create new habits.Try working out, eating healthy meals, picking up hobbies, joining a club, practicing regular self-care for seniors, or going to social gatherings. Finding a new routine can help reduce some of the post-retirement depression youre experiencing and improve mental health.Nurture your physical health and stay activeResearch shows that physical and mental health are closely linked. Working out releases endorphins, which are widely known as the feel-good hormones. Endorphins naturally boost mood and reduce stress.Ensure your physical health by staying active, eating a balanced diet, and maintaining a healthy sleep schedule. Dont worry being active doesnt mean you need to do intense workouts. Going for a walk or doing a 20-minute yoga session are simple but effective activities that can benefit your physical and mental well-being.Explore new hobbies and passionsOne of the greatest perks of retirement is that you finally have the time and freedom to do all those things you love but didnt have time for when you worked. You can explore things youre interested in, like painting, traveling, cooking, learning a new language or instrument, or any other exciting hobby.A recent study that focused on adults aged 65 and up across 16 countries found that people who have a hobby are less depressed and have better health, happiness, and life satisfaction.Expert InsightYou may know others that have been retired and they can give insight as to their routine and how they navigate the freedom of retirement. Finding those joys in life that you never had time for can suddenly fill your day along with the opportunity to move about the world. Retirement can free your imagination and inner child to explore and reinvent yourself. Give yourself permission to create a life that is not tied to a job.Licensed Clinical Social Worker (LCSW), DDKarmen SmithStay socially connected with friends and familySocial connections with friends and family are increasingly crucial as we age. Work once offered a social outlet, and unless you find a way to supplement that gap, loneliness in retirement may occur, and your mental well-being can suffer. Theres strong evidence that the transition to retirement can increase loneliness and research links loneliness with symptoms of depression. Building a supportive network of family and friends is essential to dealing with depression.Seek professional helpIf youre having persistent feelings of sadness, hopelessness, or any other signs of depression, it might be time to consider seeking professional help. Therapy can offer you tools to cope and help you understand where your depression is coming from. Once you know the source of your pain, you can work on alleviating it.Therapists provide tailored care plans that will address your depression after retirement. Exploring different types of therapy for depression can help retirees find tailored approaches to manage their symptoms effectively.Reframe retirement as a new chapterWhen youre depressed about retiring, it can be easy to think your life is over. Try reframing your perspective. Your mind should embrace the potential for positive changes. Positive reinforcement and engaging in fulfilling activities can ease this transition.Look at this phase of your life as a new chapter. This is your time to grow, explore, and have new beginnings. Its a chance to learn, connect with old and new friends, and experience a new phase of life. Instead of thinking about all thats changed, focus on all the opportunities ahead. Keep in mind that embracing retirement with a positive outlook can improve your overall experience. A simple shift in perspective might be all it takes.Embracing a Fulfilling RetirementRetirement can be a time to finally live life on your terms. Its a time to rediscover yourself and strengthen your relationships. You can travel, pursue old dreams, and spend time with loved ones. Even if it takes work to get there, this is a time of renewal and growth. Its OK if youre experiencing depression after retirement  help is available. Talkspace offers accessible online depression treatment with experienced professionals who understand the unique factors that retirement plays in your mental health. Talkspace even accepts Medicare, so you dont have to worry about paying for therapy when youre on a fixed income. Reach out to Talkspace today to learn about online therapy covered by Medicare.See ReferencesPrevalence of Depression in Retirees: A Meta-AnalysisPabn-Carrasco M, Ramirez-Baena L, Snchez RL, Rodrguez-Gallego I, Suleiman-Martos N, Gmez-Urquiza JL. Healthcare. 2020;8(3):321. doi:10.3390/healthcare8030321. Accessed December 14, 2024.Physical health and mental healthMental Health Foundation. Accessed December 14, 2024.Hobby engagement and mental wellbeing among people aged 65 years and older in 16 countriesMak HW, Noguchi T, Bone JK, Wels J, Gao Q, Kondo K, Saito T, Fancourt D. Nature Medicine. 2023;29(9):2233-2240. doi:10.1038/s41591-023-02506-1. Accessed December 14, 2024.Effect of retirement on loneliness: a longitudinal comparative analysis across Australia, China and the USAHagani N, Clare PJ, Luo M, Merom D, Smith BJ, Ding D. Journal of Epidemiology & Community Health. 2024;78(10):602-608. doi:10.1136/jech-2023-221606. Accessed December 14, 2024.Loneliness Is Strongly Linked to Depression in Older Adults in a Large, Long-Term Study2021. doi:10.3310/alert_46882. Accessed December 14, 2024Karmen SmithDr. Karmen Smith is a board-certified Clinical Social Worker in the state of Nevada. She has worked over 20 years for Clark County Family Services with abused and neglected children in the shelter, adolescents in juvenile detention, and adults who have suffered severe trauma. Dr. Smith is a shamanic teacher and minister of metaphysics and her doctorate is in Pastoral Counseling.

As your parents age, the roles youve always known might start to shift. Where once they were the caregivers, suddenly you find yourself stepping into the role of protector and provider. The transition from child to caregiver can feel overwhelming as you take on the responsibility of ensuring their health, safety, and overall well-being.Balancing these new duties with your own lifeyour career, your family, your personal timecan quickly become emotionally and physically draining. Without a clear plan, its easy to feel trapped caring for elderly parents. But with the proper knowledge, preparation, and resources, you can offer your parents the care they deserve without sacrificing your well-being.Caring for aging parents is both rewarding and challenging, but it doesnt have to be done alone. This essential checklist for aging parents will provide you with practical tips and guidance to navigate this new chapter with confidence and compassion.Health & Medical CareManaging your elderly parents physical health is one of the most important ways to ensure they maintain the best possible quality of life in their later years. This involves more than just addressing immediate health issuesits about being proactive in managing chronic conditions, scheduling regular check-ups, and staying informed about their overall health.The goal is to prevent complications before they arise by providing timely care and attention, whether for preventative measures or urgent health needs. Staying organized, keeping track of appointments, and collaborating with healthcare professionals can significantly reduce stress and improve the quality of care your parents receive.Heres a health and medical care checklist for elderly parents to help you stay on top of their care needs:Schedule regular physical exams and screenings: Ensure your parents receive annual check-ups, including vision and hearing tests, blood pressure monitoring, and screenings for conditions like diabetes and heart disease. These routine exams are essential for identifying potential issues early in elderly parents.Create a medication list: Keep an up-to-date list of all prescriptions, including dosages, schedules, and over-the-counter medications. Store medications in a clearly labeled pillbox to help prevent confusion and ensure theyre taken correctly.Set medication reminders: Use phone alerts, caregiver apps, or automatic pill dispensers to remind your parents when its time to take their medications. This helps reduce the risk of missed doses and ensures consistency in their treatment plan.Research and manage chronic conditions: Take the time to learn about any chronic conditions your parents may have, such as diabetes, arthritis, or heart disease. Understanding these conditions can help you anticipate care needs, manage symptoms, and make informed decisions about their treatment.Establish healthcare partnerships: Foster a good relationship with your parents primary care physician and any specialists they see regularly. Open communication with healthcare providers ensures that you stay on top of any changes in your parents health and treatment plans.Arrange for home health aides: If your parents need extra support with medical care or daily activities, consider hiring home health services. These professionals can assist with everything from medication management to personal care, making life easier for both you and your aging parents.Prioritize preventive care: Schedule regular flu shots, vaccines, and cancer screenings (like mammograms and colonoscopies). Preventive care is key to reducing the risk of illness and maintaining your parents health.Organize medical records: Keep a well-organized file of all medical records, including test results, appointment notes, and treatment plans. Having everything in one place ensures that youre always prepared for doctor visits and can quickly reference important information when needed.Living Environment & SafetyA safe and accessible home is essential for reducing accident risks and helping your elderly parents maintain their independence for as long as possible. As mobility, vision, and hearing decline, even minor adjustments to their living space can make a significant difference in both safety and comfort. The right safety measures and accessibility features not only enhance security but also increase their confidence in navigating their environment.Heres a safety checklist for elderly parents to help ensure their home is both secure and comfortable:Perform a safety evaluation. Look for potential hazards around the home, such as loose rugs, uneven flooring, or poor lighting.Install safety modifications: Add grab bars in all bathrooms, check that handrails on staircases are secure, and install non-slip mats in showers or any place with rugs.Optimize the lighting: All areas of the home especially hallways and staircases should be well-lit. Consider adding motion detectors to prevent late-night falls. Declutter common areas: Clear all pathways and high-traffic areas to reduce the risk of tripping or falling.Consider accessibility upgrades: If wheelchair or scooter access is needed, it can be a good idea to install ramps, stairlifts, or wider doorways.Prepare for emergencies: Install smoke detectors, carbon monoxide detectors, and an emergency alert system and check the batteries often. Secure essential items: Keep frequently used items, like medication, phones, chargers, and remotes, within easy reach.Financial Management & Legal ConsiderationsOne of the most challenging aspects of caring for aging parents is navigating the financial and legal responsibilities that come with it. The complexity of managing their finances, securing legal protections, and planning for future care can feel overwhelming. However, taking proactive steps now can significantly reduce caregiver stress down the road and help ensure that your parents needs are met without jeopardizing their financial security.Organizing finances and establishing legal safeguards early on is key to maintaining control and providing peace of mind. A strong financial and legal plan not only helps you manage their care more effectively but also protects their assets and honors their wishes.Heres a financial management and legal checklist to guide you through these important tasks:Assess financial health: To get a clear picture of their financial situation, review all income they have coming in and check amounts in savings, investments, expenses, and debts.Set up power of attorney (POA): Someone trustworthy should be appointed to make financial or healthcare decisions if a loved one or a parent becomes incapacitated and unable to do so for themself.Review legal documents: Ensure that your parents Wills and any Trusts are up-to-date. If there have been any significant life changes (e.g., marriages, divorces, births, or deaths), their Estate Plan may need to be revised. An estate attorney or financial planner can help with any necessary updates.Organize important paperwork: Gather all critical documents, including insurance policies, tax records, property deeds, and any legal paperwork like wills, powers of attorney, and healthcare directives. Store them in a secure, easily accessible place, such as a fireproof safe or a digital file with encryption.Plan for long-term care costs: Its essential to have open, honest conversations with your parents about the reality of paying for long-term care, whether its assisted living, in-home care, or a nursing home. Research the costs involved and explore funding options like long-term care insurance, Medicaid, or personal savings.Monitor bills and expenses: Alleviate financial stress by setting up automated payments to manage recurring monthly expenses like utilities, car and insurance payments, and credit cards.Explore benefits: Take the time to research government programs that could help reduce financial strain. Check if your parents are eligible for Medicare (healthcare for those 65+), Medicaid (for low-income individuals needing long-term care), or any veteran or pension benefits they may be entitled to. Emotional & Social SupportAs your parents age, emotional well-being becomes increasingly important for maintaining their quality of life. Age-related challengeswhether physical, cognitive, or socialcan take a toll on their mental health. Loneliness in retirement, in particular, is a common issue among older adults, leading to vulnerability and affecting their overall well-being. Research has shown that prolonged loneliness is linked to a higher risk of depression, heart disease, and even cognitive decline.Loneliness in older adults has a significant impact on mental health, potentially leading to depression, anxiety, and even cognitive decline; therefore, actively promoting social engagement and support systems is essential for maintaining well-being in later years. Factors like retirement, losing loved ones, and reduced mobility can heighten social isolation, and loneliness can cause significant mental health and emotional decline. Mental health and overall quality of life can be improved by promoting social engagement and fostering a supportive community network. Talkspace therapist Reshawna Chapple, PhD, LCSWAs a caregiver, its crucial to foster connections and create opportunities for meaningful social engagement. Helping your parents maintain a strong social network and encouraging regular social interactions can significantly enhance their happiness, boost their mental health, and improve their overall quality of life.Heres a checklist to ensure their emotional needs are met:Encourage regular social activities: Help your parents stay connected to a vibrant social circle by encouraging regular interactions with friends, family, or community groups. Whether its attending local events, joining senior clubs, or meeting up for coffee, staying socially engaged is vital for their emotional well-being.Monitor mental health: Be attentive to signs your elderly parent needs help, such as withdrawal from activities, irritability, or changes in sleep or appetite. If you notice symptoms of depression or loneliness, address the concerns early on. Promote hobbies and interests: Encourage your parents to continue doing the things they love. Whether its gardening, knitting, playing cards, doing puzzles, or listening to music, providing them with opportunities to engage in familiar, enjoyable activities can boost their mood, stimulate their mind, and reduce feelings of isolation.Facilitate communication: Thanks to modern technology, staying in touch is easier than ever. Set up video calls or phone check-ins to stay connected, and encourage other family members and friends to do the same. Arrange for mental health resources: Ensure your parents have access to professional support if they need it. This may include therapy or counseling to address issues like anxiety, depression, or stress. Many therapists offer in-home visits, or there may be online counseling options available that fit their needs.Celebrate milestones: Make special dates like birthdays, anniversaries, and other meaningful occasions memorable by organizing small celebrations or even virtual gatherings. A phone call, video chat, or thoughtful gesture can go a long way in showing them they are loved and appreciated.Daily Living & Personal CareAs your parents age, daily tasks and personal care may become more challenging. However, these tasks are essential for maintaining their dignity and comfort, both physically and mentally. Supporting them in managing these activities helps them feel cared for while also preserving their independence as much as possible. With thoughtful planning, you can ensure their needs are met consistently and with respect.Heres a daily living and personal care checklist for elderly parents:Help with grooming and hygiene: Assist your parents with bathing, dressing, and grooming, providing support while respecting their independence. Adaptive tools can make these tasks easier and help them feel more comfortable and dignified.Prepare nutritious meals: Create meals that meet dietary restrictions, needs, or preferences. If cooking is a challenge, consider meal planning or delivery services to ensure theyre getting proper nutrition without the stress.Promote physical activity: Encourage gentle exercises like walking, stretching, water aerobics, or gentle yoga to keep them active and mobile. These activities not only boost physical health but also improve mood and energy levels.Provide reliable transportation: Arrange safe, stress-free rides for appointments, errands, or social outings, ensuring your parents can stay connected and independent without the worry of transportation.Adapt routines when needed: Establish a daily routine that balances activity and rest, providing structure and security. A predictable schedule helps reduce anxiety and ensures your parents are getting the care they need.End-of-Life Planning & WishesDiscussing end-of-life plans is never easy, but its essential to honor your parents wishes. Open conversations and careful planning provide comfort, reduce stress, and ensure everyone is prepared when the time comes. By addressing these critical topics now, you can focus on creating meaningful memories together in the future.Consider this checklist for end-of-life planning and wishes:Discuss advanced directives: Have an open conversation about your parents wishes for future medical care. Encourage them to create an advanced directive, such as a living will or healthcare proxy, to ensure their preferences are followed if they can no longer communicate their wishes.Create a funeral or memorial plan: Talk about their preferences for a funeral or memorial service. Discuss whether they have any specific ideas about the ceremony, location, or who theyd like involved, and document these wishes to make things easier for the family when the time comes.Establish a legacy plan: Help your parents gather important family information they wish to pass down, such as photos, letters, or keepsakes. Discuss any items or assets they want to leave to specific people, family members, charities, or organizations. A legacy plan ensures that their memories and wishes are preserved for future generations.Review insurance and benefits: Ensure life insurance policies and other benefits are up-to-date and that all beneficiaries are accurate. Confirm coverage details and address any gaps to provide financial security for your parents and their loved ones.Explore hospice care options: Research and understand hospice care options, ensuring that your parents will receive compassionate, personalized care when the time comes. Having these arrangements in place ahead of time ensures a smoother transition and greater peace of mind.Self-Care for the CaregiverBeing a caregiver for older parents is one of the most compassionate roles you can take on, but its also one of the most demanding. Even with the best intentions, caregiving can leave you physically, mentally, and emotionally drained. Neglecting your own well-being can lead to caregiver burnout, stress, or even depression, making it harder to provide the care your parents need.Taking time for self-care isnt a luxuryits a necessity. By prioritizing your own health and happiness, youll be better equipped to continue offering support to your parents in the long run. The below self-care tips for caregivers will help you maintain balance and well-being as you navigate your caregiving journey.Set boundaries: Establish clear boundaries to avoid taking on more than you can handle. Define the tasks youre responsible for, and dont hesitate to delegate when needed. Take regular breaks: Schedule regular breaks to rest, relax, and recharge. Whether its a few minutes each day or a weekend getaway, time away from caregiving is critical to maintaining your physical and mental health. Practice stress management: Incorporate relaxation techniques like mindfulness, meditation, or yoga into your routine. These practices can help reduce stress, improve emotional well-being, and clear your mind, making you more resilient in the face of caregiving challenges.Seek support: Dont hesitate to lean on others for help. Join a caregiver support group, talk to friends, or confide in family members. Sharing your experiences and feelings can provide a sense of relief and remind you that youre not alone in your journey.Stay active: Physical activity is crucial for both your body and mind. Regular exercisewhether its walking, swimming, or light stretchinghelps maintain your energy levels, reduce stress, and boost your mood.Eat well and sleep enough: Fuel your body with nutritious foods, drink plenty of water, and prioritize restful sleep. A healthy diet and sufficient rest will keep your mind sharp, your body energized, and your stress levels in check.Consider therapy: If youre feeling emotionally overwhelmed or struggling with the demands of caregiving, consider therapy. A therapist can teach you how to navigate the emotional demands caregiving requires.The physical and emotional demands of caregiving can leave caregivers feeling rundown and overwhelmed. With a lack of privacy and competing responsibilities, caregiving for your parents can often feel like a reversal of roles.  Talkspace therapist Reshawna Chapple, PhD, LCSWSupporting Your Parents Well-Being with TalkspaceCaring for aging parents is a deeply rewarding yet often overwhelming experience, and it can take a significant emotional and physical toll on both you and your loved ones. Recognizing that you need support is an essential step in maintaining your own mental and emotional well-beingand ensuring your parents receive the care they deserve.While a comprehensive checklist for caring for elderly parents is a great start, sometimes you need additional help to navigate the challenges of caregiving. Thats where Talkspace comes in. Talkspace offers accessible, affordable online therapy options for both you and your parents, ensuring that both of you can receive the mental health support you need, right when you need it.For you, individual therapy can be a lifelinehelping you manage the stress, anxiety, and burnout that often accompany caregiving responsibilities. For your parents, we offer online therapy covered by Medicare, making mental health care affordable and accessible.Explore Talkspace today to discover how easy it is to get the help you need, for both you and your parents, whenever and wherever you need it.Sources:Social isolation, loneliness in older people pose health risks. National Institute on Aging. April 23, 2019. https://www.nia.nih.gov/news/social-isolation-loneliness-older-people-pose-health-risks. Accessed November 18, 2024.Talkspace articles are written by experienced mental health-wellness contributors; they are grounded in scientific research and evidence-based practices. Articles are extensively reviewed by our team of clinical experts (therapists and psychiatrists of various specialties) to ensure content is accurate and on par with current industry standards.Our goal at Talkspace is to provide the most up-to-date, valuable, and objective information on mental health-related topics in order to help readers make informed decisions.Articles contain trusted third-party sources that are either directly linked to in the text or listed at the bottom to take readers directly to the source.

Elder abuse is a pervasive issue that affects millions of adults worldwide. According to research from the US Department of Justice (DOJ), at least 10% of adults over 65 will experience one or more acts of abuse every year. The National Council on Aging states that seniors who have been abused have an increased risk of deaththats 300% higher than it is for those who havent experienced elder mistreatment. Elder abuse can happen in several formsawareness of each type is key in safeguarding older adults from harm. By familiarizing yourself with the warning signs of all the types of elder abuse, youll be better equipped to spot situations where intervention may be necessary. Keep reading to learn more, including how to report elderly abuse if you suspect or know its happening to someone you love.  6 Types of Elder Abuse to Be Aware ofContrary to what many people think, elder abuse isnt always physical. Abuse can involve any intentional actions or neglect that causes harm. Knowing the different types of elder abuse and mistreatment will help you more easily identify when someone is being victimized.Its crucial to be aware of the variety of types of abuse that can occur toward elders, as these abuses can result in serious harm physically, emotionally, and/or financially. Talkspace therapist Jill Daino, LCSW-R, BC-TMH1. Physical abusePhysical abuse is the most well-known, often most obvious, form of abuse. It can involve hitting, slapping, pushing, or any other act of violence that causes pain or injury. Whether it occurs at home, in a nursing home, assisted living facility, or in any other setting, a bruise, fracture, or other bodily injury on an elderly person can be a sign of physical abuse. Spotting physical abuse quickly in older adults is critical in protecting them from further harm.2. Emotional or psychological abuseVerbal abuse, assaults, threats, humiliation, isolation, or manipulation that cause emotional distress are all ways someone can be emotionally or psychologically abused. While there may not be marks left or physical harm done, emotional abuse can be just as damaging as any other type of elder abuse.  3. Sexual abuseSexual abuse involves any non-consensual sexual contact. Elders being sexually abused might not understand the act due to cognitive impairment. They may be unable to stop it due to being weaker than their attacker, or they may be afraid to talk about it.4. NeglectCaregivers who fail to provide adequate care, food, shelter, or medical attention can harm seniors. Neglect can lead to physical and emotional harm and may manifest through poor hygiene, inadequate nutrition, lack of medical care, or social isolation. Ignoring the signs of elder neglect can result in serious harm or even death.5. AbandonmentElder abuse in the form of abandonment occurs when someone whos assumed responsibility for the care of an aging person deserts them, which can cause abandonment trauma in the victim.6. Financial or material exploitationUsing, misusing, or withholding an older adults funds, property, resources, or assets for personal gain can constitute financial abuse. Elderly financial abuse is rising, so becoming aware of red flags is paramount.Recognizing the Signs of Elder AbuseIf you have an older person in your life, you should be able to recognize the signs of elder abuse. Noticing the signs of elder abuse and speaking up to protect a senior is vital, especially since many elders may be unable or too afraid to speak up for themselves. Your intervention can make all the difference in their safety and well-being. Talkspace therapist Jill Daino, LCSW-R, BC-TMHWarning signs of physical and sexual abuseThere are several warning signs of physical or sexual elder abuse to be aware of. Knowing the following signs can help you quickly determine if anything might be happening to a senior in your life.Warning signs of physical abuse:Unexplained wounds, bruises, cuts, burns, or injuries in various phases of healing  Frequent visits to the emergency room or doctors office for injuriesSigns of restraint on wrists or ankles, such as bruises or abrasionsSudden changes in behavior, like increased anxiety or fearfulness Warning signs of sexual abuse:Torn or stained clothing, particularly undergarmentsGenital pain, bleeding, bruising, or sexually transmitted infectionsIndicators of emotional abuseEmotional abuse of an elder can be more challenging to see, so recognizing the following indicators is essential.  Behavioral changes: Changes in behavior patterns, like withdrawal from social activities, increased anxiety, and depression are some of the behavioral changes that may indicate emotional abuse.Demeaning language: Harmful language including insults, name-calling, and belittling comments toward elders are signs of emotional abuse.Isolation by exclusion: Cutting off social ties can be a way for an abuser to retain power over a target.Signs of neglect and abandonmentIts crucial you dont ignore signs of elder neglect and abandonment, which can cause serious harm to older adults.Physical indicators:Unexplained weight lossPoor hygiene, dirty clothing, or bedsoresLack of medical aids like glasses, hearing aids, or medicationsUnsafe living conditions, including lack of heat, running water, or an unsanitary environmentBehavioral signs:Social isolation or withdrawal from activities that were once enjoyedFrequent arguments with caregivers or family membersDepression, anxiety, or fearfulnessFrequent changes in caregivers or nursing homesLack of supervision or assistance in long-term care facilitiesFlags for financial exploitationFinancial exploitation often flies under the radar, but it can be devastating for an older person who lives on a limited or fixed income and is being taken advantage of. Signs of elder financial abuse include:Unusual bank account activity: Frequent large withdrawals or transfers at odd times.New loans or credit cards: Sudden appearance of new loans, lines of credit, or maxed-out credit cards.Mismanagement of finances: Unpaid bills, bounced checks, and poor financial management.Sudden changes in estate planning documents: Unexpected alterations to wills, trusts, and powers-of-attorney (POA) agreements.Giving away valuable possessions: Suddenly giving away personal, high-value, or sentimental belongings without explanation can be a red flag.Symptoms of self-neglectSelf-neglect can be a bit more difficult to identify because it often occurs when a senior is transitioning from a time when theyre still able to care for themselves appropriately to when they start to need additional support and help. Look for the following symptoms of self-neglect:Not bathing regularly: Watch for poor personal hygiene, unkempt appearance, and body odor.Running out of food: Be aware of nutritional concerns like weight loss or gain without explanation or expired or spoiled food in the home.Ignoring their health needs: Medical neglect, like ignoring medical advice, not taking prescribed medications, or having untreated injuries and illnesses, can be dangerous.Living environment is unsafe: Inadequate living conditions, like unsafe housing, hoarding behavior, and infestations by pests can be harmful.How to Report Elder AbuseIf you suspect elder abuse, take action and report your concerns to protect the victim and ensure they receive the support and intervention they need. Reporting elder abuse can:Protect the victim: Reporting suspected abuse can keep an older person safe.Prevent future abuse: When elder abuse is properly reported, it means others wont experience the same mistreatment.Promote justice: Reporting helps hold abusers accountable for their actions.Raise awareness: Speaking out about elder abuse can raise public awareness and encourage others to be more aware and act.Mandatory reporting laws may apply in certain situations, requiring professionals to report suspected elder abuse.When and why you should report elder abuseDepending on who the abuser is, acting quickly to report elder abuse could save the life and well-being of not just your loved one it might save countless others.  Steps to report elder abuseIf you suspect any of the types of elder abuse discussed here, take the following steps: Contact local authorities: Call 911 if someone is in immediate danger or contact The National Adult Protective Services Association or law enforcement for non-emergencies.Gather information: Collect details about the victim, alleged abuser(s), type of abuse, signs of elder mistreatment observed, and any relevant documentation.Provide a detailed report: Give a clear and detailed account of your concerns, including all the information or evidence gathered in the previous step.Maintain confidentiality: Keep your identity confidential to protect yourself and the victim from potential retaliation by the abuser(s).Follow up on your report: Make sure to inquire about updates on the investigation process to ensure appropriate actions are being taken.Professional Support for Elder Abuse Victims with TalkspaceRemember, reporting elder abuse isnt just a moral obligation it can be a legal one too. Dont hesitate to take action. If someone in your life is a victim of elder abuse, Talkspace is here to provide mental health support. Help your loved one get the help they need for any resulting trauma with online therapy at Talkspace.Sources:Elder Abuse Statistics. United States Department of Justice. Accessed June 1, 2023. https://www.justice.gov/file/1098056/download. Get the Facts on Elder Abuse. The National Council on Aging. February 23, 2021. Accessed June 1, 2023. https://ncoa.org/article/get-the-facts-on-elder-abuse. We support adult protective services. NAPSA. Accessed June 1, 2023. https://www.napsa-now.org/. Talkspace articles are written by experienced mental health-wellness contributors; they are grounded in scientific research and evidence-based practices. Articles are extensively reviewed by our team of clinical experts (therapists and psychiatrists of various specialties) to ensure content is accurate and on par with current industry standards.