Mental Health Matters: Myths on Mental Health and Aging

Amy Phariss, LCMHCA

Clarity Counseling

As a therapist, I see clients in all age ranges. I have worked with clients as young as five years old, and I have also worked with clients in their 80s and 90s. It’s one of the best parts of my job: I get to hear stories from every generation! One thing I notice, however, is a reluctance for older adults to come to therapy or to feel comfortable with the process. I often hear clients say, of their parents, “Oh, my father would never come to therapy.” Or “My parents say they’ve made it this far without therapy, so they don’t see the need.” However, clients usually say this with sadness because they want their loved ones to feel better, and they want better relationships and connection with everyone in the family, no matter the age.

As we age, mental health becomes an increasingly important aspect of overall well-being. However, there are many misconceptions about mental health and aging that can prevent older adults from seeking support. These myths often lead to stigma and misunderstandings, making it harder for seniors to address their mental health concerns. In this article, we’ll debunk 10 common myths related to mental health and aging, highlighting the importance of emotional wellbeing for everyone.

Here are 10 of the most common myths about mental health and aging I see as a licensed therapist:

Myth #1: Mental health problems are a natural part of aging.
While mental health challenges may increase with age, they are not an inevitable part of getting older. Many older adults maintain good mental health throughout their lives, and mental health issues are often not related to aging but to life circumstances, to childhood trauma or to lack of coping skills. These can happen to anyone, at any age.

Myth #2: Older adults are less likely to experience mental illness.
Mental illness can affect anyone, regardless of age. Conditions like depression, anxiety, and dementia are common in older adults, though they are often overlooked or misdiagnosed. In fact, according to the National Council on Aging (NCOA), older adults make up 22% of suicide deaths in the United States, even though they make up only 16% of the population. The CDC reports, “The largest percent increase in suicide rates between 2001and 2021 occurred among men ages 55–64 and among women ages 65–74.”

Myth #3: Dementia is inevitable as people age.
While dementia becomes more prevalent with age, it is not a guaranteed outcome. Many older adults retain their cognitive function well into their later years. And many of the signs and symptoms of dementia are similar to those of mental health issues such as depression, anxiety and PTSD. It’s important to find the correct diagnosis and treat the actual issues.

Myth #4: Mental illness is a sign of weakness.
Mental health issues are medical conditions that can affect anyone. They are not a reflection of a person’s strength or character. While there can certainly be generational beliefs related to therapy or medication to treat mental health issues, these beliefs can be explored and challenged so that everyone can benefit from support.

Myth #5: Older adults with mental health problems are difficult to treat.
Older adults can benefit from treatment for mental health issues, just like younger individuals. Older adults also have a wealth of experience and wisdom to pull from and draw on. Older adults also focus often on meaning and purpose, family connection and processing loss because of aging. These are rich areas for growth.

Myth #6: Social isolation doesn’t impact mental health in older adults.
Isolation can significantly affect an older adult’s mental health, leading to depression, anxiety, and even cognitive decline. We all need connection to thrive. This doesn’t change as we age.

Myth #7: Older adults don’t have the ability to adapt to new therapies or treatments.
Many older adults are open to and benefit from newer mental health treatments, including therapy, medications, and lifestyle changes. In fact, older adults often have the time, energy, focus and environment to make sustainable changes in their lives, both physical and mental.

Myth #8: Mental health issues in older adults are always related to physical health problems.
While physical health can influence mental health, many mental health issues, such as depression or anxiety, happen independently and may require specific mental health treatment. Many times, we think people are “cranky” or grumpy because of chronic pain. We think our dad is missing out on sleep because his back hurts, but changes in sleep or irritability can be related to depression and/or anxiety, among other mental health concerns.

Myth #9: Therapy or counseling is only for younger people.
Therapy can be highly beneficial for older adults, helping them cope with life changes, loss, and other challenges they face in later years. We never stop learning or growing. Life never stops throwing us curve balls. And it’s important to remember that challenges from earlier in our lives can linger well into our later decades. Many clients work on issues from childhood or early adult years once they have the time to focus, which can be in their 60s and beyond.

Myth #10: Older adults with mental health problems are not able to live independently.
Many older adults with mental health issues can live independently with proper support, whether through therapy, medications, or community resources. Independent living may be the thing that encourages older adults to seek therapy, as a way to support themselves in

If you or a loved one is struggling with a mental health issue or wants to explore changes in mental health, scheduling an appointment with your primary care physician is a great place to start. They can assess your overall mental health and refer you to appropriate professionals. You may need to see a counselor, a social worker, a neuropsychologist or a psychiatrist. There are many options for support, and reaching out is the first step.