Every year on Oct. 10th, the World Health Organization (WHO) observes World Mental Health Day to raise
awareness and improve access to care. Mental health matters at every stage of life—but for older adults,
it often goes unnoticed and untreated.
As the world’s population ages, mental health in later life is a growing concern. The WHO estimates that “around 14% of adults aged 60 and over live with a mental disorder.” The most common include depression, anxiety, and cognitive decline. Loneliness, declining health, and the of loved ones can make these issues even harder. And as the WHO notes, “Mental health conditions among older people are often underrecognized and undertreated.” That’s because many people hesitate to talk about emotional struggles, even with their doctor. Even without a formal mental health diagnosis, many seniors have emotional distress. This could be sadness, anxiety, or a lack of motivation.
These symptoms might not be severe enough for a medical label, but they can still affect daily routines, relationships, and overall quality of life.
The WHO reports that loneliness and isolation affect 25% of older people, making them key risk factors for depression and anxiety.
Over time, chronic loneliness can lead to stress, a weakened immune system, and faster cognitive decline.
The U.S. National Institute on Aging (NIA) notes: “Adults who are lonely or socially isolated tend to be less healthy ... and are more likely to die earlier than those with meaningful and supportive social connections.”
Older adults who have more trouble with daily tasks—like bathing, dressing, cooking, or
managing medications—are more likely to have symptoms of depression, says a report from the Brookings Institution. Depression is most common among older adults who have the least money and resources. In other words, the more limited someone is physically or financially, the more likely they are to struggle with depression.
This creates a troubling cycle. The more limited someone is—physically or financially—the more likely they are to struggle with their mental health. And once that struggle begins, it can make it even harder to stay independent or seek help.
While older women report more symptoms of depression, older men—especially those over 85—are at much higher risk of suicide. The Brookings report says that men ages 85 and older have the highest suicide rate by a significant margin, while women in this age group have the lowest.
Clearly, mental health in later life isn’t just about mood or memory—it’s a life-or-death issue for some.
Despite the clear need, access to mental health care is still limited for many seniors. The Brookings report says “a significant share of people with a serious mental illness who are only covered by Medicare are likely to experience financial pressure” due to high treatment needs.
There are also disparities in who gets care. According to the same report, “female, non- Hispanic white, and higher-income older adults were most likely to use mental health care,” even though distress affects people of all backgrounds.
If you or a loved one is feeling isolated, lonely, or emotionally low, the NIA suggests taking these steps that may help improve well-being:
“People who engage in meaningful, productive activities ... feel a sense of purpose and tend to live longer,” says the NIA.
This World Mental Health Day let’s remember that mental health doesn’t retire. Seniors are living longer, navigating major life changes, and still giving so much to their families and communities. They deserve care and support that honors both their age and their humanity.