631: Mental Health in Later Life with Dr. Helen Lavretsky
Jul 31, 2024
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Dr. Helen Lavretsky, a psychiatrist and UCLA professor specializing in geriatric psychiatry, sheds light on the mental health struggles faced by those over 60, revealing that loneliness and chronic pain are significant factors. She discusses the aging brain's shifts and the challenges of polypharmacy. Fascinatingly, Dr. Lavretsky emphasizes the uplifting power of music, chanting, and mind-body practices like yoga, highlighting their benefits for mental well-being and cognitive health in later life.
Addressing mental health proactively in later life is essential due to prevalent issues like loneliness, isolation, and chronic pain among older adults.
Engaging in mind-body practices and nurturing social connections significantly enhance cognitive and emotional health in the aging population.
Deep dives
Prevalence and Causes of Mental Health Disorders in Older Adults
A significant portion of individuals over 60 years old experience mental health disorders, primarily depression and anxiety, as reported by the WHO. Contributing factors include loneliness, isolation, chronic pain, and declining health, which often lead to individuals suffering in silence due to a lack of social support. The challenges of aging exacerbate these issues, making it crucial to address mental health proactively in later life. Recognizing these factors is the first step toward creating effective support systems for older adults to enhance their well-being.
Effects of Aging on Brain Function and Emotional Resilience
With age, the brain undergoes physical changes, including shrinkage and the development of vascular lesions, which can impact cognitive functions such as memory and emotional regulation. Interestingly, as people grow older, their resilience often improves, leading to a decreased tendency to focus on minor irritations and a greater sense of emotional stability. This resilience can be harnessed to navigate the unique mental health challenges faced in later years, such as retirement and loss. Understanding these changes highlights the importance of fostering emotional well-being as part of healthy aging.
Mind-Body Practices to Enhance Mental Health in Older Adults
Engaging in mind-body practices like yoga and meditation has been shown to produce significant benefits for older adults, including improved cognitive function and emotional health. Research indicates that such practices can lead to positive changes in brain structure and decreased markers of aging, effectively counteracting some of the cognitive decline associated with aging. Activities that promote joy and social connections are particularly beneficial, as they foster not only mental resilience but also community bonds. Emphasizing the value of physical activity and mindfulness can create a more enjoyable and fulfilling later life experience.
According to the WHO at least 14 percent of people over 60 have a mental health disorder with depression and anxiety at the top of the list. Loneliness, isolation, chronic pain, and diminished health are contributing causes, and unfortunately, many suffer in silence. My guest on this week’s podcast has dedicated her career to geriatric psychiatry and shares her insights into finding peace and joy in later life.
Listen and learn:
What happens to the aging brain
Potential problems with polypharmacology
Why mental health medications lose efficacy
The power of singing, chanting, music and devotion
Dr. Helen Lavretsky is a psychiatrist and professor at UCLA, specializing in geriatric psychiatry and integrative mental health. Dr. Lavretsky is a leading voice in promoting mental wellbeing, particularly in later life.