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Home / Older adults

For older adults

Later life can be full — and still hard sometimes.

Retirement, health changes, losing people we love, living farther from family — later life brings real challenges. Depression and anxiety are common, but they are not a normal part of aging. They're treatable at any age.

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1 · Know the signs

Depression can look different after 60.

Many older adults with depression don't feel “sad.” Instead, it can show up as:

  • Tiredness, slowing down, or sleep changes
  • Aches, pains, or stomach problems without a clear cause
  • Irritability or grumpiness
  • Losing interest in hobbies, friends, church, or family
  • Not eating, or losing weight
  • Trouble with memory or concentration — sometimes mistaken for dementia
  • Not wanting to leave the house, or to be a “bother”
Worth knowing: depression can be linked to other health conditions — like heart disease, stroke, diabetes, thyroid problems, Parkinson's, and chronic pain — and to side effects of some medicines. That's why a doctor's visit is an important step.

Memory

Worried about memory?

Normal aging or a warning sign, why sudden confusion is an emergency, and our full dementia guide.

Open the dementia guide →

2 · Your benefits

Medicare helps pay for mental health care.

A yearly depression screening

Medicare Part B

Medicare covers one depression screening per year, done in a primary care setting such as your doctor's office. If your doctor accepts assignment, you typically pay nothing for the screening.

Counseling and therapy

Medicare Part B

Medicare covers outpatient mental health care, including counseling with psychiatrists, psychologists, clinical social workers, and — since 2024 — licensed marriage and family therapists and mental health counselors. Many visits can be done by video or phone.

Your “Welcome” and yearly wellness visits

Ask for it

These visits include a review of your risk for depression. Say how you've really been feeling — it counts.

Costs and rules depend on your plan (Original Medicare or Medicare Advantage). Check with your plan or at Medicare.gov.

3 · Move gently

Movement that lifts mood and steadies balance.

Exercise is one of the best-supported ways to ease depression at any age. For older adults, two Chinese practices stand out because they are gentle, can be done seated, and also improve balance.

Many senior centers and community centers offer free or low-cost tai chi classes — a good way to meet people, too.

4 · Sleep

Sleep changes with age. Insomnia doesn't have to.

It's normal to sleep a little lighter and wake earlier as we age. But lying awake night after night isn't something you have to accept. The first treatment doctors recommend for chronic insomnia is CBT for insomnia (CBT-I), which works well for older adults too. Strong evidence

Be careful with sleep aids. Many over-the-counter “PM” products contain diphenhydramine or similar antihistamines. The American Geriatrics Society lists these, and many prescription sleeping pills, among medicines older adults should generally avoid because they raise the risk of confusion, falls and memory problems. Ask your doctor or pharmacist before using any sleep aid.

Read our sleep guide · Try a bedtime body scan

5 · Stay connected

Loneliness is a health issue — not a personal failing.

Losing a spouse or friends, retiring, giving up driving, or hearing loss can quietly shrink our world. The NIA links loneliness and isolation to higher risk of depression, heart disease, and cognitive decline.

  • Get your hearing checked. Treating hearing loss can make conversation — and going out — feel possible again.
  • Make it a routine. A standing weekly call or coffee is easier than planning each time.
  • Find local programs. The Eldercare Locator (1-800-677-1116) connects you with your local Area Agency on Aging: senior centers, meals, rides, and volunteer opportunities.
  • Give back. Volunteering and mentoring bring purpose and new friends.
  • A friendly voice any time: the Friendship Line at 1-800-971-0016 — not only for emergencies.

Read our loneliness guide · Grief and losing a partner

6 · Talk with your doctor

What to say at your next visit.

Many people wait for the doctor to ask. You can bring it up first — doctors want to know. Fill in the blanks, then print this page or write it on a card.

“For about ____ weeks, I've been feeling ________________.”

“It's affecting my sleep / appetite / energy / interest in things / memory.”

“Could this be depression or anxiety?”

“Could any of my medicines or health conditions be causing this?”

“What are my options — including talk therapy?”

Bring: a list of all your medicines and supplements, your check-in result, and someone you trust if you'd like.

7 · Help lines

Someone to talk to.

988 Suicide & Crisis Lifeline

Call 988

Call or text 988, or chat at 988lifeline.org. Free, confidential, 24/7. Veterans: press 1. Spanish: press 2.

Crisis Text Line

Text 741741

Text HOME to 741741 to reach a trained volunteer counselor, 24/7.

Emergency

Call 911

If someone is in immediate danger, has taken something, or is injured, call 911 or go to the nearest emergency room.

Friendship Line (older adults)

Call

The Institute on Aging's 24/7 line for people 60+ and adults living with disabilities: 1-800-971-0016. For a crisis or just someone to talk to.

NAMI HelpLine

Call

Information, support and referrals (not a crisis line), weekdays: 1-800-950-6264, or text “helpline” to 62640.

SAMHSA National Helpline

Call

Free, confidential treatment referral for mental health and substance use, 24/7, English and Spanish: 1-800-662-4357.

Eldercare Locator

Call

Find local help for older adults and caregivers — meals, rides, respite, benefits counseling: 1-800-677-1116, weekdays.

Reviewed September 2026. Education only — not medical advice.