Managing Anxiety as We Age: Recognizing the Signs and Finding Support

Managing Anxiety as We Age: Recognizing the Signs and Finding Support

Getting older brings new experiences, opportunities and challenges, too. While it’s common to feel nervous or worried during periods of change or uncertainty, persistent anxiety isn’t something to simply accept at any age. Understanding more about anxiety, what can trigger it and when to seek support can help older adults maintain their emotional well-being and quality of life.

Ravi Sabapathy, PsyD, a licensed clinical psychologist at AdventHealth Shawnee Mission, shares insights on navigating anxiety as you age and finding support to help you feel whole.

How Anxiety Can Look Different in Older Adults

Anxiety doesn't affect everyone the same way, and as we age, the signs and symptoms may look different.

"Young adults may more readily describe feeling worried, nervous or overwhelmed," explains Dr. Sabapathy. But as we age, anxiety may not appear quite as straightforward. He continues, "In older adults, anxiety may show up more as physical symptoms such as changes in sleep, irritability, difficulty concentrating or increased concern about health, mobility and safety."

Some older adults may also withdraw from activities they once enjoyed or frequently seek reassurance about their health. Because these symptoms can overlap with other health conditions or medication side effects, Dr. Sabapathy emphasizes the importance of discussing new or unexplained symptoms with a healthcare professional to determine the primary underlying cause.

Life Changes That Can Trigger Anxiety

Major life transitions can create uncertainty at any age, but certain changes become more common later in life. Retirement, changes in finances, moving to a new home, becoming a caregiver, losing a loved one or adjusting to a new medical diagnosis can all contribute to increased anxiety.

"Even positive changes can be stressful," says Dr. Sabapathy. "The important thing is to recognize that needing time to adjust doesn’t mean someone is experiencing a significant decline in functioning." In addition, having support from family, friends and healthcare professionals can make these transitions easier to navigate.

Stress vs. Anxiety: What's the Difference?

Everyone experiences stress, but knowing when it's time to seek additional support can be difficult. According to Dr. Sabapathy, "Everyday stress usually has a recognizable cause or trigger and tends to improve when the stressful situation resolves or when someone has an opportunity to rest and recover."

Anxiety, however, may linger even when there isn’t an immediate stressor. "Anxiety may be more persistent or disproportionate to the situation," he says. "It can continue even when there is not an immediate threat or concern and may interfere with sleep, relationships, social activities or everyday responsibilities."

He recommends asking yourself one simple question: "Is my worry getting in the way of functioning or living my life?" If the answer is yes, it may be time to talk with a healthcare professional.

Physical Symptoms Shouldn't Be Ignored

Many people think of anxiety as primarily emotional, but it can also cause physical symptoms.

These may include:

• Difficulty resting and relaxing
• Dizziness
• Fatigue
• Headaches
• Muscle tension
• Racing heart
• Shortness of breath
• Stomach or digestive problems
• Sweating
• Trembling

In older adults, these symptoms are sometimes mistaken for signs of another medical condition. That's why it's important to discuss new or unexplained symptoms with a healthcare professional to determine the underlying cause.

Healthy Ways to Manage Anxiety

While anxiety can feel overwhelming, Dr. Sabapathy recommends evidence-based strategies to help support your emotional well-being:

• Keep a consistent daily routine
• Limit or avoid substances that can worsen anxiety, including excess caffeine, alcohol and nicotine
• Maintain a regular sleep schedule
• Practice relaxation techniques such as slow breathing, mindfulness, meditation, yoga or prayer
• Seek professional support when needed
• Stay physically active with activities appropriate for your health and mobility
• Stay socially connected with family, friends, faith communities or volunteer groups

"The best approach is to comprehensively and compassionately assess any adult regardless of age to determine drivers of their healthcare concerns," he says.

The Connection Between Loneliness and Anxiety

Social isolation and loneliness can become more common with age, and they can have a significant impact on mental health.

"Loneliness and anxiety can reinforce one another," Dr. Sabapathy explains. "Someone who feels anxious may avoid social situations, while spending less time with other people can increase feelings of loneliness and worry."

Even small steps can help. Scheduling regular phone calls, joining a community group, volunteering or taking a walk with a friend can provide meaningful connections and support.

When to Seek Help

If worry or fear becomes persistent, worsens over time or interferes with sleep, relationships or daily activities, it's important to talk with a doctor.

"There is nothing embarrassing about asking for help," says Dr. Sabapathy. "Anxiety is a health condition and not a personal weakness. Seeking support is a sign of empowerment, ownership, intelligence and taking your health seriously."

He continues, “The good news is that anxiety is treatable. With the right combination of medical care, healthy daily habits, social support and behavioral health resources, older adults can reduce anxiety and continue doing the things that bring meaning and joy to their lives.”

We’re Here to Support Your Whole Health

If anxiety is affecting your daily life, you don't have to navigate it alone. At AdventHealth, our behavioral health experts provide compassionate, whole-person care designed to support your emotional, mental and physical well-being. Learn more about our behavioral health services and find the support that's right for you.