Aging

Aging poses many challenges to a woman's mental health needs. As women age they may increasingly face issues such hormonal and health-related changes, losses related to reproductive capacity, increased potential for illness, feelings of isolation as family and friends become ill or die, and financial worries.

Mental health practitioners can help women reinforce their sense of self, minimize their vulnerabilities and build brides to family, friends and community resources.

A variety of approaches may be appropriate. Interpersonal psychotherapy can address issues such as role transitions, grief and loss, and problems in relationships. Family therapy can help build family support. Elements of cognitive behavioral therapy can decrease symptoms of depression, anxiety and phobias. Medicines for depression can also play a role in managing mood changes associated with hormonal changes, medical problems and adjustment to loss and role transitions.

Therapy with a woman who is facing the challenge of aging must also address the cultural context in which a woman approaches aging. Many cultures may isolate or shut out women as they age while other cultures may offer insights and a context for celebration of a woman's life as she ages.

The most effective treatment involves creative solutions that combine several approaches, tailored to the client's needs. Drawing on resources including case managers, religious and spiritual supports and community organizations can be very helpful.