Understanding Anxiety in Later Life

Feeling anxious from time to time is normal, but for some older adults, worry can become persistent and overwhelming. Anxiety about health, memory changes, loss of independence, losing loved ones or feeling disconnected from family and friends can all add to this sense of unease. Even everyday tasks can feel daunting when anxiety takes hold.

Distinguishing Normal Worry from Clinical Anxiety

Recognising the Signs

Anxiety can manifest in various ways. Here's a checklist to help identify potential symptoms:

Physical Symptoms:

• Chest pain or palpitations

• Shortness of breath

• Fatigue

• Muscle tension

• Sweating

• Nausea or dizziness

Psychological Symptoms:

• Excessive worry about health, family, or everyday tasks

• Restlessness or feeling on edge

• Irritability

• Difficulty concentrating

• Sleep disturbances

Behavioral Symptoms:

• Avoidance of social situations or routine activities

• Withdrawal from loved ones

• Changes in appetite

• Increased use of alcohol or medications

How Psychotherapy Can Help

For older adults experiencing anxiety, therapy can make a real difference. Cognitive-Behavioural Therapy (CBT) is widely supported by research and helps people recognise and change unhelpful thought patterns while building practical coping strategies. Acceptance and Commitment Therapy (ACT) encourages gently accepting anxious thoughts and focusing on meaningful activities, helping to reduce distress and improve wellbeing. Solution-Focused Therapy (SFT) draws on personal strengths to identify solutions and take small, manageable steps toward feeling calmer and more in control.

These approaches have been shown to reduce worry, improve sleep and concentration, and support older adults in reconnecting with the activities and people that bring them joy. When combined with guidance from a GP about medications, therapy provides a balanced, effective approach to managing anxiety, helping life feel more manageable, meaningful, and enjoyable.