Marvin Tolkin was 83 when he decided that the unexamined life wasn't worth living. Until then, it had never occurred to him that there might be emotional "issues" he wanted to explore with a counselor.
"I don't think I ever needed therapy," said Tolkin, a retired manufacturer of women's undergarments.
Though he wasn't clinically depressed, Tolkin did suffer from migraines and "struggled through a lot of things in my life" - the demise of a long-term business partnership, the sudden death of his first wife 18 years ago. He worried about his children, and his relationship with his current wife, Carole.
"When I hit my 80s I thought, 'The hell with this.' I don't know how long I'm going to live, I want to make it easier," said Tolkin, now 86. "Everybody needs help, and everybody makes mistakes. I needed to reach outside my own capabilities."
So Tolkin began seeing Dr. Robert C. Abrams, a professor of clinical psychiatry at Weill Cornell Medical College in Manhattan. They meet once a month, exploring the problems that were weighing on Tolkin. "Dr. Abrams is giving me a perspective that I didn't think about," he said. "It's been making the transition of living at this age in relation to my family very doable and very livable."
NO LONGER A STIGMA
Tolkin is one of many seniors who are seeking psychological help late in life. Most never set foot near an analyst's couch in their younger years. But now, as people are living longer, and the stigma of psychological counseling has diminished, they are recognizing that their golden years might be easier if they alleviate the problems they have been carrying around for decades. It also helps that Medicare pays for psychiatric assessments and therapy.
"We've been seeing more people in their 80s and older over the past five years, many who have never done therapy before," said Dolores Gallagher-Thompson, a professor of research in the department of psychiatry at Stanford. "Usually, they've tried other resources like their church, or talked to family. They're realizing that they're living longer, and if you've got another 10 or 15 years, why be miserable if there's something that can help you?"
Some of these older patients are clinically depressed. The National Alliance on Mental Illness reports that more than 6.5 million Americans over age 65 suffer from depression. But many are grappling with mental health issues unaddressed for decades, as well as contemporary concerns about new living arrangements, chronic health problems, the loss of loved ones and their own mortality.
IT'S NOT TOO LATE
"It's never too late, if someone has never dealt with issues," said Judith Repetur, a clinical social worker in New York who works almost exclusively with older patients. "A combination of stresses late in life can bring up problems that weren't resolved."
That members of the Greatest Generation would feel comfortable talking to a therapist, or acknowledging psychological distress, is a significant change.
"For people in their 80s and 90s now, depression was considered almost a moral weakness," said Gallagher-Thompson. "Fifty years ago, when they were in their 20s and 30s, people were locked up and someone threw away the key. They had a terrible fear that if they said they were depressed, they were going to end up in an institution. So they learned to look good and cover their problems as best they could."
But those attitudes have shifted over time, along with the medical community's understanding of mental illness among seniors. In the past, the assumption was that if older people were acting strangely or having problems, it was probably dementia. But now, "the awareness of depression, anxiety disorders and substance abuse as possible problems has grown," said Bob G. Knight, a professor of gerontology and psychology at the University of Southern California.
Treatment regimens can be difficult in this population. Antidepressants, for instance, can have unpleasant side effects and only add to the pile of pills many elderly patients take daily. Older patients may feel that they don't have the time necessary to explore psychotherapy, or that it's too late to change.
But many eagerly embrace talk therapy, particularly cognitive behavioral techniques that focus on altering thought patterns and behaviors affecting their quality of life now. Experts say that seniors generally have a higher satisfaction rate in therapy than younger people because they are usually more serious about it. Time is critical, and their goals usually are well defined.
After her husband died two years ago, Miriam Zatinsky, a retired social worker who is now 87, moved into an independent living facility at Miami Jewish Health Systems. It was a difficult transition to make late in life.
"It was really strange to me, and I couldn't seem to make any friends here," Zatinsky said. "I really couldn't find my way. I was having a terrible time."
The medical director for mental health at the facility, Dr. Marc E. Agronin, a geriatric psychiatrist and the author of "How We Age," told her that her problems were not unusual for someone in her situation. He prescribed Xanax to help with anxiety, which she said she rarely takes, and he put her in touch with a social worker whom Zatinsky saw once a week. They strategized on how she could reach out. And slowly, she did.
"Sitting at the table for dinner, you talk to people," said Zatinsky, who has become president of her building.