Anxiety in older adults
Anxiety is a common accompaniment of major depression.
Older patients who experience major depression also meet the criteria for generalized anxiety disorder (GAD) in more than 50% of the cases. In addition, some older persons meet the criteria for panic disorder.
Anxiety symptoms may be secondary to appropriate fear in threatening situations.
- Older adults living in urban settings often fear being attacked as they walk the streets.
- Those with memory loss who live alone may fear that they will get lost driving to the doctor’s office.
- Individuals who have lost the acuteness of their reflexes fear driving on busy, crowded highways.
Medical causes of anxiety in older adults
- Cardiac arrhythmia
- Pulmonary emboli
- Over-the-counter sympathomimetic drugs
- Anticholinergic agents
- Withdrawal from anti-anxiety medications
People with anxiety can also experience panic attacks. This is a discrete period of intense fear or discomfort, in which four (or more) of the following symptoms developed abruptly and reached a peak within 10 minutes:
- Chest Pain
- Shortness of Breath
- Parasthesias (numbness/tingling)
- Hot/cold waves
- of Dying
- of Going Crazy
Depression and anxiety can affect everyone and may manifest in addiction disorders to alcohol, drugs or prescription medications. Dr. Keith Heinzerling is an addiction medicine specialist who treats adults of all ages. Patients with depression, anxiety, PTSD, end-of-life distress, chronic pain, drug/alcohol problems, and other conditions may be eligible for psychedelic-assisted therapy with ketamine.
Our geriatric psychiatrist, Dr. David Merrill, offers kind, compassionate, thorough clinical evaluations and follows depression treatment guidelines, helping the patient to stay connected with the activities and people who matter to them. Contact us at 310-582-7641 to schedule a consultation.
If you or someone you know is in crisis, call the National Suicide Prevention Lifeline (Lifeline) at 1-800-273-TALK (8255), or text the Crisis Text Line (text HELLO to 741741). Both services are free and available 24 hours a day, seven days a week. The deaf and hard of hearing can contact the Lifeline via TTY at 1-800-799-4889. All calls are confidential. Contact social media outlets directly if you are concerned about a friend’s social media updates or dial 911 in an emergency. Learn more on the Lifeline’s website or the Crisis Text Line’s website.