Does anxiety get better with age?

Tuesday 22nd Nov 2022 |

Anxiety does not necessarily get worse with age, but the people having anxiety issues change across their life span. Anxiety becomes more prevalent with older age and is most common among middle-aged adults.

It may be due to several factors, including changes in the brain and nervous system as we age and is more likely to experience stressful life events that can trigger anxiety. 

Feelings of nervousness and anxiousness are common in both adults and children. But when those feelings start overwhelming and affect your daily life, you may have an anxiety disorder. Mood swings and debilitating worry are significant signs to check. 

Anxiety disorders in older adults are relatively common, affecting 10% to 20% of people. However, anxiety disorders often go undiagnosed. Older adults more often experience anxiety than depression and cognitive disorders.

Generalised Anxiety Disorder (GAD) is the most prevalent type of anxiety disorder in older adults. It may lead to phobias, panic disorder, Obsessive-Compulsive Disorder (OCD), and Post Traumatic Stress Disorder (PTSD). If you have anxiety issues, check buydiazepamuk to have the suitable medicine for your treatment.

Factors for anxiety in older adults

There are reasons we might expect a senior to have less anxiety, such as being retired and no longer living with the stress of the everyday world; for many older adults, anxiety may not necessarily improve. Anxiety disorders are a prevalent mental health problem among older adults.

Several factors may contribute to anxiety in older adults.

  • Many seniors experience losses, like the death of a spouse or the loss of independence.
  • There are the age-related brain and neurological changes that take place.
  • There are fears about the ageing process itself.
  •  Social isolation and loneliness may contribute to anxiety.

In addition, chronic health conditions may mimic anxiety symptoms or lead to anxiety about pain, mobility limitations or disability, and even death. Cognitive impairment also is more of a concern as we age, along with a higher potential for a diagnosis of dementia and the anxiety that often comes with the condition.

How common is anxiety in older adults?

Anxiety is a common problem among older adults. Research suggests that around 20% of senior citizens experience anxiety. This wide range is because many older adults only report physical symptoms and do not talk about their worries, fears, or anxious feelings. They may shy away from saying anything that might make them feel ashamed or weak. They may also think that anxiety is an inevitable part of ageing, but it’s not.

The symptoms of anxiety in the elderly

Anxiety is the overall feeling of unease. Anxiety disorder isn’t the same as a case of nerves or worrying about an upcoming event, although those things may make you anxious. Instead, genuine anxiety takes over your life and may prevent you from functioning. It may lead to various symptoms, from consistently being on edge and irritability to having trouble sleeping and concentrating.

The elderly may experience psychological, physical or mental symptoms of anxiety or a combination of all.

Psychological symptoms are:

  • Confusion or memory problems
  • Obsessive thoughts
  • Nightmares
  • Unable to sleep

Physical symptoms can include:

  • Headaches
  • Nausea
  • Heart palpitations or racing heart
  • Dry mouth
  • Muscles are tense or clenched
  • Trembling
  • Shortness of breath

Emotional symptoms can include:

  • Feeling panicked or apprehensive
  • Engaging in rituals (such as repeated hand washing)
  • Withdrawal or refusal to participate in activities you used to enjoy

While symptoms are an essential aspect of diagnosing anxiety in older adults, even more critical is how these symptoms affect day-to-day life. Anxiety is problematic when it interferes with your daily functioning, quality of life, and health.

How to manage anxiety in the elderly

It’s natural for the fear response to kick into gear when there’s uncertainty about what might happen next. As we grow older, life changes can be more frequent and dramatic. Additionally, our resilience may reduce, making it harder to handle those changes healthily.

Thus, when changes occur, older adults may be more likely to struggle to find ways to cope with the new situation or unexpected loss than they would have in their younger years. They might begin to respond from a more anxious state. Common triggers for anxiety may include factors such as:

  • A change in routine (for example, maybe a senior used to enjoy playing golf twice a week but has been ill and unable to recently)
  • Financial concerns/ insecurity
  • Planning for the end of life care for themselves or a loved one
  • Loss of independence and isolation
  • A change in surroundings (for example, moving to a new residence or into a care facility)
  • Health concerns
  • Loss of mobility
  • Reduced ability to take care of the tasks of daily living (dressing, bathing, feeding oneself)
  • The passing of a loved one
  • Medication side effects
  • Insomnia or sleep problems
  • Genetic predisposition (mood disorders run in the family)

Anxiety risk factors for seniors

Feelings of poor health, sleep disturbance, and side effects of medications, like steroids, antidepressants, stimulants, and bronchodilators/inhalers, may also be risk factors for anxiety.

As ageing comes with its challenges, some life events come with getting older that may trigger anxiety in seniors.

  • The loss of a spouse or loved one and the prolonged or extreme grief that may accompany it can trigger anxiety. Likewise, a traumatic event or ongoing intense stress can lead to a diagnosis of anxiety.
  • Alcohol, caffeine, drugs (prescription, over-the-counter, and illegal).
  • A family history of anxiety disorders.
  • Other medical or mental illnesses.
  • Neurodegenerative diseases (like Alzheimer’s or other dementias).

Conclusion

Having some mild anxiety from time to time is normal, but excessive anxiety, worry, and fear can become a disorder when it starts interfering with your life.

Adults 60 years and above are more prone to experience physical symptoms of anxiety than their younger counterparts. This age group also has a higher risk of other medical issues, which can increase the risk of developing an anxiety disorder. Treating anxiety in adults can involve psychotherapy, medications, or both.