Getting older involves going through many changes. Some are normal parts of aging. Others may be signs of a mental or emotional health issue, and those can usually be treated.
Mental health concerns don’t always look the same in adults over age 65 as they do in younger people. Depression or anxiety can show up as tiredness, irritability, sleep problems, or aches and pains rather than sadness or worry.
Knowing what signs to watch for can help you, or someone you love, get support sooner and feel better.
What’s normal aging and what changes may be red flags
As we age, it’s common to notice small changes, like:
- Taking a little longer to remember names or words
- Needing to use reminders, lists, or calendars more often
- Sleeping more lightly or waking up earlier
These changes tend to be mild and happen gradually.
Some changes, however, are not a normal part of aging. They may be signs of a mental health concern, especially if they show up suddenly or get worse over time.
Be alert for:
- Big changes in mood, behavior, or personality
- Pulling away from family, friends, or favorite activities
- Ongoing problems with sleep or appetite
- Feelings of hopelessness or being a burden
- Increased use of alcohol or medications
- Trouble managing daily responsibilities
- A sudden increase in confusion
If these changes last more than a couple of weeks or interfere with daily life, it’s a good idea to talk to a health care provider.
If someone is talking about harming themselves, call or text 988 right away to get support.
Depression in older adults: It might not look like sadness
Depression isn’t a normal part of aging. But it is common and very treatable.
In older adults, depression may show up as:
- Low energy
- Losing interest in things they used to enjoy
- Being irritable or withdrawing
- Changes in sleep or appetite
- Aches and pains with no clear cause
Some people believe that feeling down is just a normal part of getting older. That’s not true. If symptoms last two weeks or more, or make everyday life harder, help can make a real difference.
Anxiety after 65: Worry that doesn’t go away
Everyone worries sometimes. When worrying becomes constant or overwhelming, though, it could be a sign of anxiety.
Older adults with anxiety may:
- Feel nervous or on edge most days
- Worry a lot about health, money, or loved ones
- Have trouble sleeping or concentrating
- Experience a racing heart, shortness of breath, or an upset stomach
Health problems, caregiving stress, or major life changes can trigger anxiety later in life. Anxiety can be treated through therapy, medication, lifestyle support, or a combination of approaches.
Loneliness and social isolation: A common but dangerous problem
Many people feel lonelier as they age, especially after retirement, losing a partner, or because of changes in mobility. It may be very common. But loneliness can affect someone’s mental and physical health.
Loneliness may look like:
- Fewer calls, visits, or outings
- Losing interest in hobbies
- Saying things like, “No one really needs me”
Loneliness isn’t a sign of personal failure. It just sneaks up on a lot of people over time. But there are things you can do about it. Small steps matter, like calling a friend, joining a volunteer group, or checking out programs at a local senior or community center.
Other concerns to watch for
Sleep problems: Ongoing trouble sleeping can make depression or anxiety worse and should be discussed with a doctor.
Alcohol or medication misuse: Some people use alcohol or certain medications to deal with pain, stress, or sleep problems. Over time, this can affect their mood, memory, and safety. It’s important to see someone to get help.
Grief and major life changes: Grief after losing a loved one is normal. If grief feels overwhelming, or doesn’t ease with time, getting extra support can make a difference.
How to start the conversation
Talking about mental health can make some people uncomfortable. Keeping it simple helps.
You might say:
- “I’ve noticed you don’t seem like yourself lately.”
- “I care about you and I wanted to check in.”
- “Would you be open to talking with your doctor about this?”
Offering to help make an appointment, or go along for support, can make it easier for someone to take that first step.
Help is available for AmeriHealth Medicare Advantage members
If you or someone you love is struggling, you don’t have to handle it alone. And your Medicare Advantage plan can help.
A good place to start is by talking to a primary care provider (PCP), who can help sort out symptoms and recommend next steps.
AmeriHealth Medicare Advantage members also have access to Behavioral Health Care Navigators. These trained professionals can:
- Listen and help identify needs
- Explain treatment options
- Help find in-network providers
- Connect members with virtual or in-person care
Our specially trained Behavioral Health Care Navigation team can match you with the right in-network provider and directly schedule an appointment for you fast — in as quickly as 1 – 2 days. To get started, call 1-800-809-9954 (TTY/TDD: 711). Help is available 24/7.
Mental health care works. Support is available. And it’s never too late to feel better.
If something doesn’t feel right, trust that feeling and take the first step.
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Website last updated 6/18/2026
