PODCAST · health
Mental Health + Aging with Dr. Regina Koepp
by Dr. Regina Koepp
Welcome to The Mental Health and Aging Podcast—your go-to resource for evidence-based strategies, mental health tools, and expert insights to support the psychological, emotional, and spiritual wellbeing of older adults.Hosted by clinical geropsychologist and founder of the Center for Mental Health & Aging, Dr. Regina Koepp, this podcast is designed for therapists, psychologists, social workers, aging life care professionals, geriatric care managers, and healthcare providers who want to confidently address the mental health needs of older adults.Most mental health and healthcare professionals were trained to focus on the physical changes of aging—but that’s only part of the picture. This podcast explores the not-so-physical aspects of aging:How purpose and meaning evolve later in lifeThe emotional and psychological impact of retirement and life transitionsSpiritual growth tha
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#132 - Stop Projecting: What Midlife Gets Wrong About Older Adulthood
A few days ago, I was interviewed for NPR’s Here & Now, and the host asked me about my “aging journey.” I felt a little flustered—not because it was a bad question, but because I’m 50. And when people ask me about aging, my mind goes straight to older adulthood: 65, 75, 85, 95 and beyond. So my answer didn’t land the way I wanted it to. I left the interview thinking, I wish I’d said that differently. What I wish I’d said in the moment is this: when I talk about aging, I’m usually talking about older adulthood—the stretch of life that can span decades, roughly from 65 to 122. It’s not a single moment or an identity you suddenly “become.” It’s a long, dynamic developmental chapter, with real change, real challenge, and real growth over time. And honestly, at 50, I don’t feel like I’ve lived enough of older adulthood to speak from deep personal experience about what it’s like. What I do know—because for the past 25 years I’ve been a geropsychologist to more than 1,000 older adults and their families—is this: when we’re in midlife and we imagine our older selves, we have to watch for the way fear can sneak in and write the story for us—because that fear can sell our future selves short, and it can miss the resilience, adaptability, and grace that so often grow with age. The biggest thing I see middle-aged people get wrongIn midlife, we often project our fear and dread about aging onto older adulthood. We imagine later life through the lens of what scares us now—physical vulnerability, chronic illness, loss, dependence, mortality.But what we often miss is this: many older adults become remarkably skilled at adapting. They grow in resilience, self-compassion, and wisdom about what matters. That doesn’t erase real challenges, but it does change how we navigate those challenges. Here's an example: AARP did a large aging survey of more than 2000 people and found that fear of death generally decreases with age. In other words, what feels terrifying in midlife may not feel the same once you actually arrive in later life. Key TakeawaysAging happens across the lifespan; older adulthood is its own developmental period.Midlife fears can distort how we imagine later life.Older adults frequently develop stronger adaptation skills over time.Avoid overlooking older adults’ resilience by assuming your dread is their reality. My invitation for you this weekIf you’re in midlife, notice when you’re imagining older adulthood through your current fears. And if you’re a clinician, caregiver, or family member, practice holding this wider frame: Yes, aging can bring physical vulnerability. And it can also bring increased adaptability, clarity, and grace. Timestamps / Chapters00:00 — The NPR question that threw me off01:00 — Two meanings of “aging” (lifespan vs. older adulthood)02:10 — The midlife projection trap02:30 – A research example: fear of death tends to decrease with age03:10 – What we miss: adaptation, resilience, self-compassion04:10 – Why Regina cringes at the midlife “aging journey” question04:45 – This week’s tip: don’t project your stage onto theirs05:05 – Closing and what’s coming nextClick here for all Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#131- How to Support Someone with Dementia and PTSD
When someone is living with both dementia and PTSD, their needs are complex—but support is still possible, and it can make a world of difference.In this episode, I share what I’ve learned as a geropsychologist working with veterans and older adults navigating both cognitive impairment and trauma. You’ll discover:When trauma therapy can still be effective in the early stages of dementia.How dementia progression changes what’s possible for PTSD treatment.The importance of identifying and minimizing unique trauma triggers.Practical strategies to reduce distress at home or in memory care.Why moving someone because they’re “too difficult” can do more harm than good—and how to respond instead.You’ll also hear real stories from my clinical work and gain trauma-informed approaches you can start using right away to improve quality of life for people living with dementia and PTSD.If you’ve ever wondered how to balance mental health care with dementia care, this conversation will give you the clarity, compassion, and tools you need.Click here to link to show notes and resourcesHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#130 - Link Between Trauma and Dementia: Can Unresolved Trauma Increase Dementia Risk?
Can Unresolved Trauma Increase Dementia Risk?Trauma doesn’t just leave emotional scars—it can change the brain. And when post-traumatic stress goes untreated, the risk for dementia later in life rises.In this episode of my mental health and dementia series, I explore how trauma and PTSD intersect with brain health. Drawing from decades of research and my years working with older veterans, I break down why unresolved trauma increases vulnerability to dementia disorders and what clinicians can do to help.This conversation isn’t just about understanding risk—it’s about hope. Trauma treatment works at any age, and healing now doesn’t only restore quality of life today, it also protects the brain for tomorrow.3 Key Takeaways from This Episode1⃣ Trauma raises dementia risk. Landmark studies show veterans with PTSD have double the risk of dementia, and depression or anxiety tied to trauma can increase dementia risk even decades later.2⃣ The body keeps the score. Trauma heightens cortisol and inflammation, which damage the heart and brain. What’s bad for the heart is bad for the brain.3⃣ Treatment protects the brain. Trauma therapy in older adulthood restores quality of life now and strengthens brain health and autonomy for the future.What You’ll Learn in This Episode:Why PTSD symptoms often reemerge in older adulthood, especially after retirement, health changes, or loss.The science behind how trauma affects brain physiology—cortisol, inflammation, and cardiovascular health—and why that matters for dementia risk.Landmark studies linking PTSD, depression, anxiety, and racism-related stress to dementia.Why trauma often goes undetected in older adults—and how ageism can stop clinicians from asking the right questions.Five trauma-informed strategies to support older adults, reduce suffering now, and protect brain health for the future.Click here to see the show notes and get all resources mentioned in this episode. Download your free Trauma Informed Care Guide hereHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#129 - Sleep Problems & Dementia Risk: What Every Provider Must Know
Last week, a therapist told me about her client, an 82-year-old woman who hadn’t had more than 6 hours of sleep in years. “It’s just part of getting older,” the woman sighed. But here’s the truth—fatigue isn’t a normal part of aging, and chronic sleep problems may be quietly raising her risk for dementia. As professionals, we can no longer shrug off insomnia in older adults. The stakes are simply too high. In this episode, I reveal the powerful connection between chronic sleep problems and dementia risk—and why ignoring insomnia symptoms can have lasting consequences for brain health.Here's What You'll Learn In This Episode:Why half of older adults report insomnia symptoms (even if they don’t meet full diagnostic criteria)How sleep architecture changes with age—and why that’s not the same as insomniaThe role of deep sleep in clearing beta amyloid, consolidating memory, and regulating emotionsThree major research studies linking short sleep duration to higher dementia riskFive practical steps you can take to assess and improve sleep in older adultsWhy Cognitive Behavioral Therapy for Insomnia (CBT-I) is the gold standard, especially for people 65+The dangers of common over-the-counter sleep aids for older adultsHow collaborating with primary care and sleep medicine providers can change outcomesAs professionals, we hold the keys to better brain health in aging—often starting with something as simple, yet essential, as quality sleep.Click here to go to show notes and get resources on sleep and aging. Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#128- Alcohol + Dementia: Does moderate drinking increase dementia risk?
If you’ve ever been told that “a little wine is good for you,” you might want to hear what the latest science says—especially when it comes to the aging brain.In this episode, I share compelling new research showing that even moderate alcohol use in midlife and later life may significantly increase the risk of dementia. I’ll walk you through why alcohol use in older adults often goes undetected, how it impacts brain health, and the exact screening tools and questions I use—and that you can use too—to spot red flags early.This isn’t about scare tactics. It’s about equipping you with the facts, the tools, and the confidence to support safer, healthier aging. Whether you’re a therapist, care manager, or simply someone who wants to protect your own brain health, you’ll come away knowing why there may be no safe level of alcohol when it comes to dementia prevention.What You’ll Learn in This Episode:1⃣ The brain changes alcohol accelerates—from memory loss to neurotransmitter disruption. 2⃣ Why “invisible” alcohol misuse often goes undetected in later life—and how to spot it. 3⃣ Three screening tools every clinician should know: SMAST-G, AUDIT-C, and CAGE Questionnaire.4⃣The good news: Older adults can recover—and often have better treatment outcomes than younger adults when care is tailored to them.Click here to get all of the resources mentioned in this episode hereIf you enjoyed this episode, please subscribe, leave a review, and share it with a colleague or friend. Together, we’re building a movement for mental health and aging—because there is no expiration date on healing, transformation, and growth.Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#127 - Anxiety + Dementia: Anxiety Treatment is Essential to Reducing Dementia Risk
Anxiety increases dementia risk by 24% (about the same rate as diabetes) —but treatment for anxiety corrects this. Learn why early detection and treatment in older adults is critical to brain health.In this episode, I unpack the groundbreaking connection between anxiety and dementia. You’ll learn why anxiety is not a normal part of aging—and why your role as a therapist, social worker, psychologist, or aging life care expert is critical in reducing long-term cognitive decline.You’ll walk away with four actionable steps you can take to make a meaningful difference in the lives of older clients—and possibly prevent dementia in the process.This isn't just about reducing symptoms. It's about restoring dignity, peace of mind, and protecting brain health—now and for years to come.Here’s what you’ll learn: ✅ How anxiety affects the aging brain and increases dementia risk ✅ Why anxiety is often missed or misdiagnosed in older adults ✅ How to screen, normalize, and treat anxiety in therapy ✅ The importance of collaborative care and early detection ✅ How you can adapt your practice to better serve older clients👉 Get the full list of research and clinical tools I mention here: https://www.mentalhealthandaging.com/podcast/anxiety-dementia-what-therapists-must-know/Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#126- Depression + Dementia: How Depression Treatment Prevents Dementia- According to Science
The Hidden Link Between Depression and DementiaEvery time I sit with a client and help them move through depression, I know I’m not just helping them feel better in the moment—I may also be protecting their brain years down the road. That’s not just a hope—it’s science.In this episode, I’m diving into the powerful link between mental health treatment and dementia prevention. So many therapists don’t realize that untreated depression in midlife and later life increases the risk of dementia. But here’s the hopeful truth: when we treat depression, we don’t just reduce suffering—we may delay or even prevent cognitive decline.If you’re a therapist, this episode is a call to action. You have more power than you think to shape not just your client’s emotional well-being, but their cognitive future. I’ll walk you through the research, the biology, and—most importantly—what you can do right now to support your older clients in living full, vibrant, and connected lives. In This Episode, You’ll Learn:Why depression is a modifiable risk factor for dementiaWhat the latest research says about treating depression and reducing dementia riskHow therapy for depression improves mood, memory, and independenceWhy older adults are just as likely to benefit from therapy as other age groupsHow antidepressant treatment in people with mild cognitive impairment can delay dementiaWhat you can do for clients already living with dementia and depressionWhy your role as a therapist matters more than ever—and how to make a differenceVisit the show notes hereHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#125 - Therapy That Works for 30-Year-Olds Doesn’t Always Work at 75 | Why Therapy Needs to Change With Age
If your 75-year-old client stops coming to therapy, it might not be them. It might be your approach.In this episode, I explore why therapy must evolve, just like people, with age. I share five powerful ways to evolve your practice to better serve older adults. While many therapists are trained to work with adults in general, most graduate and continuing education programs focus on midlife or younger adulthood, often excluding older adulthood entirely. The result is a significant gap in care.Therapy that resonates with younger adults can fall flat or even feel dismissive for older clients. When therapists don't adapt their approach, clients may feel unseen, misunderstood, or disengaged—not because they’re resistant, but because the therapy model doesn’t reflect their stage of life.This episode will help you recognize what shifts with age, why it matters in clinical practice, and how to modify your work for more effective and compassionate outcomes.What You’ll LearnWhy traditional therapy methods may not land with older adultsHow perceived time left in life shifts therapeutic goals and prioritiesWhat therapists often misunderstand about aging and mental healthHow to center meaning, wisdom, and resilience in your sessionsFive clinical adaptations you can start using right awayWant to learn more? Enroll in my upcoming 90min CE course on "Becoming an Aging-Informed Therapist" - Live July 22, 2025 See the show notes hereHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#124- Chronic Pain and Depression: Breaking the Cycle with Mental Health Care
Chronic pain increases the risk for depression and suicide. The connection between chronic pain and depression is stronger—and more dangerous—than most professionals realize. In this powerful episode, Dr. Regina Koepp sits down with pain psychology expert, Dr. Jennifer Steiner, to uncover the complex and bidirectional relationship between chronic pain, depression, and suicide risk. What You’ll Learn in This Episode:Why people living with chronic pain are twice as likely to experience suicidal thoughts and behaviorsThe true drivers of suicide risk in chronic pain—not just pain intensity, but emotional, relational, and financial strainHow the brain’s stress response amplifies both physical pain and emotional sufferingWhat research says about which comes first—pain or depression—and why it’s not always clear-cutHow chronic pain affects sleep, cognition, and identity, creating a vicious cycle of distressThe essential role of therapists trained in chronic pain in breaking this cycleWhat to look for in a therapist who can truly support someone living with chronic pain Whether you’re a therapist, psychologist, social worker, or aging life care expert—this episode will transform the way you think about pain. Because treating chronic pain isn’t just about reducing discomfort… it’s about restoring dignity, function, and hope.Click here to see show notes AttentionTherapists: Download your free guide on the Depression-Pain Cycle Become a sought after specialist with our Pain Psychology Certificate Course (14.5 CE Credits), where's you'll learn ACT and CBT for Chronic Pain, as well as strategies to address bias in pain care.Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#123- Chronic Pain & Aging: 4 Themes Therapists Must Know
Chronic pain isn’t just physical—it's personal, emotional, and deeply misunderstood. And when it comes to older adults, the pain often hides in plain sight. In this episode, I sit down with pain psychology expert, Dr. Jennifer Steiner, to explore the invisible impact of chronic pain and what every therapist must understand to truly help older adults living with it.You’ll walk away with a fresh perspective—and four critical psychological themes—that can transform the way you support older adults in your practice.What You'll Learn in This Episode:The real size of the chronic pain epidemic—and why it’s often underestimated in older adultsCommon pain conditions affecting people 65+Dr. Steiner’s personal journey from growing up with chronic pain to becoming a national leader in pain psychologyHow chronic pain influences mental health, identity, relationships, and workThe 4 psychological themes every therapist must recognize when treating chronic pain:The Body as an ObstaclePain is Invisible—and RealDisrupted Sense of SelfUnpredictability of the ConditionAttentionTherapists:Download your free guide on the Depression-Pain Cycle Become a sought after specialist with our Pain Psychology Certificate Course (14.5 CE Credits), where's you'll learn ACT and CBT for Chronic Pain, as well as strategies to address bias in pain care.Click here to go to Show Notes Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#122 - My Aging Parent Won't Stop Giving Money to A Scammer. What Can I Do?
What do you do when your aging parent is being scammed—and keeps sending money even after you’ve begged them to stop? It’s heartbreaking. It’s infuriating. And it can leave you feeling powerless.If this is happening in your family, you’re not alone—and there is hope.In this episode, I unpack what’s really going on when an older adult falls victim to financial exploitation, why they often can’t stop—even when they know it’s a scam—and how to intervene without shaming or severing the relationship.You'll learn: ✅ Why people get trapped in scams—even when the truth is obvious ✅ What “dignity of risk” and “duty of care” mean for families ✅ How to lead with compassion instead of control ✅ What to do when cognitive decline might be involved ✅ Concrete steps to prevent revictimization ✅ Where to turn for professional supportWhether you're a family member or a professional working with older adults, this episode is packed with tools to help you respond with clarity, compassion, and courage.Professionals: Click here to get your free "Support for Older Adults After Financial Scams" GuideResources Mentioned:Older Adult Nest Egg: Assess financial vulnerability and get expert tools for reducing riskAARP Fraud Watch Network: Up-to-date scam alerts and prevention tipsGive an Hour: Mental health support including for victims of exploitationCenter for Mental Health & Aging: Find a therapist specializing in older adultsAdult Protective Services: State-specific reporting and supportClick here to see the show notes Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#121 - Is Late Life Depression Treatable?
Depression is not a normal part of aging—yet it's silently stealing joy, independence, and even life from millions of older adults. Most go undiagnosed and untreated. Why? Because we mistake their suffering for “just getting older.” But here’s the truth: late-life depression is serious—and it’s highly treatable.In today’s episode, you’ll learn how to spot the signs, challenge the myths, and take action that truly changes lives.What You’ll Learn in This Episode:What late-onset depression is and how it differs from earlier-life depressionHow depression presents differently in older adults—beyond just sadnessKey risk factors: chronic illness, loss, isolation, and moreWhy the myth that "older adults can’t change" is flat-out wrongPractical, research-informed steps you can take to help someone get careWhy healing and transformation are possible—at every ageHere’s the Truth:When older adults don’t receive mental health care:✔️ Medical issues worsen✔️ Medication use increases✔️ Hospital visits spike✔️ Caregiver and family stress grows✔️ Quality of life plummets✔️ Suicide risk risesBut when they do get care? Healing happens. Purpose returns. And lives transform.Click here to get resources mentioned in this episode. Remember...it’s only with your help that we can meet the mental health needs of older adults. So thank you for being here—and thank you for doing your part.Subscribe and Leave a ReviewIf you enjoyed this episode, please subscribe, leave a review, and share it with a colleague or friend. Together, we're building a movement for mental health and aging. Because there is no expiration date on healing, transformation, and growth. Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#120 - How I Built the Center for Mental Health & Aging
Ever wonder what it really takes to build a national movement for mental health and aging? In this inspiring behind-the-scenes episode, I’m pulling back the curtain and sharing the heart, hustle, and healing that built the Center for Mental Health & Aging.You’ll hear where it all started—from working late nights with two small children at home to battling systemic bias in healthcare settings. I’ll walk you through the moments I nearly gave up, the surprising victories, and the “why” that keeps me going.If you’re a mental health professional, aging services provider, or change-maker with a mission-driven heart, this episode is for you.In This Episode, You’ll Learn:Why I left a successful career at the VA to start the Center for Mental Health & AgingThe barriers professionals face when working with older adults—and how we can solve themHow our signature GeroChampions program evolved into a national training movementThe step-by-step vision I mapped out (with a thermometer!) to earn CEU accreditationHow we’ve trained thousands of professionals and launched over 30 coursesWhy there's no expiration date on healing, transformation, and loveWhat post-traumatic growth has to teach us about aging wellAnd why older adults deserve more than just care—they deserve dignity and mental health equityGO TO SHOW NOTES HEREResources Mentioned:Free Download: Clinician's Guide to Mental Health & AgingMental Health & Aging Certificate ProgramCulturally Inclusive, Trauma-Informed Care with Older Adults Certificate ProgramEnd of Life Ethics & Psychotherapy CourseSee all CEU Courses National Provider Directory Remember...it’s only with your help that we can meet the mental health needs of older adults. So thank you for being here—and thank you for doing your part.Subscribe and Leave a ReviewIf you enjoyed this episode, please subscribe, leave a review, and share it with a colleague or friend. Together, we're building a movement for mental health and aging. Because there is no expiration date on healing, transformation, and growth. Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#119- Loneliness in Older People: Must Have Tools to Address Loneliness & Isolation
Loneliness is as harmful as smoking—and 43% of older adults experience loneliness. Social Isolation increases the risk of dementia 31%. The cure? Connection and Belonging. Are older adults really lonelier than young people? You might be surprised by the answer. In this episode of The Psychology of Aging, we uncover the complex truth about loneliness and isolation in older adults—and why their impact is far more dangerous than many realize.You'll learn the critical difference between loneliness and social isolation, how they each affect caregivers and people living with dementia, and why the consequences can be as severe as smoking, drinking, or living with obesity.But we won’t stop there.You'll also discover the revolutionary power of “social prescribing”—a compassionate, connection-first approach to well-being that’s gaining momentum in healthcare. You'll hear about a small-town doctor writing prescriptions for coffee and community… and how you can do the same in your own clinical practice.Whether you're a psychologist, therapist, social worker, or aging services professional, this episode will inspire you to screen, connect, and prescribe belonging.What You'll Learn:Why older adults may feel less lonely than young adults—but suffer more from its effectsThe difference between loneliness and isolation (and why this matters for dementia care)Startling statistics: how loneliness increases risk for dementia, heart disease, stroke, and depressionWhy quality of social ties matters more than quantityThe role of social prescribing: how to refer clients to connection—not just careCreative ideas for connection, including book clubs, walking groups, and even coffee shopsTwo screening tools for loneliness and isolation to use in your practiceA powerful quote: “Social prescribing connects a person to what matters to them—not just what’s the matter with them.”Click here for all of the resources mentioned in this episodeHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#118-How Does Financial Exploitation Affect Older Adults' Mental Health?
Have you ever wondered what really happens after someone is scammed out of $25,000? Not only the steps to take after you've been scammed, but the psychological toll? A couple weeks ago, I received an email from a listener asking for help—resources for older adults who’ve been financially exploited. That email sparked this episode, and I’m so glad it did. Today, I’m taking you behind the scenes of what it’s really like for older adults after financial exploitation. I’ll share two powerful stories—one of an 84-year-old and another of a 46-year-old—and walk you through the unconscious age biases that shape how we react to fraud victims. We’ll also talk about the common scams, the emotional fallout, and most importantly—what you can do to support healing and prevent re-traumatization. This episode is especially close to my heart. I was invited by the Vermont Financial Elder Abuse Specialist Team to lead a workshop on this very topic, and I’ve been wanting to share it with you ever since. If you care about protecting and uplifting older adults—this is a must-listen. What You'll Learn in This Episode:Why older adults aren’t the only ones falling for scams—and why we judge them more harshlyHow ageism quietly shows up in our reactions to fraudThe top financial scams impacting people 60+ and how scammers manipulate trustThe emotional timeline of recovery: from shock and shame to anger and exhaustion4 major mental health effects of financial exploitation you need to watch forHow to talk with older adults about fraud in ways that heal—not harmWhat trauma-informed support really looks like after financial betrayalWhere to find peer support groups, prevention tools, and trusted therapistsClick here to get all the resources mentioned in this episodeA Guide for Mental Health and Aging Services Professionals to Supporting Older Adults Recovering from Financial Exploitation. Click here to download the guideHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#117- My Personal Experience With Vicarious Trauma: Recognizing and Healing Secondary Traumatic Stress
The first sign I was experiencing vicarious trauma hit me like a ton of bricks. Learn how to recognize, prevent, and heal from the emotional impact of therapy.I am so glad that you're here and joining me for part two of Trauma-Informed Care with Older Adults. Today’s episode focuses on you—the professional in your role of providing care and services to older adults. Whether you’re a healthcare professional, mental health provider, aging services professional, or home health aide, your health and wellness matter just as much as the people you serve. For over 20 years, I’ve worked with older adults in various settings, many of whom were recovering from significant trauma. I have always been diligent about self-care and sought support through my own therapy. But my experience with vicarious trauma still caught me off guard—and it hit me hard. In this episode, I share my own journey of recognizing vicarious trauma, the signs to look for, and how to navigate healing so you can continue doing the work you love without sacrificing your well-being. What You'll Learn in This Episode:I share the first sign I was experiencing vicarious traumaWhat vicarious trauma is and why professionals are at riskKey warning signs of vicarious traumaThe impact of trauma exposure on mental health providers and aging service professionalsStrategies to recognize, manage, and prevent vicarious traumaOrganizational and personal solutions to creating a sustainable career in care work Click here to Get your free Trauma-Informed Care Guide Why Trauma-Informed Care Matters in Aging ServicesA trauma-informed approach:✔️ Improves trust and engagement between older adults and providers✔️ Leads to better health outcomes and reduces health inequities✔️ Helps providers avoid burnout and fosters resilience within care teamsClick here to go to the show notes for this episodeHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#116- PTSD and Trauma Informed Care Among Older Adults
Up to 90% of older adults have experienced trauma, yet their needs are often overlooked. Learn the essentials of trauma-informed care and how to foster healing and resilience.Trauma-informed care is essential for supporting older adults across healthcare, mental health, and social service settings.In this episode, we explore: ✅ The difference between trauma treatment and Trauma Informed Care✅ The three E’s of trauma: Events, Experience, and Effects✅ The impact of trauma across the lifespan, from adverse childhood experiences (ACEs) to end of life. ✅ The connection between PTSD, aging, and medical trauma✅ The four R’s of trauma-informed care✅ How culturally inclusive trauma-informed care improves outcomes for older adults and healthcare teamsClick here to Get your free Trauma-Informed Care GuideClick here to get access all of the resources and references mentioned in this episodeHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#115- Must Know Barriers Keeping Older Adults from Mental Health Care
Did you know that 20-22% of older adults have a mental health condition like depression, anxiety, or substance use disorder—yet most go undetected and untreated? This isn’t because these conditions aren’t treatable, but because systemic barriers, misconceptions, and a lack of professional training make it harder for older adults to access the care they deserve.In today’s episode, we break down barriers preventing older adults from receiving the mental health support they need. You’ll learn how common myths about aging impact mental health care, why stigma plays a significant role, and what you can do to change the landscape of care for older adults. What You'll Learn in This Episode:The major barriers preventing older adults from accessing mental health careHow common misconceptions about aging contribute to untreated mental health conditionsWhy ageism in health care and mental health professions keeps older adults from getting helpThe connection between mental health, chronic illness, and dementia riskHow you can help bridge older adults to mental health care How You Can HelpOlder adults deserve access to quality mental health care. Whether you are a mental health professional or someone who works with older adults, you play a key role in bridging the gap.📢 Want to improve your ability to recognize and address memory concerns in older adults? Download my free training This 10-minute expert training will help you gain clarity on detecting memory loss in therapy—a crucial skill for ensuring older adults receive the mental health support they need.Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#114-Finding Joy in Life’s Hardest Moments with Steven Petrow
What if joy isn’t something we find, but something we create—especially in life’s hardest moments? In this episode of The Psychology of Aging Podcast, award-winning journalist and bestselling author Steven Petrow returns to share insights from his newest book, The Joy You Make. After experiencing profound loss—losing both parents, the end of a marriage, and supporting his sister through terminal cancer—Steven embarked on a journey to understand how joy coexists with grief, resilience, and even imperfection. Through deeply personal stories, humor, and wisdom, he reveals how small, intentional acts can bring light even in life’s darkest seasons. Whether you’re struggling to reclaim joy or simply want to invite more of it into your daily life, this conversation will leave you inspired and ready to cultivate joy in unexpected ways. Don’t miss this heartwarming and thought-provoking episode! Here's a Peek Inside the Episode: [01:54] Why a Book on Joy?[06:45] The Pecan Pie Competition & Joy of Storytelling[09:22] The Difference Between Happiness and Joy[12:50] Why We Struggle to Allow Ourselves Joy[17:22] Joy and Resilience[24:37] Embracing Imperfection[29:58] The Bond Between Siblings & Honoring Loss[32:00] Medical Aid in Dying: Julie’s Choice- Steven reflects on his sister Julie’s decision to pursue medical aid in dying (MAID) and how their family navigated this process. He discusses the importance of choice, dignity, and supporting a loved one through their end-of-life journey.[38:12] Joy Amidst Grief[39:23] A Simple Call to Action for Joy- Advice for listeners: Every night before you go to sleep, reflect on one moment that brought you joy that day—even on the hardest days.Click here to get access to all of the resources mentioned in this episode. Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#113-Types of Ageism in Mental Health Care: Hidden Biases Harm Clients
Have you ever thought, “Older adults are just set in their ways” or “Therapy isn’t effective for older clients”? If so, this episode is for you. Today, we tackle the hidden biases that even seasoned mental health professionals may hold toward older adults.You’ll learn:What ageism is and how it manifests in mental health care.The impact of structural and individual ageism on mental and physical health.Research-backed insights, including Dr. Becca Levy’s groundbreaking work on the Stereotype Embodiment Theory.How ageism and ableism intersect to create barriers for older adults. We also explore the unique challenges faced by BIPOC (Black, Indigenous, and People of Color) older adults:By 2030, the older white population in the U.S. will increase by 39%, while the older BIPOC population will grow by 89%.By 2050, over 42% of adults aged 65 and older will be BIPOC.Studies show that nearly 50% of Black Americans report experiencing racial discrimination in health care, and BIPOC older adults are disproportionately excluded from clinical trials.These statistics highlight the urgent need for culturally responsive, anti-ageist, and anti-racist mental health care practices.Let’s rewrite the narrative: Older adults are resilient, capable, and deserving of high-quality mental health care.Click here to visit the show notes page for all references and resourcesResources Mentioned: 5 Expert Strategies for Addressing Memory Loss in Therapy Continuing education course on the impact of ageismSubscribe and leave a review wherever you listen!If you enjoyed this episode, please subscribe, leave a review, and share it with a colleague or friend. Together, we can ensure older adults are included in the mental health conversation.Follow Dr. Regina Koepp:Website: www.drreginakoepp.com & Center for Mental Health & AgingLinkedIn: Regina Koepp, Psy.D.Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#112- 5 Groundbreaking Insights on Mental Health and Aging from 2024
If you’re committed to meeting the mental health needs of older adults, this episode is for you. In 2024, we saw some incredible advancements in mental health research for older adults—insights that can shape how you practice and care for this underserved population. As a geropsychologist, I’m passionate about equipping you with the tools you need to make a difference. Let’s dive into 5 discoveries in mental health and aging from 2024 that you absolutely need to know.1. 14 Modifiable Risk Factors for Dementia:Review the expanded list from the Lancet Commission.Learn how addressing these factors can reduce dementia risk by 45%.2. New Treatments for Depression:Explore cognitive remediation and transcranial direct current stimulation (TDCS).Learn about their benefits for slowing cognitive decline and improving mental health.3. Importance of Social Connection:Feeling lonely increases the risk for dementia by 31%Equating risk of loneliness to that of smoking or physical inactivity. Learn how to address loneliness in this episode. 4. Anxiety and Dementia Link:Findings from the Hunter Community Study on how early anxiety treatment reduces dementia risk.5. ADHD in Older Adults:Learn how ADHD symptoms manifest differently in older adults and why proper diagnosis matters.Click here for the show notes Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#111- Supporting Older Adults After Disasters: A Guide to Psychological Recovery
Imagine being 85 or 95 years old, surviving a natural disaster like wildfires, hurricanes, or earthquakes, and facing the immense challenge of grieving your losses while navigating emotional and psychological recovery. Older adults often show remarkable resilience, but unique challenges like chronic health conditions, isolation, and cognitive vulnerabilities can complicate the recovery process.In this episode, I discuss how to support older adults following disasters, highlighting common reactions, risk factors, and effective strategies for fostering psychological recovery.Key TakeawaysCommon Reactions: Emotional, cognitive, physical, and behavioral responses older adults may experience after a disaster, and how these differ from typical stress reactions.Vulnerability Factors: Chronic health conditions, social isolation, and financial challenges that can exacerbate distress.Resilience in Older Adults: How past experiences often enhance older adults' ability to recover.Practical Strategies: Building trust, fostering community connections, accessing resources, and recognizing when professional mental health care is needed.Resources for Support: Key tools like SAMHSA’s Disaster Distress Helpline and local Area Agencies on Aging.Click here for the show notesResources MentionedTrauma-Informed Care with Older Adults GuideHelping Older Adults After Disasters: A Guide by SAMHSADifferentiating Acute Stress Disorder (ASD) from Post-Traumatic Stress Disorder (PTSD) and Unique Considerations for Older AdultsHelping Older Adults Prepare for Disasters: Essential Resources & TipsSAMHSA Disaster Distress Helpline: 1-800-985-5990National Crisis Hotline for Mental Health: 988Find Your local Area Agency on AgingFREE RESOURCE If you’re supporting older adults recovering from a disaster, don’t forget to download my Trauma-Informed Care Guide for Older Adults. Together, we can provide the compassionate care older adults need to recover and thrive.Subscribe and Leave a ReviewIf you enjoyed this episode, please subscribe, leave a review, and share it with a colleague or friend. Together, we can ensure older adults are included in the mental health conversation.Follow Dr. Regina Koepp on LinkedIn: Regina Koepp, Psy.D.It's only with your help that we can meet the mental health needs of older adults. So, thank you for being here and doing your part. Link to the show notes page here: Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#110- What NY Times Got Wrong About ADHD and Older Adults
There was a misleading headline from The New York Times recently that claimed ADHD diagnoses are surging among "older Americans." In this episode, I set the record straight by clarifying who qualifies as an "older adult" (65+), highlighting why mental health needs for older adults are so often overlooked, and explaining how systemic issues like ageism, stigma, and misdiagnosis perpetuate these gaps.What You’ll Learn in This Episode:Why ADHD diagnoses are underreported among adults 65+ despite growing rates in younger age groups.The critical role of ageism in excluding older adults from clinical trials and mental health care.How stigma, misdiagnosis, and provider training gaps keep older adults from receiving proper care.The importance of resilience in older adults and how it can mask mental health challenges.Key Takeaways:Misleading headlines distract from real mental health challenges faced by older adults.Ageism and stigma reduce the chances of mental health conditions being identified and treated.Untreated mental health issues lead to poorer quality of life, higher medical costs, and increased risk for suicide.Older adults deserve accurate representation and equitable care in mental health conversations.Articles Referenced: “A.D.H.D. Diagnoses Are Surging Among Older Americans.” Truveta Analysis on ADHD diagnoses 2018-2024 (scroll down to see the graph I discuss in the episode). Resources Mentioned:Learn more about Dr. Regina Koepp and the Center for Mental Health & AgingPrevious features of Dr. Koepp in The New York Times: 3 Steps to Age ExuberantlyHow to Change Your Mind-Set About AgingDid you enjoy this episode?If you enjoyed this episode, please subscribe, leave a review, and share it with a colleague or friend. Together, we can ensure older adults are included in the mental health conversation.Follow Dr. Regina Koepp:Website: www.drreginakoepp.com & Center for Mental Health & AgingLinkedIn: Regina Koepp, Psy.D.Join the Conversation:What do you think about the mental health needs of older adults? Share your thoughts and questions by commenting or reaching out on social media.Let’s work together to spotlight the real issues and make sure no one is left out of the mental health conversation!Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#109- LPCs and LMFTs Now Eligible for Medicare: What to Know
Medicare now includes LPCs and LMFTs! Discover the new opportunities this presents for mental health professionals working with older adults. In this Psychology of Aging episode, we dive deep into the recent changes in Medicare policies that now allow Licensed Professional Counselors (LPCs) and Licensed Marriage and Family Therapists (LMFTs) to enroll as Medicare providers. This landmark policy update, effective January 1, 2024, opens up new opportunities for mental health professionals and significantly expands access to care for older adults and those with long-term disabilities. Our expert guests, Dr. Matthew Fullen and Dr. Mary Chase Mize, share their insights on the implications of this policy change, the enrollment process, and how this will shape the future of mental health care for older adults.Click here to learn more Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#108- The Healing Power of Nature: Science-Backed Benefits for Aging Well
Have you ever felt rejuvenated after a day spent outdoors, perhaps gardening or simply enjoying a walk in the woods? Recently, nature has been my much needed therapy, and it’s transformed my approach to health and aging. In today’s episode, I’ll share how my own journey into the world of gardening and nature began at a time when I needed it most—right as I turned 48 and was worn out from constant traveling and presenting. This personal experience opened my eyes to the potent benefits of connecting with nature. So, I dove into the scientific literature, and in this episode, I share…Key Topics Discussed:Personal Gardening Experience: I dive into my transformative journey into gardening after moving to Vermont, highlighting the deep personal and health benefits from tending to plants.Importance of Forest Bathing: Learn about the Japanese practice of Shinrin-Yoku, or forest bathing, and its proven effects on reducing stress, improving heart health, and enhancing overall well-being.Scientific Evidence on Nature’s Benefits: Explore the latest research from a 2024 meta-analysis that reviews various nature-based interventions and their impact on older adults’ health, especially those with chronic conditions.Virtual and Accessible Nature Experiences: Discover how therapeutic gardens, virtual reality nature experiences, and even simple indoor plants can benefit those unable to engage with outdoor environments directly.Practical Tips for Integrating Nature into Daily Life: Discussion on how to incorporate nature into everyday settings, particularly for older adults, to promote health and well-being.Access links to the research mentioned in this episode here. Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#107- Signs and Symptoms of Depression and Anxiety Older Adults
Today we're diving deep into a topic that affects many older adults but is often misunderstood: depression and anxiety.While these mental health conditions are prevalent among older adults, they are not a normal part of aging and deserve our attention and care.Episode Highlights:Understanding Depression and Anxiety in Older Adults:Depression and anxiety are prevalent but not normal aspects of aging.These conditions need to be recognized and treated to prevent serious health impactsEffective Treatments Available:A combination of medications and psychotherapies can effectively treat anxiety and depression in older adults.Encouraging older adults to seek help can significantly improve their quality of life.Impact of Untreated Mental Health Conditions:Untreated depression and anxiety can worsen medical conditions, increase hospital stays, and lead to more functional impairments.The importance of addressing mental health to improve both psychological and physical well-being.Identifying Symptoms of Depression (SIGECAPS):Sleep: Changes in sleep patterns.Interest: Loss of interest in activities.Guilt/Despair: Feelings of hopelessness.Energy: Decreased energy levels.Concentration: Difficulty concentrating.Appetite: Changes in appetite.Psychomotor changes: Agitation or slowing down.Social isolation: Withdrawing from social interactions.Signs of Anxiety in Older Adults:Excessive worry, fear, and a sense of doom.Avoiding daily routines and social situations.Physical symptoms like a racing heart, shallow breathing, and muscle tension.Encouraging Medical Evaluation:Symptoms of depression and anxiety can also indicate medical problems or medication side effects.Starting with a primary care provider to rule out physical health issues is crucial.The Five D's of Suicide Risk:DepressionDisabilityDisconnectednessDiseaseDeadly meansUnderstanding these risk factors helps us intervene and provide the necessary support.Fostering Hope and Connection:Social engagement, cultivating meaning and purpose, and reflecting on past resilience are key protective factors against depression and anxiety.Respecting the autonomy and wishes of older adults in their mental health journey is essential.Connect with Me:Visit my website: www.drreginakoepp.comFollow me on social media: Facebook | Twitter | LinkedInSubscribe to the podcast for more insights on mental health and aging!Support the Show: If you enjoyed this episode, please leave a review and share it with others who might benefit from this information. Your support helps us reach more people and make a positive impact.Thank you for being a part of our community and for your commitmHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#106- Aging and Alcohol: How to Identify Problem Drinking in Older Adults
Did you know that 65% of adults over 65 report high-risk drinking? Understanding the unique impacts of alcohol on aging bodies is crucial for all of us.In this episode, I'll walk you through three key considerations: increased sensitivity to alcohol, health complications, and harmful interactions with medications. We'll also discuss common triggers for increased alcohol use and practical tips for caregivers and healthcare providers to help identify and manage problem drinking among older adults.Episode Highlights:Increased Sensitivity to Alcohol:As we age, our bodies become more sensitive to alcohol.This means we experience its effects more quickly, putting us at a higher risk for falls, car accidents, and injuries.Health Complications:Older adults often have health conditions like diabetes, heart disease, and osteoporosis that alcohol can make worse.Heavy drinking can also lead to new health issues, such as liver disease and dementia.Medication Interactions:Many older adults take medications that can interact dangerously with alcohol.Even common over-the-counter meds can have harmful effects when mixed with alcohol.Triggers for Increased Alcohol Use:Life changes like retirement, divorce, or the loss of a loved one can lead to more drinking.Functional limitations and boredom can also contribute to increased alcohol use.Identifying Problem Drinking:Signs of alcohol use disorders can look like other medical conditions.The CAGE screening tool can help identify problem drinking in older adults.Effective Treatment:Substance use treatment works, even for older adults.Everyone deserves access to mental health care and support, no matter their age.Practical Tips:Be curious and open when discussing alcohol use with older adults.Encourage them to be honest with their healthcare providers about their drinking.Offer support and resources to help manage alcohol use and life transitions.Final Thoughts: Remember, you play a crucial role in supporting older adults. There's no expiration date on healing and transformation. Every person, at every age, deserves access to mental health care. Let’s break the myths and get older folks the help they need.Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#105- How to Talk with Older Adults About Mental Health Problems
Are you noticing signs of depression or anxiety in your older loved ones or clients and wondering how to approach the topic? This video is your essential guide to navigating these sensitive conversations with compassion and effectiveness. Learn from Dr. Regina Koepp, a geropsychologist, as she shares expert tips on:Starting the Conversation: Discover how to empathize and validate their feelings to create a supportive dialogue.Dispelling Myths: Uncover common misconceptions about aging and mental health, and how to address them.Handling Resistance: Find out how to manage situations when the conversation doesn’t go as planned, with techniques for apology and re-engagement.Respecting Autonomy: Understand the importance of respecting the individual's choices and offering them the freedom to decide their path to mental wellness.Listen to this episode and empower yourself with the knowledge and skills to help older adults get the mental health care they deserve, while respecting their autonomy and decisions. You have an important role in bridging older adults to mental health care so thank you for being here and doing your part. Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#104- 5 Life Lessons I've Learned from 20 years of Working with Older Adults
In this touching episode, I share invaluable wisdom garnered from two decades of working intimately with older adults. Through personal anecdotes and professional experiences, I share five transformative life lessons that challenge and inspire. You'll embark on a journey exploring: the fleeting nature of life and the importance of embracing every moment, the profound impact of human connection, the relentless pursuit of meaning and purpose, the eternal presence of love, and the never-ending potential for personal growth and transformation at any age.These stories not only provide a deeper understanding of aging but also offer universal insights that resonate with individuals across all stages of life. Join me for a heartfelt exploration of what it means to live fully, love deeply, and grow continuously, guided by the wisdom of those who have journeyed before us.🔗 Helpful Links:Download Dr. Koepp's free guide for mental health professionals working with older adults: www.mentalhealthandaging.com/guideVisit Dr. Koepp's website for more resources: www.Mentalhealthandaging.com💬 Let's Connect:Share your own life lessons from working with or knowing older adults Follow Dr. Koepp on social media for daily insights and inspiration.Thank you for listening, and here's to finding wisdom at every age Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#103- Is Anxiety Treatable in Older Adults? Expert Shares Effective Treatment
Ever wondered if older people get anxious just like young folks do? Turns out, older adults can get anxious too, but it might look a bit different than what younger people experience. In this episode, we explore the questions:1. How does anxiety manifest differently in older adults compared to younger individuals?2. What biological, psychological, and social factors contribute to anxiety in seniors?3. What is the difference between everyday stress and an anxiety disorder in an older individual?4. What strengths and resiliencies do older adults bring with them to help them cope with anxiety?5. What is an effective CBT tool that can assist older adults in managing their anxiety?6. What can healthcare providers do to better support older adults who are experiencing anxiety?7. What can family caregivers do to better support older adults who are experiencing anxiety?About today's guest: Dr. Julie Erickson is a clinical psychologist in private practice and adjunct faculty member in the Department of Applied Psychology and Human Development at the University of Toronto in Toronto, Canada. Dr. Erickson is interested in optimizing evidence-based psychological treatment for older adults and reducing their barriers to treatment-seeking. She maintains an active clinical practice with adults across the lifespan and provides education to the public and mental health professionals on aging and mental health. Her book, The Aging Well Workbook for Anxiety and Depression, was released on October 1, 2023 by New Harbinger Publications. Link to show notes here.Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#102- 3 Myths About Aging and Intimacy: Lessons Learned from the Golden Bachelor.
Dive into '3 Myths About Aging and Intimacy', inspired by lessons from the Golden Bachelor. We'll debunk common myths surrounding love and relationships in our later years using research, not stereotypes. The Golden Bachelor, with his own love stories, teaches us that age doesn't stop true connections. Plus, if medical conditions have you worried about intimacy, we've got you covered. This episode includes 5 essential tips for keeping the spark alive, even when health challenges arise. Whether you're into senior dating, curious about love in the later years, or looking for ways to strengthen bonds when health gets tricky, this is for you. Learn, laugh, and discover the ageless power of love and connection.Get access to the Sexual Health & Aging CE Course [3 CE Credits] I mentioned in this episode. Learn more about Dementia and Sexual Health [1 CE Credit] hereHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#101- Leading Causes of Cognitive Impairment in Old Age
Unlock the mystery behind the leading cause of cognitive impairment. Expert insights on prevention and management strategies.Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#100- Are Mild Cognitive Impairment and Dementia The Same Thing?
Learn the difference between cognitive impairment versus memory loss, and the answer to the question "is mild cognitive impairment dementia?"Are you therapist, social worker, counselor, psychologist working with older adults? If you're like most therapists, you haven't had training addressing cognitive issues in therapy leaving you feeling ineffective, stuck, and unsure of how to best help your client. You're not alone. I created a free 10-min video training where I walk you through 5 steps for helping your clients presenting with memory loss. Get access to this free training and a BONUS workbook that you can start using in your clinic today. Download here: https://www.mentalhealthandaging.com/clarity/Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#099- Parkinsons & Sex: 5 Ways to Cultivate Intimacy When Living with Parkinson's Disease
When couples experience life altering medical conditions, like Parkinson's Disease, their level of intimacy can plummet. Here are 5 strategies that you can use to cultivate intimacy and connection with your partner. Learn more about aging and sexual health hereIn honor of Parkinson’s Disease (PD) Awareness Month, I'm partnering with the American Parkinson Disease Association on the release of their ParkinSex book and kit, a guide to intimacy for people with PD and their partner.Life altering medical conditions, like Parkinson's Disease, can impact couples in profound ways, including their intimacy... but there are strategies to cultivate intimacy and connection when living with Parkinson's 💚.Even if Parkinson's changes your body, it doesn't have to change your love life.Download or listen to the book at https://lnkd.in/e8mZBgZ6Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#098- Which Mental Health Providers Work with Older Adults?
Learn the difference between therapist, psychiatrist, and neuropsychologist when it comes to finding mental health care for older adults. Knowing what each professional does will help you to identify the mental health professional best able to address your most immediate need. Here’s an overview of the three most common licensed mental health professionals who specialize with older adults.LEARN MORE about each professional here. ARE YOU A MENTAL HEALTH PROVIDER WHO WORKS WITH OLDER ADULTS? Join our national provider directory here! It's FREE! Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#097- Expert Advice to Older Adults New to the Mental Health Space
Expert advice for seniors new to therapy. In this episode I share common causes of depression in older adulthood and key advice for older adults who are new to the mental health space. Go to the show notes hereFIND A MENTAL HEALTH PROVIDER FOR OLDER ADULTSGET CONTINUING EDUCATIONHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#096- Screening and Referral for Depressed Older Adults
Do you regularly screen for depression in the older adults you work with? Do you know which screening tools are best to use with older adults? With adults with mild cognitive impairment? With adults with moderate to severe dementia? No worries! I got you covered. In this week's video, you'll learn: ⭐️ 5 must have (and free) depression screening tools to use with older adults⭐️ the screening tools to assess for depression and anxiety when older adults are medically hospitalized⭐️ Which depression screening tools are best for use with older adults who have mild cognitive impairment or early stages of dementia⭐️ A screening tool to identify depression in the moderate to severe stages of dementia. Click here to get access to each of these screening toolsHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#095- Signs of Depression in Older Adults
What are the signs of depression in older adults? How common is depression among older adults? How to help older adults get connected to care? What happens when depressed older adults do not receive mental health care?In this podcast, you'll learn the answers to each of these questions and more. You have an important role in helping older adults get the mental health care they need. Learn more about supporting the mental health of older adults at www.mentalhealthandaging.com. Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#094- Mental Health Care for Older Adults with HIV
[CEU Podcast] More than half of the people in the US living with HIV are 50 years old and older. With the use of antiretroviral medications, people who were diagnosed with HIV decades ago have been able to live well into older adulthood. Sadly, stigma due to age, sexual orientation, gender identity, and HIV status contributes to poor mental and physical health among older adults living with HIV. In this continuing education podcast, you’ll learn current statistics related to HIV among people aged 50 and over, you’ll discover: the social, cultural, and medical reasons that adults 55 and older live with HIV longer before getting a diagnosis. intersections between HIV and mental health concernstools for helping older adults living with HIV.Click here to Visit Show Notes PageHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#093- Elder Abuse is Still Underreported: Must Know Tips for Mandated Reporters with Page Ulrey
CEU Episode. Elder abuse is underreportedElder abuse and exploitation have a significant impact on older adults who experience it, including an increased risk for death, worsening of chronic illness, increased likelihood of hospitalization and placement in a nursing home, as well as increased rates of depression, anxiety, among other consequences.In this 60min continuing education podcast episode, you’ll discover:The impact of elder abuse on older adultsBarriers to reporting elder abuseRecommendations for mandated reportersIn this episode, Dr. Regina Koepp interviews Page Ulrey, Senior Deputy Prosecuting Attorney for the King County Prosecutor’s Office.Link to the show notes page hereHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#092- Elder Financial Abuse by Family Members with Dr. Peter Lichtenberg
[CEU Episode] One out of every 20 older adults in the U.S. is a victim of financial exploitation, losing an average of $80,000 to $186,000 (olderadultnestegg.com). The vast majority of elder financial abuse cases are most likely to be somebody the older adult knows: 54% family members, 31% care workers, and 13% partners (Jackson, 2016).Banks and money service businesses reported a 400% increase in suspicious activity from 2013-2017. The vast majority of this suspicious activity involved people over 60 (olderadultnestegg.com).Today’s guest, Dr. Peter Lichtenberg, is a national expert in preventing financial abuse and exploitation and reducing its impact on older adults.In this 60min continuing education podcast, you’ll discover: - Examples of elder financial exploitation- What puts older adults at risk for financial exploitation- Resources to help older adults, caregivers, and professionals prevent elder financial exploitation and recover from identity theft.Click here to go to the show notes pageHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#091- Sexuality in Older Adults: Why Sexual Liberation Matters
[CE Podcast] Does it surprise you to hear that the majority of adults between 65 and 80 are sexually active?In fact, a recent survey of more than 1,000 adults between 65-80 years old, found that 50.9% of men and 30.8% of women reported being sexually active.Despite older adults remaining sexually active, they are not often discussing sexual health with their health providers and when they do, older adults tend to be the ones initiating the conversation.So, in an effort to help mental health, senior care, and health care providers reflect on our own values and attitudes and sexuality and aging, I interview sexual health and aging expert, Dr. Maggie Syme.In this interview, Dr. Maggie Syme and I discuss:What it means to be a sexual citizenAttitudes about sexuality and agingCurrent research on intimacy and agingBenefits of sexuality and intimacy in older adulthoodDementia and sexual expressionWhat sexual liberation looks like for older adultsWant to learn more about sexual health and aging? Download our free Sexual Health Assessment Tool KitHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#090- What Increases Suicide Risk Among Older Adults with Yeates Conwell, MD
[CE Podcast] Older white men have the highest rates of suicide, more than any other age group. Thus, it is essential that you have tools for addressing and preventing suicide among older adults. Click here to earn continuing education credits for this episodeIn this one hour continuing education podcast, you'll discover: Statistics about older adults and suicide, Cultural factors that may increase or mitigate risk for suicide, The “5 D” framework for understanding suicide risk among older adults How to help older adults who may be suicidalToday's expert guest is Yeates Conwell, MD, Professor of Psychiatry at the University of Rochester School of Medicine and Dentistry, where he directs the Geriatric Psychiatry Program and the UR Medical Center’s Office for Aging Research and Health Services, and co-directs the UR Center for the Study and Prevention of Suicide. Dr. Conwell received his medical training at the University of Cincinnati and completed his Psychiatry Residency and a Fellowship in Geriatric Psychiatry at Yale University School of Medicine. In addition to teaching, clinical care, and service system development, Dr. Conwell directs an inter-disciplinary program of research in aging, mental health services, and suicide prevention.Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#089- Addiction Free Solutions for Managing Chronic Pain with Dr. Stephen Grinstead
[CEU Podcast]- The opioid crisis has highlighted just how harmful opioid-based pain management approaches can be. In this continuing education podcast you will learn the unique challenges and obstacles that face patients suffering with chronic pain and coexisting disorders, including medication misuse abuse or addiction and mental health concerns. You will discover that treatment for chronic pain requires an integrated concurrent team approach to achieve successful treatment outcomes. You will obtain the proper understanding, skills and treatment techniques you need to address the neurobiological psychological/emotional, social and spiritual aspects of chronic pain when potentially addictive medications are no longer a viable option.See the show notes page for more resources. Today's guest, Dr. Stephen Grinstead, has a doctorate in Addictive Disorders (Dr. AD) and was the Co-Founder and Chief Clinical Officer of a Triple Diagnosis Residential and Intensive Outpatient Chronic Pain Management Program in California. He is author of the book Thank You Adversity for Yet Another Test: A Body Mind Spirit Approach for Relieving Chronic Pain SufferingHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#088- Chronic Pain, Opioids, and Addiction among Older Adults with Dr. Sudheer Potru
[CEU podcast] Is it safe to prescribe opioids to older adults to manage chronic pain? Many older adults are prescribed opioids to manage chronic pain. But in the midst of the opioid crisis and risk for addiction, the question arises, "can older adults use opioids safely?" In this continuing education (CE) podcast episode you'll learn: the history of opioid crisisthe challenges and stigma faced by those living with chronic pain and substance use disorders. the impact of involuntarily withdrawing opioids from patients, new methods for openly discussing painthe difference between "physical dependence" and "addiction"get an expert answer to the question: "is addiction really a disease?"Click here to learn more about earning continuing education (CE) credits for this podcast.About today's guest... Dr. Sudheer Potru is a triple-board-certified anesthesiologist, interventional pain specialist, and addiction medicine specialist with strong interest in both opioid safety and addiction medicine. He is an assistant professor at Emory and the medical director of the Atlanta VA's complex pain clinic, which specializes in treating veterans who have chronic pain associated with high-dose opioid use or substance abuse problems. He sits on multiple national committees related to pain and substance use disorders and is actively involved with research and advocacy related to these topics. He has given numerous regional and national talks to both anesthesiology and pain societies on the topic of addiction and how best to manage vulnerable patients around the time of surgery and when they have chronic pain issues as well.Go to the show notes page hereHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#087- What is Biofeedback for Cardiovascular Health with Maggie Johnson, PhD
[CEU Podcast] There are currently unprecedented levels of stress in the United States. Stress directly impacts mental and physical health, including heart disease. According to the American Heart Association, 50% of Americans are living with high blood pressure. With the combination of high levels of stress and high percentages of people living with high blood pressure. It is critical that we have tools to help people living with high blood pressure, heart disease, and other cardiovascular concerns manage stress and live a healthier life. Today, I'm delighted to bring you a 60 minute continuing education episode on biofeedback therapy for cardiovascular health with Dr. Maggie JohnsonDr. Johnson is a clinical psychologist at the Western North Carolina VA Health Care System where she provides behavioral health interventions to veterans coping with chronic health conditions, chronic pain, depression, PTSD and anxiety disorders. She specializes in Health Psychology and Complementary and Alternative Medicine. She is certified in HeartMath biofeedback and very passionate about mind body interventions. Click here to see show notes & resources from this episodeHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#086- How Chronic Pain Impacts Mental Health with Dr. Jennifer Steiner
#086 [CEU Podcast] - Chronic pain impacts more than 1 in 5 adults living in the United States and can have a significant negative impact on all aspects of a person’s life, including ability to work or attend school, finances, social and romantic relationships, and sense of self. Research shows that chronic pain is associated with an increase in risk for depression and suicide. Yet, high rates of stigma, bias in health care, and limited access to trained mental health providers contributes to people living with chronic pain not receiving the care they need. This CEU podcast will address the widespread impact of chronic pain on the whole person, with focus on the pain-depression cycle.After listening to this episode, you'll be able to: Identify 3 psychosocial ways in which quality of life is impacted by chronic painDiscuss why it is important to attend to both mental/emotional wellness and physical health when working with people chronic painExplain the bidirectional relationship between chronic pain and depressionToday's guest, Dr. Jennifer Steiner, is a board certified clinical health psychologist, founder of Beyond the Body Health Psychology Services, LLC, Co-Director of Center for Mental Health & Aging's Continuing Education Program, Adjunct Faculty at Emory School of Medicine, Board Member of the Georgia Psychology Association Board of Directors, Co-Chair of the Continuing Education Committee for Georgia Psychological Association, and Member of the Committee on Health Psychology and Integrated Practice. Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#085- Differentiating Delirium, Dementia, Depression and Psychosis in Medically Vulnerable Older Adults
[CEU Podcast] - The prevalence of delirium is highest among older adults who are medically hospitalized. In fact, 33% of general medical patients who are 70 and older have delirium. It’s imperative that mental health professionals have a keen understanding of delirium and how to distinguish it from look-alike conditions. This continuing education course will: provide an overview of delirium and the various forms delirium can takediscuss cognitive screenings used in medical settingsillustrate how to distinguish delirium from dementia, depression, and psychosis among medically vulnerable adultsLink to the show notes page hereGet access to the BONUS Video when you subscribe to the CEU podcast Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#084- How To Be an Ally To Transgender Older Adults with Loree Cook-Daniels
[CEU Podcast] - Service providers, including mental health professionals, may be called upon to support a transgender (“trans”) older adult. Supporting trans older adults has much in common with supporting non-trans older adults. This presentation includes general reminders --- like listen rather than give advice, empower rather than “do”, and be open to learning. It also goes into many of the areas in which trans people differ from their non-trans peers, and advises allies on how they can best support the trans older adult in each arena.In this CEU podcast episode, you'll discover: 3 ways that professionals and helpers can be an ally to transgender older adultsWhat the terms paradox meansDifferences between people who transitioned in their younger years versus people who transitioned in their older years.Today's guest, Loree Cook-Daniels, has been working on both LGBT and aging issues since 1974. She founded the Transgender Aging Network in 1998, and in 2000 became the Policy and Program Director for FORGE, a 26-year-old national transgender and SOFFA (Significant Others, Friends, Family, and Allies) and was a founding partner in the National Resource Center on LGBT Aging and remains its primary transgender expert.Click here to access the show notes of this episode and to get all the resources discussed in this episode. Have a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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#083- Brief Effective Pain Management for Older Adults with Beth Darnall, PhD
[CEU Podcast] - With the majority of people living with chronic pain being older adults, it's critical that there are affordable, accessible, AND effective pain management programs to help older adults manage chronic pain. In this episode, Dr. Beth Darnall, Associate Professor at Stanford University School of Medicine, Department of Anesthesiology, Perioperative, and Pain Medicine, and creator of Empowered ReliefTM shares:why people with chronic pain may not be getting the holistic care they need. the benefits of a 2 hour skills-based course, compared to traditional models of psychotherapy, like 8-10 sessions of CBThow a single-session online pain management class has been applied to older adults for pain and symptom management. Link to the show notes of this episode hereHave a topic idea? Send us a text. PROFESSIONALS: Grab your free guide to working with older adults here Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits
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ABOUT THIS SHOW
Welcome to The Mental Health and Aging Podcast—your go-to resource for evidence-based strategies, mental health tools, and expert insights to support the psychological, emotional, and spiritual wellbeing of older adults.Hosted by clinical geropsychologist and founder of the Center for Mental Health & Aging, Dr. Regina Koepp, this podcast is designed for therapists, psychologists, social workers, aging life care professionals, geriatric care managers, and healthcare providers who want to confidently address the mental health needs of older adults.Most mental health and healthcare professionals were trained to focus on the physical changes of aging—but that’s only part of the picture. This podcast explores the not-so-physical aspects of aging:How purpose and meaning evolve later in lifeThe emotional and psychological impact of retirement and life transitionsSpiritual growth tha
HOSTED BY
Dr. Regina Koepp
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