From depression to anxiety, approximately 14% of people aged 60 and older worldwide live with a mental health problem. Declining physical health and function, loss of loved ones, loneliness and social isolation, abuse, caregiving responsibilities, and ageism can contribute to the development of these problems. Given that by 2030, 1.4 billion people worldwide—or 1 in 6—will be 60 and older, it is important to identify strategies to improve certain aspects of psychological health and mental well-being (1). Psychotherapies and alternative therapies such as mindfulness-based cognitive behavioral therapy, acceptance and commitment therapy, reminiscence therapy, and horticultural therapy are examples of strategies that work (2-5). Click on the links below to learn more about some areas in which these therapies can help.
1.Mindfulness-Based Cognitive Therapy
Ready, set, meditate MBT involves identifying negative or false thoughts and replacing them with healthier, more positive ones, while mindfulness is a form of meditation that encourages being in the present (2; 6; 7). Research shows that MBT programs delivered by trained therapists can help prevent relapse in people with recurring depression (2).
2. Acceptance and Commitment Therapy
Acceptance is the first step! Acceptance and commitment therapy involves accepting negative thoughts and feelings and using healthy activities to manage experiences. Research shows that acceptance and commitment therapy, delivered by trained professionals, can improve various aspects of caregivers’ psychological health. Examples of benefits include reduced symptoms of depression, anxiety, and stress, as well as increased mindfulness (3).
3. Reminiscence therapy
Sharing is caring! Group reminiscence therapy involves sharing personal stories and memories with others. Programs led by trained facilitators are particularly beneficial (4). Additionally, in people with dementia, we also see small improvements in mood, as well as communication, cognition, and quality of life (8).
4. Horticultural therapy
Grab your gardening tools! Horticultural therapy (or horticultural therapy) involves participating in gardening-related activities under the guidance of a trained therapist with the goal of achieving patient-identified goals (5; 9-11). Research shows that horticultural therapy can improve mood, particularly feelings of happiness, in healthy individuals. This is in addition to potential improvements in physical health and quality of life in certain populations. Further research is needed to confirm and expand on these findings (5).
Those interested in trying these therapies may have concerns about accessibility and cost. In addition to in-person therapies, some therapies are also available online (12). Regarding cost, whether or not therapy is covered by provincial health plans, extended health plans, or private insurance may depend on who provides the service and where it is provided. Some therapies may be fully covered! Check with your insurance plan for details and speak to your healthcare team for guidance on how to access these services in your community and integrate them into a comprehensive treatment plan, which may also include medication (13;14). The Government of Canada also provides information on mental health resources available across the country.