Jon R. Cohen, M.D. Chief Executive Officer & Director | Talkspace
Personality changes in older adults are a common occurrence, influenced by various factors such as biological, psychological, and social elements. While some changes reflect natural growth or adaptation to new situations, others may indicate underlying health conditions. Research suggests that traits like conscientiousness and agreeableness tend to increase with age, while neuroticism often decreases.
However, certain changes can be concerning. Mood swings and withdrawal are sometimes misunderstood as normal aging but might signal deeper issues. Recognizing these distinctions is crucial for providing necessary support and care to older adults.
Talkspace therapist Famous Erwin LMHC, LPC notes: “Older adults may withdraw from social interactions due to shifts in beliefs, values, or lifestyles. As they age, they are more likely to experience the loss of loved ones, financial challenges, and health issues. These life changes can exacerbate shifts in mood and behavior.”
Common personality changes include increased irritability or mood swings due to hormonal changes or medication side effects. Urinary tract infections (UTIs) are known to cause irritability and confusion in older people. Social withdrawal can result from physical limitations or cognitive decline.
Anxiety and paranoia can also become more pronounced with age due to cognitive decline or stressors like grief or financial insecurity. Emotional sensitivity might increase because of brain structure changes associated with aging.
Famous Erwin advises families on handling these challenges: “Psychological shifts within the brain can impact an elderly person’s perspective and mood... To navigate these challenges effectively... consider active listening... finding common ground... being respectful and patient.”
The causes of personality changes in aging vary widely from psychological factors like depression and anxiety to physical health concerns such as chronic pain or UTIs. Medications also play a role; polypharmacy increases the risk of side effects impacting personality.
Recognizing when personality changes warrant concern is essential. Sudden shifts could indicate serious issues like dementia or depression. Observing signs such as persistent withdrawal from activities or dramatic mood swings is vital for timely intervention.
Seeking professional support for mental-health-related changes is important for clarity and coping strategies. Therapy offers tools for managing anxiety, depression, mood fluctuations, and cognitive decline.
For those facing mobility challenges or preferring remote care options, Talkspace provides online therapy covered by Medicare in many states.