Healthy mind, healthy you!

What the science says — and what experts want older adults to know — about mental health and aging.

A woman standing outside and gazing to the side

For a good life, your mental health matters. Positive emotions like joy and contentment feel good — and they’re good for your health. They boost your immune system and motivate you to stay connected and active. But mostly, being mentally healthy just makes life better.

Feeling a little depressed or anxious? Plagued with worries that keep you up at night? Taking care of your mental health means you get to enjoy doing the things you love with the people who mean the most to you — and there’s no shame in admitting that you might need a little help. After all, up to 25% of older adults are coping with a mental health challenge.

In this special section, we’ll explore the connections between mental and physical health, tackle issues like loneliness and depression, and empower you with practical tools to improve your emotional well-being. Your mental health matters — and so do you!

Scroll down to read all the stories in this special section, or click a headline below to jump to a specific article.

Q&A with Dr. Ramos: Are you taking care of your whole self?

Five reasons to take loneliness seriously

The role chronic conditions play in your mental health

Quiz: Think you know the signs of depression and anxiety?

 

We’ve got your back: IBX tools and support

IBX is here to support your emotional well-being. Through your IBX plan, you can take advantage of these tools and resources:

Work with our Behavioral Health Care Navigators

We have many mental health resources available, but you may not always know where to find them or how to access them. That’s where our Behavioral Health Care Navigators come in. They can help:

  • Connect you to health care providers and schedule appointments.
  • Explain your behavioral health benefits and what is covered through your plan.
  • Provide in-the-moment crisis support and de-escalation for behavioral health emergencies.

Visit ibxmedicare.com/bhnavigators to learn more. Or call 1-800-688-1911 (TTY/TDD: 711) to get started.

Registered Nurse Health Coaches and Case Managers* can answer questions and help you manage your symptoms 24/7

Visit ibxmedicare.com/healthcoach to learn more. Or call 1-855-332-3102 (TTY: 711) to get started.

Use Teladoc Health**

With your telemedicine benefit, you have access to licensed mental health professionals who can support you with your emotional well-being and help you cope with depression, anxiety, stress, grief, and more, available at no cost. To get started, visit teladochealth.com/signin or call 1-800-835-2362 (TTY/TDD: 711), 24 hours a day, seven days a week.

 

Q&A with Dr. Ramos: Are you taking care of your whole self?

We asked IBX Medical Director Dr. Luz Ramos what she wants members to know about prioritizing their emotional well-being.

Q: Why are our mental health and emotional well-being just as important as our physical health as we age?
A:
The brain and body aren’t separate entities but rather two sides of the same coin. This means that looking after one can influence the other, and when one struggles, so will the other. Our attitudes, thoughts, and feelings can impact our physical health, and how we treat our body can influence our mental health.

Q: How common are mental health conditions among older adults in the U.S?
A:
Very common. According to the Centers for Disease Control and Prevention (CDC), approximately 20% of adults ages 55 and older experience some type of mental health concern, such as anxiety, depression, or cognitive decline. And mental health issues like depression are linked to poorer health outcomes. For example, older adults with depression are 59% more likely to develop heart disease and are at greater risk of stroke.

By prioritizing mental health alongside physical health, older adults can maintain better overall well-being and independence.

Q: Do conditions like anxiety and depression present differently in older adults than they do in younger adults?
A:
Mental health conditions can look a bit different in older adults. In addition to typical depression symptoms like feelings of hopelessness or changes in appetite, symptoms of depression in older adults may include anger or aggression, as well as ongoing headaches, digestive issues, or physical pain.

Q:  What simple steps can older adults take to support their mental well-being every day?
A:
Small daily actions can have a significant impact on mental health. It’s important to exercise, maintain social connections, stay hydrated, eat a balanced diet, get plenty of restful sleep, and find ways to relax and recharge. 

Q: What would you say to someone who is struggling but feels hesitant to ask for help?
A:
It’s common for older adults to feel hesitant about seeking mental health support, often due to stigma, generational attitudes, or misconceptions about therapy. To them I’d say, “Your mental health is just as important as your physical health. Seeking help for your emotions is no different from visiting the doctor for high blood pressure or arthritis. It’s a sign of strength, not weakness.”

 

Five reasons to take loneliness seriously

Feeling lonely doesn’t just affect your mental health. Here’s how it can impact your physical health, plus tips for staying connected.

Connection is essential to our well-being, so it makes sense that loneliness and social isolation can take a serious toll on both physical and mental health. Older adults are particularly vulnerable. Loss of a spouse, mobility challenges, or vision and hearing issues can make it harder to stay socially engaged. Understanding the risks of loneliness is the first step toward addressing it.

Did you know? One in four adults over age 65 are socially isolated, which can raise the risk of mental health problems by 50%, according to the National Institute on Aging.

Here are five surprising ways loneliness can harm your health: 

  • Stroke. Studies show that loneliness is associated with a higher risk of stroke, likely due to increased stress and brain inflammation.
     
  • Dementia. One study found that lonely individuals had a 50% increased risk of developing dementia. Older adults who are lonely may experience faster declines in memory and thinking skills compared with those with strong social ties.
     
  • Heart disease. Loneliness is as harmful to heart health as smoking or obesity because it raises the risk of high blood pressure and heart failure.
     
  • Weakened immunity. Chronic loneliness has been linked to a weakened immune system, making it harder for the body to fight off illness.
     
  • High blood pressure. Social isolation can elevate stress hormones, leading to hypertension and increasing the risk of heart attacks and strokes.

How to stay connected

Making new relationships, and nurturing the ones you already have, can help you feel less lonely and more connected. Try these tips:

  • Get your vision and hearing checked. See page 3 for more details.
     
  • Join a local club. Whether it’s a book club or walking group, finding like-minded people can help you make new connections.
     
  • Get involved in your community. Visit a workshop at your library or look for local volunteering opportunities.
     
  • Learn conversation starters to make small talk easier. Simple phrases like “What are you reading lately?” can help break the ice.
     
  • Keep in touch with loved ones. Scheduling regular visits and phone calls can help you feel less lonely.
     
  • Participate in our IBX classes this summer. Join us for special events focused on healthy aging and mental well-being. Visit https://events.ibx.com/organizer/age-fearless/ to sign up for upcoming Age Fearless classes.

 

The role chronic conditions play in your mental health

Experts believe there’s a link between having a chronic condition and feeling depressed or anxious. Here’s why, plus strategies to help you stay physically and mentally strong.

Being diagnosed with a chronic health condition can stir up feelings of frustration, anger, and grief. Learning to live with it long-term can feel overwhelming.

These are normal emotions. But if you can’t shake your low mood, you may also have a mental health condition.

Research shows that people with chronic conditions are at higher risk for mental health conditions like depression and anxiety. These mental health conditions can make it harder to care for yourself and manage your physical health. According to the Centers for Disease Control and Prevention, older adults with chronic diseases are two to three times more likely to experience symptoms of depression.

That’s why it’s essential to understand the link between chronic conditions and mental health.

The mind-body connection

Chronic conditions can take a toll on your emotional well-being. The daily stress of managing symptoms can alter brain chemistry, affecting mood, thinking, and behavior. For example, studies show that people with a high level of arthritis pain are also the most likely to be depressed. Similarly, more than half of those with COPD experience depression.

Some chronic conditions even have symptoms that mimic depression. Blood sugar fluctuations in diabetes can lead to mood swings, while fatigue from asthma or COPD can feel like depression.

Caring for your mental health is part of the plan

Untreated depression and anxiety can interfere with following a treatment plan, eating well, or taking medications as prescribed. They can also increase the risk of heart disease and Alzheimer’s disease — and even lower your pain tolerance. In turn, chronic pain can intensify anxiety and depression. It’s a vicious cycle.

Three daily habits to adopt

The good news? Making a few lifestyle tweaks can help support your overall health.

  • Avoid alcohol and tobacco. Both can increase the risk of disease. And drinking can worsen depression symptoms.
  • Eat the rainbow. Limit processed foods and focus on the disease-fighting power of colorful fruits and vegetables, such as berries and leafy greens.
  • Sneak more exercise into your day. Staying active can help reduce the impact of chronic disease and boost mental health.

 

Quiz: Think you know the signs of depression and anxiety?

Understanding mental health issues starts with knowing the signs. Take a few minutes to check in.

Knowing the signs of common mental health conditions makes it easier to spot them in yourself or others. Take our quiz, then talk to your doctor if you feel you might be at risk.

1. Which of the following is a common symptom of depression?

A) Difficulty making decisions

B) Frequent headaches

C) Insomnia

D) All of the above

Answer: D. For some older adults, feeling sad isn’t a main symptom. Instead, they may experience vague symptoms that can be mistaken for something else.

2. Which of these symptoms is more closely associated with anxiety than depression?

A) Persistent feelings of worthlessness

B) Excessive worry and restlessness

C) Loss of interest in favorite activities

D) Difficulty concentrating

Answer: B. It’s true that worry and restlessness can be present with depression, but excessively worrying about everyday things is a strong indicator of generalized anxiety disorder.

3. True or false: Feeling down from time to time means you have an anxiety disorder or depression.

A) True

B) False

Answer: B. Feeling blue or stressed out now and then is normal, no matter your age. But when these feelings start to affect your day-to-day life, you may be dealing with anxiety or depression.

4. Which of the following is a physical symptom often linked to depression?

A) Chest pain

B) Fever

C) Digestive issues

D) Sniffles

Answer: C. The mind-body connection is so strong that it’s often a physical woe telling you it’s time to pay attention to your mental health. Nagging fatigue and body aches are common signs to look for.

5. What is one way to help manage mild anxiety?

A) Stream a yoga session

B) Reschedule social outings

C) Tell yourself things could be worse

D) Brew a pot of coffee

Answer: A. As soothing as a good cup of joe can be, stress-relief practices that include mindfulness techniques like deep breathing, nature walks, and, yes, yoga have been shown to help ease anxiety. It’s also not good to ignore your feelings or pull away from activities you enjoy. Remember, anxiety and depression are treatable. Help begins by talking to your doctor about any concerns.

Website last updated 07/01/2025
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Independence Blue Cross offers PPO, HMO-POS, and HMO Medicare Advantage plans with a Medicare contract. Enrollment in Independence Blue Cross PPO, HMO-POS, and HMO Medicare Advantage plans depends on contract renewal.

*You have the right to opt in or opt out of these services. Simply advise your Health Coach or case manager at any time if you wish to end your relationship with them. You may also call the number on the back of your member ID card and ask that you not be contacted by a Health Coach in the future.

**Teladoc Health and the practitioners accessible through Teladoc Health are independent companies and contractors not affiliated with Independence Blue Cross. Please consult a physician for personalized medical advice. Always seek the advice of a physician or other qualified health care provider with any questions regarding a medical condition.