From depression to anxiety, worldwide, approximately 14% of people aged 60 years old and over live with a mental health condition. Declining physical health and function, loss of loved ones, loneliness and social isolation, abuse, caregiving responsibilities, and ageism can contribute to the development of such conditions. Given that by 2030, 1.4 billion people across the globe – so 1 in 6 – will be 60 years old and over, it’s important to spotlight strategies to that aim to improve aspects of psychological health and mental well-being (1). Psychotherapies and alternative lifestyle therapies such as mindfulness-based cognitive behavioural therapy, acceptance and commitment therapy, reminiscence therapy, and horticultural therapy are examples of strategies that work to do just that (2-5). Click on the links below to learn more about a few areas where these therapies can offer benefits.
1. Mindfulness-based cognitive therapy
Ready, set, meditate! Mindfulness-based cognitive therapy or MBCT involves merging cognitive behavioural therapy (aka CBT) and mindfulness (2). CBT involves identifying negative or false thoughts and switching them with healthier and more positive thoughts, while mindfulness is a form of meditation that encourages being in the present (2;6;7). Research shows that MBCT programs delivered by trained therapists can help to prevent relapses in people with recurring depression (2).
2. Acceptance and commitment therapy
Acceptance is the first step! Acceptance and commitment therapy or ACT involves accepting negative thoughts and feelings and using healthy activities to manage experiences. Research shows that ACT, delivered by trained professionals, can improve various aspects of psychological health among informal caregivers. Examples of benefits include a reduction in symptoms of depression, anxiety, and stress, as well as enhanced mindfulness (3).
Sharing is caring! Group reminiscence therapy involves the sharing of personal stories and memories with others. Research shows that group reminiscence therapy can improve social isolation and depression among nursing home residents. Programs led by well-trained facilitators are especially beneficial (4). What’s more, in people with dementia, we also see small improvements in mood, as well as communication, cognition, and quality of life (8).
Grab your gardening tools! Horticultural therapy involves engaging in gardening-related activities under the guidance of a trained therapist with the purpose of achieving a patient’s identified goals (5;9-11). Research shows that horticultural therapy may enhance mood and specifically feelings of happiness in healthy people. This comes as an addition to potential improvements in physical health and quality of life for some populations. More research is needed to confirm and expand on these findings (5).
Those interested in trialing these therapies may be wondering about accessibility and cost. In addition to in-person offerings, certain therapies can also be accessed online (12). As for cost, whether a therapy is covered by provincial health plans, extended health plans, or private insurance, and to what extent, can depend on who is delivering the service and where they are delivering it. Some therapies can be fully covered! Check your insurance plans for details and speak with your healthcare team for guidance on how to access such services in your community and integrate them into a comprehensive treatment plan, which may also include medications (13;14). The Government of Canada also provides information on available mental health resources across the country. Remember, if you’re in immediate crisis, call 9-1-1 (15).
