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mental health for older people


Top Up Together: Nurturing Mental Wellbeing in Later Life

6–12 October is Mental Health Awareness Week 2025 in New Zealand, and this year’s theme — “Top Up Together” — is a timely reminder that wellbeing grows stronger when we nurture it together.

We often talk about mental health in younger people, but it’s just as vital in our later years. Across Auckland, we meet older adults carrying quiet burdens: grief, loneliness, or simply the feeling that life has slowed down around them. Too often, those feelings are brushed off as “just part of getting old”. But that couldn’t be further from the truth.

Myth Busting: Feeling Low Is Not Just a Normal Part of Ageing

Depression in older adults is not inevitable — and it’s treatable.
New Zealand data shows that diagnoses of depression and bipolar disorder among people aged 65+ was around 130,000 in 2020/21. Yet many older adults never get the support they need, often because they or others mistake symptoms for “just ageing” or physical decline.

Signs of depression can look different in older adults. Slowed speech, loss of interest, poor sleep, or reduced appetite might seem small, but they can point to deeper exhaustion. Listening carefully — without rushing, dismissing, or “cheering up” — makes a real difference.

Checking In Without Assuming

Sometimes we assume we know how someone feels. A family might plan a big celebration for an older relative’s birthday, imagining joy and gratitude, only to find that the person feels overwhelmed, not festive.

It’s a reminder to check in before we act. Ask, “What would make that day special for you?” rather than assuming you know. The same goes for mood: instead of “How are you?”, try “What’s been going on for you lately?” or “What’s been feeling heavy these days?”

Small, specific questions open bigger doors.

The “Top Up Together” Approach

The Mental Health Foundation’s Five Ways to WellbeingConnect, Be Active, Keep Learning, Take Notice, and Give — are simple, evidence-based ways to strengthen mental health at any age. For older adults, they can be adapted to suit pace, ability, and life stage.

Wellbeing Action
Why It Helps
Practical Ideas for Older People
Connect
Social connection protects against depression and loneliness.
Join a coffee club, walking group, or community activity. A friendly chat or regular visit can make a big difference.
Be Active
Movement boosts energy and brain function.
Try gentle walking, tai chi, gardening, or seated exercise classes. Consistency is key, not intensity.
Keep Learning
New experiences build confidence and purpose.
Learn a language, try a new recipe, volunteer, or join a hobby group.
Take Notice
Mindfulness helps balance emotions and find calm.
Pause to notice nature, keep a gratitude journal, or savour a cuppa mindfully.
Give
Helping others fosters belonging and meaning.
Offer your time, share skills, or mentor someone younger.

Making Space for Difficult Feelings

Good mental health isn’t about constant positivity, it’s about balance. It’s okay to feel sadness, worry, or loss. What matters is not staying stuck there alone.

Major life changes like losing a partner, retirement, or reduced independence can all shake confidence and purpose. After bereavement, older adults often lose social connections built through caregiving. That’s a key time to rebuild — even a small step like visiting a local group, joining a support circle, or reconnecting with friends helps the healing process.

Older migrants can face extra challenges: language barriers, small family sizes, or adult children moving overseas can leave them isolated. Cultural and language-based groups are powerful antidotes to that disconnection.

Protective Factors: What Keeps Minds Resilient

Research in Aotearoa and overseas points to clear protective factors:

  • Living with or near peers or family
  • Staying physically active
  • Maintaining social routines (clubs, volunteering, faith gatherings)
  • Volunteering is especially helpful  - provides social connection, a sense of purpose, increased self-esteem, improved cognitive function, and physical activity.
  • Having purpose and/or hobbies or projects to look forward to
  • Regular GP visits and post-hospital check-ins

On the flip side, alcohol and isolation tend to deepen low mood. When someone says, “I’m fine,” but their world has recently changed — a death, illness, or loss of mobility — it’s worth trying gentle follow-up questions.

A Call to Care and Connection

Older people’s feelings matter. They deserve to be heard, supported, and taken seriously, not brushed aside. The myth that “there’s nothing left to look forward to” couldn’t be more wrong: connection, creativity, and meaning can flourish at any age.

This Mental Health Awareness Week, let’s Top Up Together:

  • Check in with someone you haven’t seen in a while.
  • Listen with patience and curiosity.
  • Invite older friends or whānau to join you for something simple — a walk, a coffee, a conversation.
  • Make time to meet up regularly if you can, say, weekly for coffee – it gives them a date to look forward to.
  • Encourage those who feel stuck to seek help early — it can make the world of difference.

Later life can hold as much growth, joy, and wisdom as any other stage. With understanding, respect, and connection, we can make sure no one feels left behind.

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Charity Name: Age Concern Auckland Trust
Registration Number: CC60750