Why Aren't Doctors Screening Older Americans for Anxiety?

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Susan Tilton’s husband, Mike, was actually in good health. But after a friend’s husband developed terminal cancer, she began to worry that Mike would soon die, too. At night, “I’d lie down and start thinking about it,” recalled Tilton, 72, who lives in Clayton, Missouri. “What would I do? What would I do?” The thought of life without her husband — they’d married at 17 and 18 — left her sleepless and dragging through the next day. Sign up for The Morning newsletter from the New York Times “It was

Susan Tilton, who was diagnosed with generalized anxiety disorder, at her home in Clayton, Mo., Feb. 23, 2023.

“I just thought it was the way things were — you worried,” she said. “I believe I’ve had it since I was a child. To me, it was my normal way of thinking.” Other forms of anxiety include social anxiety disorder, phobias, panic disorder and post-traumatic stress disorder. Anxiety frequently occurs alongside depression, complicating diagnosis and treatment. The coronavirus pandemic, of course, led to rising anxiety and depression in all adult age groups.Recently, attention to anxiety has increased because of a draft recommendation from the U.S. Preventive Services Task Force, an independent expert panel that reviews research on preventive measures.

When it came to older adults, “evidence was lacking on the accuracy of screening tools and the benefits and harms of screening,” she said. The team also wanted more evidence of treatment effectiveness. Whatever the final task force recommendation, the discussion of anxiety in older people highlights a prevalent but often overlooked mental health concern. “A lot of these cases fly under the radar,” Andreescu said.

It has serious consequences, however. “It has an impact on the health of our brains and our bodies,” Andreescu said. Studies have demonstrated connections between anxiety and cardiovascular disease, with greatly increased risks of coronary heart disease, heart failure, stroke and death. Patients with higher anxiety levels are more likely to engage in substance abuse, too.

 

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Ageism is as bad as being obese. EVERYTHING is blamed on age. We need more Gerontologists and internists with such training. But money is in sub-sub specialties such as pediatric cardiology or cosmetic plastic surgery. USA is driven by the ultra wealthy. Healthcare must change

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