Recognizing and Reducing Anxiety

Connections to Care Mobile Hero
Home / News & Events / Newsletter

Recognizing and Reducing Anxiety

Dec 22, 2016

Anxiety, an experience of tension and apprehension, is an ordinary response to a threat or danger. Excessive anxiety that causes distress or interferes with daily life is not a normal part of the aging process. Michael Fresé, Ph.D., is a clinical psychologist specializing in geropsychology. He recently sat down with e-Connections to talk about the signs and symptoms of anxiety among seniors.

Sad old woman


Have you experienced heart palpitations, feeling out of breath, or a sensation of being suffocated? Are there times when you sense numbness or tingling in your fingers, chills or hot flashes, restlessness? How about difficulty concentrating, memory gaps, irritability, or feeling like you are at the end of your rope? If so, you might be experiencing anxiety or have an anxiety disorder.

Among older adults, many worry about their increasing number of health issues, family, limited finances, and their own mortality. More often than not, these worries can become exacerbated when individuals experience either a mental or physical decline and a loss of autonomy. When the anxiety is at a level which causes significant impairment in daily functioning and is a source of distress, it is considered an anxiety disorder.

Some of the causes of anxiety in older adults include losses during the aging process (loss of autonomy, health, intellectual capacity, loved ones) as well as having thoughts of danger and vulnerability associated with losses.

Similar to depression, when asked, many older adults deny feeling anxious. Individuals might admit to feeling overwhelmed, worried, having a short fuse, or experiencing physical sensations that they attribute to old age. In addition to the symptoms listed above, it is important to inquire about the following:

  • Appetite: individuals who are anxious might overeat to calm themselves, resulting in weight gain or they may lose weight by skipping meals
  • Going out: anxious individuals might stay at home to avoid their fears
  • Interests: those who are anxious have a difficult time finding pleasurable activities as they become more fearful
  • Physical complaints: as older adults are more likely to report physical causes of their anxiety symptoms (as well as experience medical conditions that might overlap the symptoms of anxiety), asking about such physical complaints as chest pain or shortness of breath is important
  • Sleep: People experiencing anxiety might sleep to avoid their fears or have difficulty sleeping due to ruminating about imagined or exaggerated fears
  • Social isolation: social contact and activity is important for lifting a person’s spirit and calming their fears; however, sometimes a person’s anxiety is such that they find a false sense of security in being alone, which can increase their level of anxiety and result in a vicious cycle.


You might be saying to yourself, “that sounds like me!,” or “that sounds like someone I know!” and you are curious to know what you can do to help yourself or a loved one.


  • For some, a family member or friend might be able to provide comfort and reassurance. For others, being engaged in creative, social, or other activities that are of interest can be helpful. Getting to the source of the anxiety and dealing with it directly is very important. For example, helping older adults deal with concerns about being a burden, financial matters, and health issues can make a difference.
  • Psychotherapy such as cognitive behavioral therapy, problem solving, and interpersonal psychotherapy are all effective ways of helping those with anxiety. Psychoeducation and support in managing anxiety in structured ways, such as progressive muscle relaxation and deep breathing, have been shown to reduce anxiety.
  • When psychotherapy alone isn’t enough, psychiatric medications such as Ativan, Klonopin, or Xanax might be prescribed by a psychiatrist.


If you find yourself feeling anxious, overwhelmed, or worried, don’t hesitate to ask for help, whether from a family member, friend, or healthcare professional. Anxiety can be managed and treated, and your quality of life can be improved.

Sign up for the Los Angeles Jewish Health newsletter, Connections.

Recent Articles

Jun 3

Los Angeles Jewish Health Awarded $28 Million From California Department of Health Care Services

Los Angeles Jewish Health (LAJH) has long worked in close partnership with the state of California in helping to set the standard for comprehensive senior care. This spring, California Governor Gavin Newsom and the California Department of Health Care Services (DHCS) announced an extension of this work by awarding LAJH $28 million to support the expansion of inpatient behavioral health services.The grant is funded through Proposition 1, a bond initiative passed by voters in 2024 to establish the state’s Behavioral Health Continuum Infrastructure Program (BHCIP). The award to LAJH is a vital step in addressing California’s growing senior behavioral health crisis at a time of intensifying need: California’ senior population is projected to double by 2040, and with it, the number of older adults experiencing behavioral health challenges (particularly those who are low-income, medically complex, or socially isolated) is rising sharply.This funding will support the expansion of inpatient behavioral health services for seniors“This grant is a transformational investment in improving the mental health of our community’s seniors, empowering us to expand access to high-quality, compassionate inpatient care for seniors in acute psychiatric distress,” said LAJH President and CEO Dale Surowitz. “We are tremendously proud of our past successes meeting seniors’ most critical healthcare needs, and we look forward to extending that track record of achievement in ways that will strengthen the fabric of our entire community.”Governor Newsom underscored the importance of Proposition 1 in his remarks announcing the awards.“Californians demanded swift action to address our state’s behavioral health crisis when they voted for Prop 1 in March 2024…and we’re delivering our biggest win yet,” he said. “Whether it’s crisis stabilization, inpatient services, or long-term treatment, we’re ensuring that individuals can access the right care at the right time.”This funding is part of California’s broader strategy to modernize the behavioral health system—increasing transparency, broadening access, and building the infrastructure necessary to provide a full continuum of care for individuals living with mental illness and substance use disorders. Through Proposition 1 and BHCIP, the state aims to create more than 6,800 new residential treatment beds and 26,700 outpatient treatment slots, addressing urgent gaps in care across every region of California.“Our seniors require the very best mental health care possible,” Dale said, “and this new grant helps ensure we will continue to deliver the care and compassion they deserve.”The expansion will take place in the Mark Taper Building on the Grancell Village campus
Read More
Jun 3

Los Angeles Jewish Health Teams With USC on Groundbreaking New Study Featuring the Popular Mediterranean Diet

Extensive scientific research continues to demonstrate the medical benefits of healthy eating. A new collaboration between Los Angeles Jewish Health (LAJH) and the USC Leonard Davis School of Gerontology (USC) is deepening that body of evidence with a study looking at the effects of diet on older adults who reside in a senior living facility.USC Associate Professor Roberto Vicinanza, MD, PhD, a noted specialist in geriatric medicine, led the eight-week study, which was designed to gauge the impact of a modified Mediterranean diet on LAJH residents’ health. The Mediterranean diet emphasizes plant-based, whole foods, including those from all five food groups. Featured in the diet are select fruits and vegetables; fish, lentils, and beans for protein, while limiting red meat and poultry; nuts and olive oil, which provide healthy fats; and opting for whole versus refined grains.  “The Mediterranean diet and its health effects are well documented, but older adults are often overlooked,” Dr. Vicinanza says. “To design this dietary intervention, I was inspired by the traditional eating habits of a long-lived community in southern Italy known as Cilento—a longevity hotspot that I have explored extensively in the last three years. Based on this experience, in our study we adjusted the Mediterranean diet to meet the unique needs and limitations of older adults, many of whom experience challenges in the digestion of certain foods.”LAJH residents enrolled in the study ate their meals together to help foster a sense of community. In addition, they increased their physical exercise, incorporating activities like walking into their daily routines.LAJH Residents Participated in the Mediterranean Diet StudyAccording to Noah Marco, MD, LAJH’s chief medical officer and executive director of the Brandman Research Institute, researchers evaluated study participants based on three core components measured prior to the introduction of the diet: their ability to walk, their muscle strength, and their biological markers of health as indicated through blood tests. Results are still pending, but Dr. Marco notes that preliminary data are highly encouraging.“We wanted to know, going into the study, whether someone in their later stages of life could, by modifying their diet and adding a little exercise, change markers of longevity, frailty, and health, even in a short period of time,” Dr. Marco says. “Based on our findings, the answer is clearly ‘yes!’”He points to one example as anecdotal evidence of the study’s success.“We had a participant who has been diabetic most of her adult life; for 20 years, she was on three different medications. As a result of this study, she now has better control of her disease and is down to one medicine,” he says. “We saw lots of things like this: improvement in people’s cholesterol and blood sugar levels, significant weight loss, weight gain in one instance where the resident needed it. The benefits were clear.”Some of these benefits seem to have stemmed from the study’s social aspects, Dr. Vicinanza says.“Seniors sometimes feel isolated and lonely,” he says. “But we saw something amazing during the study, which was that participants were supporting and encouraging each other, which provided a sense of community and purpose—both things that have been associated with longevity.”LAJH resident Marcia Mass, 83, was one of the study’s enthusiastic participants. She says it has transformed her physical health.“I’ve lost weight, and I feel better—more energized and alert,” she says. “I play a word game on the computer, and before the diet, I was getting to level 15 or 20. Now, I’m at level 64! Everything seems easier.”LAJH resident Marcia Mass (center) receives a certificate of completion, with Noah Marco, MD (left), LAJH Chief Medical Officer, and USC Associate Professor Roberto Vicinanza, MD, PhDThe study was made possible through generous funding from the Anita and William Jeung Estate Research Grant and the Simon Nutrition and Alzheimer’s Research Fund.In addition to Dr. Marco and Dr. Vicinanza, other key investigators from the USC School of Gerontology included Pinchas Cohen, MD, dean of the school, for the aging biomarkers; Cary Kreutzer, EdD, RDN, who played a critical role in developing tools to improve diet adherence; Julie Pollard, a part-time lecturer, who helped establish protocols for physical activity; and Adam Hughes, Shirley Liu, and Chiara Pomari—students from USC’s Master of Science in Nutrition, Healthspan, and Longevity Program—who served as study coordinators.Once the study’s results have been finalized, Dr. Marco and Dr. Vicinanza hope to replicate it with a larger cohort of residents.“We’ll be applying for a grant from the National Institutes of Health, and we think this falls directly in line with its priorities: leveraging lifestyle changes to increase health dramatically among seniors while potentially reducing costs,” Dr. Marco says. “It’s win-win!” Sample food eaten during studyDuring the study, residents complete a form following mealsUSC and LAJH worked together to complete the studyResearchers made sure residents were well informed during the study
Read More
May 15

Los Angeles Jewish Health Awarded $28 Million from California Department of Health Care Services

Major Investment Will Dramatically Expand Inpatient Mental Health Services for Seniors in Need (LOS ANGELES, CA – May 15, 2025) — As one of California’s leading providers of coordinated senior health services, Los Angeles Jewish Health (LAJHealth) is proud to announce it has been awarded $28 million by the California Department of Health Care Services (DHCS) as part of Proposition 1’s Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready initiative. The funding, announced by Governor Gavin Newsom, is part of an historic $3.3 billion investment in behavioral health infrastructure, supporting 124 projects statewide.At LAJHealth, this funding will support the expansion of inpatient behavioral health services for seniors, a critical step in addressing California’s growing senior behavioral health crisis. This expansion comes at a time of intensifying need. California’s senior population is projected to double by 2040, and with it, the number of older adults experiencing behavioral health challenges—particularly those who are low-income, medically complex, or socially isolated—is rising sharply.“California is facing a senior behavioral health crisis,” said Dale Surowitz, President and CEO of Los Angeles Jewish Health. “This transformative investment allows us to act urgently and proactively by expanding access to high-quality, compassionate inpatient care for seniors in acute psychiatric distress. We are deeply grateful to Governor Newsom and DHCS for recognizing the urgency of this need and investing in a more sustainable, responsive future for our aging population.”Governor Newsom underscored the importance of Proposition 1 in his remarks announcing the awards:“Californians demanded swift action to address our state’s behavioral health crisis when they voted for Prop 1 in March 2024. Today, we’re delivering our biggest win yet. Whether it’s crisis stabilization, inpatient services, or long-term treatment, we’re ensuring that individuals can access the right care at the right time.”This funding is part of California’s broader strategy to modernize the behavioral health system—increasing transparency, expanding access, and building the infrastructure necessary to provide a full continuum of care for individuals living with mental illness and substance use disorders.Through Proposition 1 and BHCIP, the state aims to create more than 6,800 new residential treatment beds and 26,700 outpatient treatment slots, addressing urgent gaps in care across every region of California.
Read More