Suffering in Silence: Older Adults Need to Speak Up About Their Mental Health
Posted: November 10, 2025 | Word Count: 565
Connie Thomas, a 77-year-old woman from Altamont, Illinois, has navigated a long journey with her mental health. Decades ago, Thomas was diagnosed with breast cancer. Living with her diagnosis and its results was not only physically challenging but it also brought mental struggles, including depression. She managed her mental health with medication for many years. But after retirement and feeling a loss of purpose, Thomas once again experienced symptoms of depression.
It's not unusual for older adults like Thomas to struggle with mental health issues. In fact, according to the National Council on Aging, 20% of people aged 55 and older suffer from some kind of mental health concern. After a lifetime of caring for families, raising children and serving their communities, many seniors put their own needs last, including their mental health. This can mean suffering in silence, sometimes for years.
Thomas knew better. She knew from her experience how important it is to talk about mental health, whether it's with friends, family or your doctor. That conversation can open the door to new options. In Connie's case, her primary care clinician offered her the GeneSight® test, a genetic test that provides additional insights into how her genes may affect medication outcomes with certain mental health medications. These results gave her clinician more information to consider when developing her treatment plan.
Finding a mental health medication that works: A frustrating process
It's fairly common for medications that once worked to manage mental health issues like depression to stop working. According to Johns Hopkins Medicine, "symptoms return for up to 33% of people using antidepressants."
Finding a medication for depression or anxiety that works can be a frustrating game of trial and error. Medications work differently for everyone, and there are many reasons why one may be effective for some but not for others. Your genes may hold a clue, as they can play a role in affecting medication outcomes. A simple cheek swab can help clinicians understand which medications may require dose adjustments, be less likely to work, or have an increased risk of side effects based on your genetics.
Informed Choices
That's why resources like the GeneSight® test are so important. The GeneSight test is a genetic test that shows health care providers how your genes may affect your outcomes with certain mental health medications, including medications that treat depression and anxiety. This information may help clinicians make more informed decisions about medication selection or dosing.
Thomas' GeneSight test results helped her doctor decide that a lower dose of her medication may be helpful. With that adjustment, she says she is feeling better than she has in many years.
Feel empowered to take care of your mental health
Thomas shares that in her older adult community, she sees many people struggling with depression and yet unable to talk about their mental health.
"I see how unhappy they are, inwardly and outwardly," she says. "I try to reach out, to acknowledge that they are suffering and to encourage them to talk to someone."
She hopes telling her story will encourage others like her to talk about their mental health and then take the next step in reaching out to a health care provider. As Thomas learned, any prescribing clinician treating mental health, like her primary care clinician, can order the GeneSight test.
To learn more about the test, talk with your clinician or visit GeneSight.com.
