Couples Therapy
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Individual Therapy
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may be intertwined with physical health challenges and pain, that impair quality of life and aren't fixable
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for women, especially - how physical aging lowers self-esteem and perceived identity
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disappointment/despair over perceived lack of achievement in life
Grief
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coping with losses of those who may have been in someone's life for half a century or more, e.g., lifelong partner, an adult child, parents, siblings
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emotional isolation - grieving in a "grief-denying" culture
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identity loss, especially if one had been a caregiver ... "What do I do now? Where do I go from here?"
Caregiving
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the unanticipated physical and emotional toll
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the loneliness and isolation - no time for friends or fun; may feel that life is passing one by
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the frequently strained family dynamics
Family Conflict
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shame, grief and anger when estranged from adult children and grandchildren
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longtime patterns of hurtful arguing and/or avoidance that don't change