Cultural Competence in Aging for Clinicians

As we continue to become a more diverse and interconnected society, cultural competence has emerged as a cornerstone of effective mental health care.

Understanding and respecting the cultural contexts of our clients is vital for providing effective therapy and interventions. One of the key cultural groups that mental health providers must approach with particular attention and sensitivity is older adults. Aging, as an aspect of cultural competence, is not only about understanding the physical or mental changes that accompany growing older but also recognizing how aging intersects with ethnicity, socioeconomic status, family structures, and historical experiences. By embracing aging as an important aspect of cultural competence, mental health providers can offer more nuanced and effective care.

The Need for Cultural Competence in Working with Older Adults

Older adults are one of the fastest-growing demographic groups worldwide, and this growth brings with it a variety of mental health concerns that are uniquely linked to aging. Depression, anxiety, dementia, grief, and loneliness are just a few examples of issues that frequently affect older populations. However, these concerns are often compounded by age-related stigma, cultural misunderstandings, and assumptions that may hinder effective treatment.

Aging is deeply intertwined with cultural values, traditions, and social expectations.

These factors often shape how older adults experience and express psychological distress. For instance, in some cultures, the elderly are seen as repositories of wisdom and are highly respected. In others, age may be associated with loss of autonomy, or even seen as a time of decline and dependence. Understanding these cultural narratives about aging is essential for mental health providers to avoid biases and misconceptions that can shape treatment in ways that are not in the best interest of the client.

The Intersection of Aging and Cultural Factors

Cultural competence goes beyond knowing how to work with people from different racial or ethnic backgrounds; it also involves an understanding of how cultural values influence a person’s experience of aging. For example, in many Indigenous cultures, aging is seen as a sacred process, and older individuals may serve as cultural custodians, imparting traditional knowledge and guiding younger generations. In contrast, Western culture often emphasizes productivity and independence, which can lead to a devaluation of older adults as they age and experience physical and cognitive decline.

The cultural context of aging also influences how older adults perceive mental health care.

In some cultures, mental health concerns are stigmatized, and older adults may hesitate to seek help due to concerns about shame or familial dishonor. Mental health providers must be sensitive to these cultural barriers and work to create an environment of trust and safety. For instance, providers may need to adapt their communication styles, employing respect and empathy in ways that resonate with an individual’s cultural background.

Socioeconomic factors also play a significant role in how aging is experienced. Older adults from marginalized communities may face additional challenges, such as lower income, lack of access to healthcare, and social isolation. These challenges can exacerbate mental health concerns and make it more difficult for older adults to access the care they need. Mental health providers must be prepared to address these complex, intersectional issues, advocating for resources and community support as part of a holistic approach to treatment.

Why It Matters for Mental Health Providers

Mental health providers who fail to recognize the cultural dimensions of aging risk providing care that is not fully aligned with the client’s needs. For instance, a provider might mistakenly view an older adult’s reluctance to discuss emotional issues as resistance or non-compliance, when it may actually be a reflection of cultural norms around the expression of vulnerability or mental illness. Similarly, if a provider does not understand the client’s unique experience of aging within the context of their cultural background, they may overlook key aspects of the client’s identity that could be central to their mental health and well-being.

Incorporating an understanding of aging into cultural competence allows mental health providers to tailor their therapeutic approaches to the specific needs of their older clients. This might involve adjusting treatment modalities to align with the client’s values or integrating family dynamics into therapy when appropriate. Additionally, mental health providers can help older adults navigate societal and familial expectations of aging, empowering them to maintain a sense of autonomy, dignity, and agency.

The Next Step

In an increasingly multicultural world, cultural competence is not a luxury—it is a necessity. For mental health providers, embracing aging as an important aspect of cultural competence ensures that we are meeting the complex needs of older adults in a manner that respects their diverse backgrounds and experiences. By cultivating a deeper understanding of how aging intersects with culture, providers can offer more empathetic, effective, and holistic care to one of the most vulnerable populations in society.

Find APA continued education in Los Angeles, CA

Ultimately, promoting cultural competence in working with older adults not only improves mental health outcomes but also fosters greater respect, understanding, and connection between generations. If you are interested in increasing your cultural competence around aging and age-related issues, check out Insights into Aging for courses offering live, virtual APA-approved CE trainings on a wide variety of topics related to aging, appropriate for psychologists, LCSWs, MFTs, LPCCs, and graduate students. Learn more about Dr. Reger and the support she can offer today!

Other Services Offered with by Dr. Reger in Los Angeles, CA

Support with continuing education isn’t the only service offered by Dr. Reger. I also offer support with capacity assessments, neuropsychological and psychological assessments, pre-surgical assessments, and med-legal evaluations. In addition, I also provide individual therapy, and mental health consultations and presentations. Visit my blog for more info today!

Mental Health Providers and Competence with Older Adults

As a geropsychologist, one of the most fulfilling aspects of my career is the ability to help individuals navigate life’s challenges—whether those are in the realms of mental health, relationships, or personal development. There is one area of psychological practice that is becoming increasingly vital: geropsychology—the study and application of psychological principles in the context of aging and older adulthood.

With the global population of older adults rising rapidly, building competence in geropsychology is not only valuable but necessary for mental health providers. Only 2% of psychologists specialize in aging, so it is important that other psychologists and master’s level clinicians like MFTs, LCSWs, and LPCCs increase their competency in this area as well. Here’s why:

1. A Growing Aging Population

As life expectancy continues to rise, the number of older adults worldwide is steadily increasing. According to the World Health Organization, the proportion of the world’s population over 60 years old is expected to nearly double by 2050. In many countries, including the United States, older adults represent a growing segment of society. These individuals face a unique set of psychological, emotional, and cognitive challenges, such as coping with physical decline, grieving from the loss of loved ones, and managing issues like retirement and financial concerns.

With this demographic shift, psychologists trained in geropsychology can meet the needs of this growing population in a way that is both informed and compassionate. It is also vital that mental health providers of all backgrounds increase their competence in working with older adults because the odds are good that someone over the age of 65 is going to walk through a given clinician’s door, and the 2% of us specializing in aging can’t see them all!

2. Complex Mental Health Issues in Later Life

Older adults may experience a variety of mental health challenges that differ significantly from those encountered in younger populations. Conditions like depression, anxiety, dementia, and Alzheimer’s disease are prevalent in older adults and can be more complex to diagnose and treat.

Understanding the nuances of mental health in aging requires an understanding of the biological, psychological, and social changes that occur during later life. Geropsychologists are trained to assess how these factors interplay and tailor treatments that are sensitive to both the cognitive and emotional needs of older adults.

For example, older adults might exhibit symptoms of depression, but these symptoms can sometimes manifest differently than in younger people. Psychologists without training and expertise in aging might overlook these subtle differences. Training in this area can help clinicians identify the signs of depression in ways that ensure the person receives appropriate treatment.

3. Building Stronger Support Systems for Families and Caregivers

The role of family members and caregivers is vital in the lives of older adults. However, caregivers often face their own set of challenges—emotional burnout, physical exhaustion, and the mental strain of caring for someone with cognitive impairments, chronic illness, or physical decline. Geropsychology offers valuable tools for supporting families and caregivers, helping them cope with the emotional stress of caregiving, navigate complex family dynamics, and provide better care for their loved ones.

Mental health providers with competence in aging can help families understand the needs of the older adult and guide them in managing caregiving responsibilities while also supporting their own mental health and well-being. This holistic approach leads to more positive outcomes for both the older adult and their family.

4. Ethical and Culturally Informed Practice

Competence in geropsychology also means having the knowledge to navigate the ethical considerations that arise when working with older adults. Aging presents distinct challenges related to autonomy, capacity for decision-making, and consent, and these challenges must be handled with sensitivity and respect for the individual’s dignity and rights.

Moreover, older adults come from diverse backgrounds, and an understanding of cultural factors that influence aging and mental health is crucial. 

5. Specialized Interventions and Evidence-Based Practices

As research in geropsychology grows, there is an increasing wealth of evidence-based interventions designed specifically for older adults. From cognitive-behavioral therapy (CBT) adapted for older populations to reminiscence therapy, these specialized approaches provide effective ways to address the unique mental health needs of the aging population.

6. Enhancing the Quality of Life for Older Adults

Ultimately, the goal of geropsychology is to help older adults live fulfilling, meaningful lives. Older adulthood is often marked by major life transitions—retirement, relocation, the loss of loved ones, and changes in physical health. Navigating these transitions can be challenging, but with the right support, older adults can thrive in the face of these changes.

Where to Get High-Quality Geropsych Training

Building competence in geropsychology is not just about acquiring specialized knowledge—it’s about developing the ability to make a meaningful difference in the lives of older adults. It’s about being prepared to address the complex psychological, emotional, and cognitive challenges that accompany aging and using evidence-based tools to help individuals live fulfilling, high-quality lives in their later years.

For mental health clinicians, investing in age-related training is an opportunity to broaden our practice and deepen our impact on society. As the older adult population continues to grow, our ability to offer specialized, compassionate care will be more important than ever. By building competence in this field, we’re not just improving the lives of older individuals; we’re enhancing the well-being of society as a whole.

Start Working with A Therapist for Older Adults in LA

If you are interested in learning from me and other geropsychologists with expertise to share in the area of aging, consider taking a course from Insights into Aging, where we offer live, virtual courses for continuing education that are APA-approved for licensed clinicians to grow competency in working with older adults. You can learn more from Dr. Reger about the importance of mental health support for older adults by following these simple steps:

1. Contact (424) 262-1925 to schedule your appointment

2. Meet with Dr. Reger

3. Start providing better support for older adults!

Other Services Offered by Dr. Reger in Los Angeles, CA

Therapy for older adults isn’t the only service offered at my Redondo Beach-based practice. I am happy to also offer capacity assessments, neuropsychological and psychological assessments, pre-surgical assessments, and med-legal evaluations. In addition, I also provide individual therapy, and mental health consultations and presentations. Visit my blog for more info today!

The Gift of Time: Why Working with a Geropsychologist Can Enrich Your Later Years

Aging is a natural part of life, a process filled with joys and challenges.

While we often celebrate the milestones of growing older, we sometimes overlook the emotional and psychological shifts that accompany this stage of life. These changes, while normal, can significantly impact our overall well-being. The experience is also difficult sometimes because of ageism – the stigma against aging – that is just about everywhere we look in our culture. The specialized expertise of a geropsychologist can make a profound difference.

Geropsychology is a specialized branch of psychology that focuses on the mental health and well-being of older adults. Although I wear a few hats as a psychologist (neuropsychological and capacity assessment, California QME and available as an AME for workers’ comp, expert witness in Los Angeles) my original training emphasis was in geropsychology, which led me to my work in neuropsychology, capacity assessment, and with disability. Geropsychologists like myself possess advanced training and knowledge in the unique issues facing the older adult population, understanding the complex interplay of physical, cognitive, social, and emotional changes that occur with age. We are equipped to address a wide range of concerns, from the common to the complex, and can help individuals, caregivers, and families navigate this chapter of their lives with greater resilience and joy.

So, what are the specific benefits of working with a geropsychologist?

1. Addressing Age-Related Changes:

As we age, we may experience physical changes that impact our mental and emotional well-being. Chronic pain, mobility issues, and sensory changes can lead to feelings of frustration, isolation, and even depression. Geropsychologists are trained to understand these connections and can help develop coping strategies to manage these challenges, improve quality of life, and maintain a positive outlook. We can also help individuals adapt to cognitive changes, such as memory loss or slower processing speed, by providing practical strategies and support.

2. Managing Emotional Challenges:

Later life can bring a range of emotional challenges, including grief and loss, retirement transitions, changes in family dynamics, and feelings of loneliness or isolation. A geropsychologist provides a safe and supportive space to explore these emotions, develop healthy coping mechanisms, and build resilience. We can help individuals find meaning and purpose in their later years, fostering a sense of fulfillment and connection.

3. Supporting Cognitive Health:

Cognitive decline is a common concern for many older adults. While some changes are a normal part of aging, others may indicate a more serious issue. Geropsychologists are trained to assess cognitive function and identify potential problems. I offer neuropsychological assessment for dementia (or concerns about cognitive change) as well as capacity assessments when there is a question of a person’s ability to manage their finances or medical decision making. Geropsychologists can also provide interventions and support to maintain cognitive health, such as memory training, cognitive rehabilitation, and lifestyle modifications. Early detection and intervention are key to preserving cognitive function and maximizing quality of life.

4. Promoting Social Connection:

Social isolation and loneliness are risk factors for both physical and mental health in older adults. Geropsychologists can help individuals reconnect with their social networks, build new relationships, and combat feelings of isolation. We can also provide support and guidance to families navigating the challenges of caring for aging loved ones, fostering stronger and more supportive relationships.

5. Fostering a Positive Sense of Self:

Aging can sometimes be associated with negative stereotypes and societal pressures. A geropsychologist can help individuals challenge these negative beliefs and cultivate a more positive sense of self. We can help individuals recognize their strengths and resilience, embrace their unique experiences, and find meaning and purpose in their later years. This can lead to increased self-esteem, greater life satisfaction, and a more fulfilling aging experience.

6. Collaborating with Other Healthcare Professionals:

Geropsychologists often work collaboratively with other healthcare professionals, such as physicians, nurses, and social workers, to provide comprehensive and integrated care. This interdisciplinary approach ensures that all aspects of an individual's well-being are addressed, leading to better outcomes and improved quality of life. I also often work with attorneys and fiduciaries in capacity cases, to ensure a balance between protecting individual autonomy and safety when there is a question of cognitive decline and decision-making.

7. Empowering Individuals and Families:

Working with a geropsychologist is not just about addressing problems; it's about empowering individuals and families to navigate the aging process with greater knowledge, confidence, and resilience. We can provide education, support, and resources to help individuals make informed decisions about their care and live their lives to the fullest.

Start Working With a Therapist for Older Adults in LA

Working with a geropsychologist can be an invaluable resource for older adults and their families. By addressing the unique challenges and opportunities of later life, a therapist for older adults can help individuals maintain their mental and emotional well-being, enhance their quality of life, and embrace the gift of time. As a geropsychologist, Dr. Reger can offer support and understanding to help improve your life. Start your therapy journey by following these simple steps:

1. Contact (424) 262-1925 to schedule your appointment

2. Meet with Dr. Reger for an evaluation

3. Start supporting your emotional, cognitive, and social health!

Other Services Offered by Dr. Reger in Los Angeles, CA

Therapy for older adults isn’t the only service offered at my Redondo Beach-based practice. I am happy to also offer capacity assessments, neuropsychological and psychological assessments, pre-surgical assessments, and med-legal evaluations. In addition, I also provide individual therapy, and mental health consultations and presentations. Visit my blog for more info today!

Disclaimer: This blog post is for informational purposes only and should not be considered medical advice.

The Rollercoaster Behind the Podium: My Best and Worst as a Psychology Speaker

Public speaking. For some, it's a thrill; for others, a source of sheer terror.

As a psychologist who frequently presents at conferences, continuing education seminars, and community events, I've experienced the full spectrum of this rollercoaster. It's a ride with exhilarating highs and stomach-churning lows, and today, I'm sharing some of my best and worst moments from behind the podium (or webcam on Zoom, as the case may be).

Let's start with the highs, the moments that make all the preparation worthwhile.

One of my most rewarding experiences was presenting at a conference hosted by the National MS Society on how to foster a growth mindset while living with a disability.

The room was packed with people with MS and their families, all eager to learn more about happiness, a growth mindset, self-care, and healthy interdependence in disability. The energy was palpable. It was a long presenting day (8 hours!), but it was incredibly rewarding to interact with folks - questions poured forth, people shared their experiences, and a lively discussion ensued. It wasn't just a presentation; it was a conversation, a shared exploration of a critical topic that impacts people’s quality of life in a real way. That feeling of connection and excitement among the group, as well as watching people learn and grow, was such a highlight in my years of work as a psychology presenter.

Another highlight was the first workshop I conducted through my APA-sponsored continuing education platform, Insights into Aging.

This platform has a mission to provide high-quality geropsychology education to mental health providers in the US, so older adults have more access to culturally competent care with providers who understand aging. The participants were a small but mighty group of psychologists, social workers, professional counselors, and marriage and family therapists who were eager to learn about the aging brain. What made this experience particularly special was the interactive nature of the workshop.

I shared some brain basics in the beginning, but there was a wonderful interactive conversation throughout most of the presentation, where the group shared their professional experiences working with dementia, caregivers, and older adults in therapy and assessment. The group brainstormed practical strategies together and shared resources. Seeing this project begin to take off, and seeing genuine interest from mental health providers in increasing their competence to work with older adults, was really gratifying.

These positive experiences are driven by a few key factors: audience engagement, meaningful content, and a genuine connection with the listeners. When these elements align, the presentation transcends mere information delivery and becomes a shared experience, a journey of learning and growth. I am always so appreciative when I learn and grow as a result of thoughtful questions and shared resources, even when I’m the one presenting!

Now, let's talk about the lows.

We've all been there – the presentation that just doesn't go as planned. One particularly challenging experience involved a technical meltdown when I was presenting to a large group of psychology trainees on managing grief and loss as a therapist. My meticulously prepared PowerPoint presentation decided to take a digital vacation just minutes before I was scheduled to begin speaking. I am not technologically inclined, so I still don’t know exactly what happened, but the gist is that the projector wouldn't connect, and my carefully timed presentation was thrown into chaos. Talk about a stress test! I had to improvise, relying on my notes and engaging the audience in a more conversational format.

While it ultimately worked out, it was a nerve-wracking experience that taught me the importance of having a backup plan (and a good tech support person on speed dial…now I know). But, in the spirit of that growth mindset I mentioned earlier, this experience was a great opportunity to be flexible, to model a sense of humor and resilience to my audience (who were, thankfully, a very gracious group), and to connect in a less academic and more personal way with the audience. This was actually fitting and more meaningful for a presentation on grief, and I believe it may have been better this way in the end.

The harder presenting experiences, while not enjoyable, are valuable learning opportunities.

They highlight the importance of adaptability, resilience, and the ability to think on your feet. They also remind me that not every presentation will be perfect, and that's okay. The key is to learn from these challenges, prioritize preparation and thoroughness in speaking and presenting, and above all, to connect with audiences in a meaningful way.

Working as a psychology speaker and presenter can be a rollercoaster, but teaching and presenting is worth it. The opportunity to share my knowledge (no gatekeeping of psychology information here!), connect with others, and make a positive impact is what keeps me coming back for more. If you are interested in engaging me for a presentation, please use the contact form on this website. If you are interested in attending a continuing education webinar on geropsych topics through Insights into Aging, check out our upcoming APA-accredited CE webinars here.

Work With A Mental health speaker in Los Angeles, ca

Public speaking is a journey filled with both rewarding connections and unexpected challenges. As a mental health speaker in Los Angeles, CA, Dr. Reger brings expertise, engagement, and meaningful insights to every presentation—whether it's at a conference, continuing education seminar, or community event. If you're looking for an experienced speaker, reach out today by following these steps:

1. Contact (424) 262-1925 to schedule your appointment

2. Meet with a Los Angeles mental health speaker

3. Start learning more about geropsychology and more!

Other Services Offered By Dr. Reger in Los Angeles, CA

Speaking arrangements aren’t the only service I offer. As a therapist, I know that you may encounter more than one mental health concern at a time. This is why I’m happy to offer multiple neuropsychological and psychological assessments. Other assessments include cognitive and dementia testing, pre-surgical assessments, and med-legal evaluations. In addition to evaluations, I also provide individual therapy and counseling for older adults.