What to do
Pay attention to your thoughts
If you are feeling down and you suspect it might be related to loneliness, it may help to reflect on how you are thinking about your situation. Are you wishing that things were different? Blaming yourself for being alone – or focused on anger toward others? Are you thinking of a loved one who has died? Are you focusing on regrets you have?
It’s possible that some of your internal dialogue might be bringing you down. If you stop and pay closer attention to your thoughts, you may notice that some of them are negatively skewed or patterned. If you were to say them out loud, they might contain words such as ‘never’, ‘always’ or ‘should’. For example, many of my patients notice that they are saying things to themselves such as: My kids will never call me, they are too busy, or I should have had kids because then I wouldn’t be alone now. A similar kind of thought expresses hopelessness about the possibility of change: It doesn’t matter what I do, it will never fix my problems.
Thoughts that are one-sided and negative in this way can exacerbate loneliness. But once you recognise that certain thoughts are unhelpful, you can take steps to manage them. Either distracting yourself from thoughts such as these or coming up with some counter-thoughts will likely help. For example, if you are having a thought such as I can’t believe ____ is gone and I’m all alone, you might deliberately call to mind some of the reasons you are grateful for the companionship that you’ve shared with that person – and perhaps continue to share in a different way – even as you miss their presence terribly. If you have adult children with busy, full lives, you might say to yourself: I am grateful for that, even though I miss them. This kind of simple pivot in your thinking may have a significant effect on how you feel.
In treatment sessions, I often spend time with my patients working to shift their thoughts to what they do have, versus what they don’t have. People have a natural tendency to focus on whatever confirms a negative feeling. If you are feeling lonely, your mind may be hyper-focused on all the time you spend alone and the people you aren’t hearing from. So it may be useful to try to purposefully shift toward identifying the things you do have, which could take the form of making a list, keeping a journal, or just saying those things out loud to yourself. It can be as simple as: I woke up today, my coffee was hot, and my cabinets were full, or as elaborate as you find helpful.
Look for new connections in your community
Getting involved in a community-based organisation or activity is a tried and true way to connect with others, feel less isolated, and perhaps build up your sense of purpose in the process. A nearby community centre, religious organisation, club or even the local library may offer opportunities to spend time around others.
You don’t have to be an extrovert to benefit. For example, some of my patients have found that attending a local weekly exercise class for seniors helps them get out of the house. One of them, who is on the shy side, likes this activity because it allows her to be part of a group without having to do a lot of talking. Another patient of mine fought through his hesitation and walked into his town’s senior centre one day to join an organised card game that he saw scheduled online. We discussed how it was a bit awkward at first, but his mood improved that day and he felt good about giving it a try. He now looks forward to it each week. It’s not just these activities themselves that can help fight off lonely days, but also the opportunity they provide to be around people who are like-minded or have shared experiences. This all can help create a sense of connectedness.
Connectedness can also come in less obvious ways. If joining an organisation is not for you, simply sitting in a local coffee shop or window-shopping in the nearest downtown area can make you feel more in contact with the world. Allow yourself to feel a heightened sense of belonging to a larger community as you enjoy your beverage among other patrons or chat with a shopkeeper. If you’re retired, and working previously provided a way to connect with people on most days, the conversations that you have in your neighbourhood, at a local establishment or elsewhere over the course of the week could help reproduce that sense of being in touch with others.
Many older adults face physical obstacles in getting out into the community, including reduced mobility. However, in my work I have seen that people who keep an open mind about working around these obstacles – which might include exploring local transportation services for seniors, or contacting agencies that can help – are often successful.
Nurture the relationships you have
Initiating routine contacts with people you care about is another positive action you can take to combat loneliness. If family or friends are not close, consider regularly sending a note or card to a loved one with whom you haven’t spoken often. This is meant to be a pleasant touch-point to help maintain a connection, so I recommend keeping the message light and simple. You could even browse your local shop for a card that you find amusing and send it off with a simple note, such as: ‘I thought this might make you laugh… I hope all is well with you.’
Another option, no matter where a friend or relative lives, is to suggest a call at a certain time each week or every few weeks. For some, this idea may seem daunting. But, as with the card idea, you can keep it simple and light. You can reach out and say something like: ‘If I may, I’d like to give you a quick call every few weeks just to say hello. Is there a good day or time for you?’ When the time comes, have a couple of things in mind that you might want to share or questions to ask. You could talk about a movie or TV show you’ve watched or ask them about the same. Or ask for updates on their activities – and provide encouragement if they share their experience of any struggles. If you live close by, you could propose a lunch or coffee as a follow-up. You might even plan a monthly meet-up. These routines can go a long way to establishing a regular connection that you can count on.
Often, the older adults I work with tell me they feel forgotten, spending long days at home alone while younger family members are tending to busy schedules. To these patients, I suggest: don’t wait for these family members to come to you, even if they should. This passive approach just causes suffering. Initiate contact, and take the ‘yeses’ they give you. By a ‘yes’, what I mean here is maybe not exactly what you want from the person you care about, but something they offer that is worth taking. Perhaps you propose lunch or dinner, but their schedule doesn’t allow for that; take their availability for a weekly phone call as a ‘yes’. And, if that is too much for them, you can still send a card or note.
The goal here is to weave an emotional thread between the two of you, one that makes you feel more connected despite being apart day to day. I have so often seen older adults struggle with what their relatives ‘should’ be doing in terms of spending time with them. Although those expectations may be reasonable, fighting that battle is exactly that – a fight. If you’re in this position, you’ll have to decide if that fight is worth it, or if you can instead accept and embrace what your loved one offers, and let the connection grow from there.
Consider new ways to make a contribution
To combat the loneliness that can stem from changes such as retirement or having an empty nest, think about revamping your sense of purpose: how might you find new ways to contribute to the lives of others? After the rush of mid-life has subsided, the purpose of each day is often in our own hands, and I encourage you to see that as empowering.
One option is to explore (or re-engage with) volunteering in your community. For example, if you are able to, you might volunteer to sort or organise food at a local food pantry. You could consider fostering a senior pet for a local animal rescue organisation. Or you could volunteer at an organisation that serves younger people specifically, to help you connect to a younger generation. In this capacity, you may be able to provide guidance and mentorship, or simply friendship, to a vulnerable young person, which can help both them and you.
If getting out into the community is challenging, think creatively about what you could do from home. There may be organisations in your community that accept care packages for people in need, for instance, or that collect letters to people serving in the military. Purpose and a sense of giving to others can also be found in more solitary activities, such as writing the stories you want your family to remember or finishing the photo albums in the closet.
Later in her life, my Grandma Lillian began writing notes to accompany items of meaning that she would eventually pass on to us. At the time, it seemed morbid to me, but now I understand that this gave her a sense of purpose and control. She knew that, when the time came, her special jewellery box would make it to my bureau – and, to this day, that is where it remains.
Use technology with purpose
Even brief text messages or chats on social media sites like Facebook can provide worthwhile chances to stay connected in established, quality relationships. My father, who is well into his 70s, finds amusing memes and cartoons to send his teenage grandchildren every week. When he sees them a few times a year, they giggle about the silly things he’s sent them and warmly roll their eyes as teenagers do. He is building his relationship with them in the here and now, and he embraces it as it is. He takes the yes with texts. A video call on FaceTime or a similar platform is another way to check in with someone who’s currently out of reach. These ‘visits’ can emulate in-person drop-ins, or quick coffees or cocktails with a friend. And interactive online games such as Words with Friends offer an additional, flexible option for connecting with friends and family.
Would you prefer seeing your friend or relative in person more frequently? Perhaps. But chatting with a loved one on your phone or on the computer can still bring joy and a sense of connection in the meantime. The internet can also be useful for connecting with community organisations that are difficult to reach in person – eg, a charity you’d like to help out with from home, or a religious organisation that offers remote access to services. If you’re interested in connecting via a social media site or phone app but are not sure how to go about it, consider asking a family member or friend to help you out. And, if you are in the UK, many libraries offer free digital skills sessions for seniors.
Rethink your routines
As we have discussed, the experience of loneliness can be stressful and has connections to health and wellbeing more broadly. To help manage any potential adverse effects, I recommend that you examine your daily and weekly routines, and make adjustments as needed. That includes planning to stay physically active in whatever way you can. Be open to adapting and trying new things, whether that’s something like chair-based yoga or simply walking more around your house or neighbourhood. As with anything related to your health, I recommend that you consult your healthcare provider when considering which forms of physical activity are best for you.
Don’t underestimate the power of routines. Older adults may have the luxury of fewer expectations placed upon them day to day. However, this lack of structure can disrupt eating and sleeping habits, which in turn can impact wellbeing. Without the daily routines of going to work or caring for family, older adults often need to actively reinforce their eating and sleeping routines and remember their importance.
Establishing ‘bookend activities’ can help. The goal of these is to make clear distinctions about when the day starts and ends, which can help regulate sleep, appetite and mood. A period of reading, writing in a journal, listening to music or savouring a cup of tea could become something that your mind anticipates as a signal to either get going with the day or to wind down.
I also encourage older adults to think about things that they may have done in the past – such as a hobby or passion that they have gotten away from – or that they have always wanted more time to do. Re-engaging with one or more of those activities could prove to be another way to cope with feelings of loneliness.
Importantly, if you are finding it difficult to cope with feelings of loneliness and feel as if you are losing hope, talk to someone. This could be a loved one or a healthcare provider. Often a healthcare professional you are already connected to will be your first stop to receive further guidance. While most people, including many older adults, experience loneliness at some point in their lives, if you’ve experienced ongoing distress and suffering, it’s worth sharing how you’ve been feeling with someone who is trained to provide direct support.