Episode Transcript
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0:07
This is One A. I'm Jen White. Well,
0:09
it happened. Just a few days ago, I
0:12
received an envelope in the mail
0:14
from an organization whose four-letter name
0:16
is probably familiar to you. It
0:19
contained an invitation to join a
0:21
special club that comes with certain
0:23
benefits and discounts. Not a social
0:26
club or a new type of
0:28
credit card. It was A-A-A-R-P. And
0:30
my feelings opening that letter were...
0:33
Let's just call them complex.
0:35
Now the average midlife
0:38
crisis, according to Hollywood,
0:40
looks like a man
0:42
buying a sports car
0:44
and dating a younger
0:46
woman. Uh, I think I
0:48
found him. There they are.
0:50
Kepasa Mutachos! Hey there, buddy. You
0:53
okay? Okay. I'm a new man. Oh,
0:55
Eleanor. Thank you so much for
0:57
the advice about shoving my feelings
0:59
down deep. I feel so much
1:02
better. It's like I'm surfing on
1:04
this wave of positivity.
1:06
Is that Janet? Oh, yeah. Have
1:09
you met my secretary? Jeanette? Or
1:11
it looks like a man bored
1:13
with his suburban life. My
1:16
name is Lester Burnham. This
1:18
is my neighborhood. This
1:20
is my street. This is my
1:23
life. I'm 42 years old.
1:25
In less than a year,
1:27
I'll be dead. But the
1:29
reality of what happens
1:31
during middle age
1:33
is much more
1:35
complicated. I have really enjoyed middle age
1:38
up to this point. I'm 51 years
1:40
old. And whenever I have a friend
1:42
who's approaching his or her 50th birthday,
1:44
I try and send a note of
1:47
encouragement to say you've got nothing to
1:49
fear. It's going to be great. I
1:51
think you're going to love it. At 62,
1:53
I think it's rather rude that my body
1:55
likes to let me know I'm old. While
1:58
I feel young and look younger than I
2:00
and my body reminds me
2:02
that I'm not as flexible,
2:04
not as much energy, even
2:06
though I work out with
2:09
sprints training and walking four
2:11
miles a day, I still have bad
2:13
bees, a sore back, and well,
2:15
I can just tell I'm old.
2:17
I'm turning 43 in just a
2:20
few days, and from the time
2:22
I hit 30 onward, I feel
2:25
like I just have it more
2:27
and more. together and surprise myself
2:29
how little I really care about
2:32
what teenage or early 20 me
2:34
would have thought anyway. So maybe
2:36
it's a little more realizing I'm
2:39
comfortable in my own skin. Thanks
2:41
for those messages. The average life
2:43
expectancy in the US is 76
2:46
years, which means most Americans will
2:48
be middle-aged at some point. Yet
2:50
the midlife period is historically under-researched.
2:52
What does Hollywood's narrative about midlife
2:54
get wrong? And who does it
2:57
leave out? And is it a
2:59
time to let go of the
3:01
glamorous tortured myth of a midlife
3:03
crisis to make room for more
3:06
honest stories about getting older? Joining
3:08
us for this discussion or expert
3:10
guests. who are or have been
3:12
middle-aged. Dr. Alicia Arbaye is an
3:15
associate professor of medicine at Johns
3:17
Hopkins University School of Medicine in
3:19
Baltimore. She's also an expert
3:21
in geriatric medicine. Dr. Arbaye,
3:23
it's great to have you. Thank you
3:25
for having me. Also with us is
3:28
Chip Conley. He's the author of Learning
3:30
to Love Midlife, 12 reasons why life
3:32
gets better with age. He's also the
3:34
founder of Modern Elder Academy. That's a
3:36
Midlife Wisdom School with dozens of chapters
3:38
around the world. Chip Welcome. Great to
3:40
be with you, thank. Ann Margie Lockman.
3:42
She's a professor of psychology at
3:45
Brandeis University in Waltham, Massachusetts.
3:47
She's also the director of
3:49
the Lifespan Development Lab at
3:51
the university. Professor Lockman, welcome.
3:54
Happy to be with you. And we want
3:56
to hear from you. If you're in your
3:58
40s, 50s, or 60s, how is your life...
4:00
changed with middle age? Has midlife
4:02
been what you expected? And
4:04
if not, how has it challenged
4:06
your expectations? Email us at 1A
4:09
at W-A-M-U.org. Now, Dr. Obare, let's
4:11
just start by defining midlife. What
4:14
age range constitutes middle
4:16
age? So I think the
4:18
answer is sort of, it
4:20
depends. It's probably somewhere between
4:22
40 and 60, but really
4:24
it's less about age, I
4:26
think, and more about the
4:28
confluence of circumstances that come
4:30
together, whether it's role changing,
4:32
our own physical health changing,
4:34
caring for aging parents, working
4:36
with our children. I think
4:38
it's more about when all
4:40
those things come together in
4:42
the larger context of our
4:44
lives than it is about.
4:46
a particular age and this
4:48
is so true also in
4:50
geriatric medicine. where people say, well,
4:53
when am I a geriatric person?
4:55
And that also depends when life
4:57
sort of changes and when health
4:59
begins to become the dominant narrative
5:01
in one's life. So I think
5:03
somewhere between 40 and 60 give
5:05
and take, depending on what your
5:08
life has been like this far
5:10
and what environment you've grown up
5:12
in. Professor Lockman, as our average
5:14
life expectancy changes, how
5:16
is the way we define? midlife
5:19
changed and when it happens, how
5:21
has that evolved? So
5:23
I agree that the 40s
5:25
and 50s are really the
5:28
heart of midlife. Although as
5:30
we're living longer, some people
5:32
think of themselves as middle-aged
5:34
up until they're 60s, 65.
5:37
And I also wanted to
5:39
add that. Midlife can also
5:41
really be tied to where you
5:43
are relative to other generations. So
5:45
if you're in the middle generation,
5:47
you're somebody who is working with
5:49
younger people and older people in
5:51
the family or the community or
5:53
at work. That really puts you
5:55
in what I would call middle
5:57
age because you're really the person.
5:59
who they look to for support and
6:02
advice. So being in midlife
6:04
really is not necessarily tied
6:06
to chronological age. It's also
6:08
your location among younger and
6:10
older people in society. Now,
6:12
Chip, I feel like we
6:14
can't talk about midlife without
6:16
discussing the so-called midlife crisis.
6:18
And this is an image
6:20
as we shared earlier that's
6:22
riddled throughout popular culture. What
6:24
do you think it is? How we've
6:26
got this this idea of the
6:29
midlife crisis, how do you think
6:31
we've come to define that? Yeah,
6:33
well, first of all, I'm so
6:35
honored to be with the professors
6:37
because I've read both of their
6:39
work and it influenced much of
6:41
what we've done at the Modern
6:43
Eldre Academy. I think that the
6:45
word crisis is. Why do we
6:47
have crisis just in midlife? We
6:49
have crises throughout our lives. So
6:52
I think it's clear that the
6:54
you curve of happiness research has
6:56
shown that 45 to 50 or
6:58
early 50s is a troublesome time,
7:00
maybe the lowest point of adult
7:02
satisfaction, although some of that's changing,
7:04
with younger people being and younger
7:06
adults being less happy. But I
7:08
actually think of my midlife as
7:10
not a crisis, but a crystallist.
7:13
And the reason I say that
7:15
is not just to be glib,
7:17
but to really say that it's
7:19
actually a time when a lot
7:21
of people feel a deep sense
7:23
of transformation. And they are shedding
7:25
something from the past and opening
7:27
themselves up to something new. Yes,
7:30
the core of early midlife, often
7:32
in one's 40s and maybe even
7:34
early 50s, it can be very
7:36
stressful because we've got a lot
7:38
of spinning plates going on. But
7:40
as we move into our 50s
7:42
and sometimes into our 60s, I
7:44
turn 64 this month and I
7:47
absolutely know that I'm still in
7:49
midlife, I do believe that we
7:51
actually see the upside of getting
7:53
older. Well, we got this message
7:55
from Chris in New York who
7:57
says is the so-called midlife crisis.
7:59
a normal developmental threshold related to
8:02
neurological and neurochemical changes that are
8:04
commonly experienced at this time of
8:06
life. And Dr. Abarhei, while the
8:09
term mid-life crisis may not accurately
8:11
capture what happens in mid-life, there
8:13
are physical and hormonal changes that
8:16
affect us as we approach middle
8:18
age. So how does our body
8:20
change at this time? Yeah,
8:22
and I think as I answer
8:25
that question, I'd also like to
8:27
add the idea that that midlife
8:29
is experienced differently by different populations,
8:32
by folks who have been historically
8:34
marginalized, by folks who may be
8:37
LGBTQ, and part of that I
8:39
think is because there is a
8:41
known fact that there's accelerated aging
8:44
in some of these historically minorities
8:46
population. So I just like to
8:49
bring that up as an important
8:51
point that what we may be
8:53
talking about as midlife may be
8:55
occurring earlier for some people. And
8:58
then to your question about how
9:00
the body changes. So it's so
9:02
interesting, really how we think of
9:04
aging is in several different ways.
9:07
It's more of an acute, when
9:09
we think of... abnormal or not
9:11
normal aging, we think of an
9:13
accumulation of toxins or toxic experiences
9:15
or stressors over a lifetime. And
9:18
so that, as I said, can
9:20
happen earlier or later in life.
9:22
But how that can end up
9:24
manifesting can be through weight gain,
9:26
through fatigue, through stress, through overwhelm.
9:28
It can be through kind of
9:30
aches and pains that we often
9:33
think of. But really, and even
9:35
through cognitive changes in terms of
9:37
not being able to think as
9:39
clearly or feel like you're in
9:41
a sort of fog. And we
9:43
know that COVID and other illnesses
9:45
can bring that for... sooner rather
9:48
than later and so that can
9:50
also confound whether we think we're
9:52
going through middle age or not
9:54
and then of course we should
9:56
talk about you know menopause is
9:58
an important experience that women go
10:00
through that can also stretch out
10:02
over many years and affect our
10:05
mood and our activity. Professor Lachman
10:07
briefly, what about some of the
10:09
cognitive changes that can happen
10:11
and the psychological changes that
10:14
can happen? Yes, so certainly there
10:16
are changes. Many of these changes,
10:18
both the physical ones that were
10:21
just discussed. as well as psychological
10:23
and cognitive ones, are relatively gradual.
10:25
But some of these things do
10:27
get recognized by people in their
10:30
40s as they're turning midlife. They'll
10:32
see very obvious changes, like needing
10:34
reading glasses, or you see a
10:36
few gray hairs, and it sort
10:39
of triggers this concerns about getting
10:41
older. But psychologically, actually, I think
10:43
of midlife is really one of
10:45
the peak periods of the life
10:47
course. Cognatively, you really have a
10:49
confluence of... both some things that are
10:52
going down but also things that are
10:54
going up and that creates a really
10:56
nice balance so that It is
10:58
true that there are aspects of cognition
11:01
such as memory, how quickly you process
11:03
information, your abstract reasoning, that are on
11:05
the way down, but they're certainly
11:07
not near the bottom. They're really still
11:10
doing quite well, but you might notice
11:12
it takes you longer to remember
11:14
something, for example. Well, let's pause
11:16
here for a moment. We're talking
11:19
about what we get wrong
11:21
about the so-called midlife crisis
11:23
with psychology professor Margie Lachman,
11:25
geriatric specialist Dr. Alicia Arbaha.
11:27
author of Learning to Love Midlife,
11:29
Chip Connolly, and we want your
11:32
midlife stories. Email us at 1A
11:34
at wamu.org. We'll be right back.
12:00
This is One A. I'm Jen White.
12:02
A quick update to share from Florida,
12:04
last night Hurricane Milton made landfall
12:06
near Siesta, south of Sarasota, as
12:08
a Category 3 storm. It then
12:11
weakened to a Category 1 as
12:13
he has since moved offshore. That's
12:15
according to the National Hurricane Center.
12:17
The storm dropped about 16 inches
12:19
of rain on St. Petersburg. Six
12:22
storm-related deaths have been confirmed. Powers
12:24
now being restored to more than 3
12:26
million in the state. And last night, wind
12:29
gusts of 100 miles per hour were
12:31
recorded near... Tampa. But Tampa avoided the
12:33
worst of the storm surge. President
12:35
Biden spoke to Florida's Governor Ron
12:37
DeSantis earlier today, according to a
12:40
White House spokesperson. DeSantis said crews
12:42
are still assessing damage and think
12:44
Biden for all the support from
12:46
the federal government. Earlier today, DeSantis
12:49
spoke to reporters. What we can
12:51
say is the storm was significant,
12:53
but thankfully this was not. the
12:55
worst case scenario. The storm did
12:58
weekend before landfall and the storm
13:00
surge as initially reported has not
13:02
been as significant overall as what
13:04
was observed for hurricane Helene. Right
13:07
now it looks like Sarasota County
13:09
had the most significant storm surge,
13:11
likely somewhere between 8 to 10
13:14
feet and remember with Helene we
13:16
had 15 to 20 feet up
13:18
in Taylor County. We also anticipate
13:20
that because of the amount of
13:22
water, you know, you may see
13:24
flooding happen not just now, but
13:27
in the subsequent days. But I
13:29
think everybody responded very quickly,
13:31
proud of everybody's hard work.
13:33
We got more work to
13:35
do, but we will absolutely
13:37
get through this. and PR will
13:39
have the latest on the
13:42
story throughout the day. Those
13:44
impacted are being asked to
13:46
follow all directions from local
13:48
officials. There's lots of information
13:51
about what help is available
13:53
at Florida disaster.org and there's
13:55
a state assistance information line
13:57
2 that numbers 1-800-3-4-5-7. We're
14:09
discussing one of the most under-researched
14:11
periods of life, midlife. With us
14:13
is Dr. Alicia Arbaha. She's an
14:15
associate professor of medicine at Johns
14:17
Hopkins University School of Medicine. She's
14:19
also an expert in geriatric medicine.
14:22
Also with this is Chip Conley.
14:24
He's the author of Learning to
14:26
Love Mint Life, 12 reasons why life
14:28
gets better with age. He's also the founder
14:30
of Modern Elder Academy. That's
14:32
a Midlife Wisdom School with dozens
14:35
of chapters around the world. And
14:37
Margie Lockman. She's a professor of
14:39
psychology at Brandeis University and the
14:41
director of the Lifespan Development Lab
14:43
at the university. And we want
14:45
to hear from you, if you're
14:47
in your 40s, 50s, 50s, or
14:49
60s, what's the hardest part of
14:51
Mint Life exciting. Email us at
14:53
1A at wamu.org. Tanya emails I'm
14:55
45 and live in a small
14:57
Kansas town. I started to glow
14:59
up around 38 and it just
15:01
keeps getting better. I carry myself
15:03
better, dress better for my body type
15:05
and comfort and definitely look prettier and
15:08
healthier and I've noticed this is true
15:10
for nearly every other woman my age
15:12
in town too. We'll keep saying your
15:14
stories our way. Now before the break
15:17
we were discussing some of the the
15:19
bodily changes that occur during... life and
15:21
Terry writes one word, Perry menopause. Actually
15:24
you might need a whole hour on
15:26
this and Terry I just want to
15:28
share, we did an hour. We spent
15:30
a whole hour talking about Perry menopause
15:33
and menopause. You can find it
15:35
at the what a.org. But Dr.
15:37
Abarhey just walk us through what's
15:39
happening in in the body during
15:41
that Perry menopause before you actually
15:43
hit menopause. Yeah, so it's
15:45
a long stretched out period that can
15:47
last several years and so it's not
15:50
like a one day you wake up
15:52
and you go, uh-oh, what's happening, although
15:54
it might feel like that for some
15:56
people. But yeah, it's a slower process
15:59
in which... Our menstrual cycles become
16:01
irregular. We may feel mood changes
16:03
as our hormones shift. And some
16:05
of the things we talked about
16:07
earlier, like fatigue and cognition could
16:09
be altered. The heart... part is
16:11
that there's always so much else
16:13
going on in life that it's
16:16
hard to tease out is that
16:18
what's going on or is it
16:20
that life is just happening and
16:22
so it's a really interesting interplay
16:24
between the environment and how we're
16:26
living our lives in the moment
16:28
and what's happening within our bodies
16:30
and the other thing I'll say
16:33
is that everyone's experience is so
16:35
heterogeneous or unique and that's certainly
16:37
true of older life if you've
16:40
seen one eight year old and
16:42
If you've seen one perimenopausal person,
16:45
you've probably just seen that one
16:47
perimenopausal person. So it's important to
16:49
honor that there's a diversity to
16:52
this experience. Chip, one of the
16:54
reasons you became interested in having
16:56
more transparent discussions about midlife is
16:59
because you watched many of your
17:01
male friends struggle in their
17:03
40s. What happened to your friendships
17:05
during that time? Well, yeah, I really
17:07
admire women because they are so much
17:10
better at... both juggling their various roles,
17:12
but also continuing to see friendship
17:14
as a practice, something that you
17:17
invest in. Whereas a lot of
17:19
men get very fixated on their
17:21
careers and maybe on their family
17:24
as a breadwinner, and excuse me
17:26
for sounding very traditional here, but
17:28
it happens a lot. And then
17:31
they let their friendships atrophy. And
17:33
when bad news comes to them,
17:35
particularly if it's their career, they
17:38
don't really have a support network.
17:40
And what happened to me in
17:42
my late 40s during the Great
17:44
Recession is I lost five male
17:46
friends to suicide ages 42 to
17:48
52. So all of them in
17:51
midlife, and three of the five
17:53
of them, you know, we could
17:55
specifically focus on the fact that
17:57
it was their business, they were
17:59
entrepreneurs. entrepreneurs went under. And so
18:02
what I felt in creating
18:04
MEA, the World's for Smith Life
18:06
Wisdom School, a modern elder academy,
18:08
was there's a need for us
18:10
to create programs that help people
18:12
to feel that support and to
18:14
help people in midlife. understand how
18:17
to navigate the natural transitions that
18:19
happen in midlife and the average
18:21
age of the people who comes
18:23
about 54. So it's, you know,
18:25
solidly right there in midlife. I
18:27
want to mention we did a
18:29
show a couple of years ago about
18:31
male friendships and it was based on
18:34
some reporting that show the percentage of
18:36
men with at least six close friends
18:38
had fallen by half since 1990
18:40
and... only one in five single
18:43
men said or reported that he
18:45
had zero close friends. And we
18:47
had this really fascinating discussion about
18:49
male friendships, how to maintain them,
18:52
how to build them. You can
18:54
find that conversation at the 1A.org.
18:56
But Professor Lockman, what do we
18:58
know about what can happen to
19:00
our mental health in middle age?
19:03
Not just because there are things
19:05
changing with their bodies, but because
19:07
life may be changing in
19:09
significant ways. Yes, midlife can be
19:11
a very stressful period. There's no doubt
19:14
about it. There's a lot of people
19:16
who are depending on people in midlife,
19:18
and that can cause a lot of
19:21
stress. And there's only so much time
19:23
in the day, and I think a
19:25
lot of people in midlife do feel
19:28
those pressures and stresses. But at the
19:30
same time, there's a lot of positive
19:32
psychological changes that are happening in midlife.
19:35
So in many ways, middle-age adults are
19:37
really equipped to handle the extra burdens
19:39
and... Stresses that occur in midlife.
19:41
So knowledge and experience and decision-making
19:43
are all really peaking in midlife.
19:46
Things like self-confidence, a sense of
19:48
mastery based on all of your
19:50
experience can really reach a peak
19:52
in midlife. And so those in
19:54
midlife do have some of the
19:56
psychological resources at their disposal to
19:58
handle some of the... extra burdens
20:00
and stresses that occur. But that
20:03
said, we really do need to
20:05
pay attention to providing support for
20:07
people in middle age because there
20:09
are many demands on them. And
20:12
social relationships are very important, as
20:14
was just said, for both men
20:16
and for women. And often there's
20:19
not enough time to nurture your
20:21
social relationships in midlife because you're
20:23
so burdened with all the responsibilities
20:25
that you have both with your
20:28
family and it were. I want to
20:30
just remind everyone that if you or
20:32
someone you know is struggling with mental
20:34
health issues at any age, you
20:36
can always call the suicide and
20:38
crisis number at 988. It's available
20:40
24 hours a day, seven days
20:42
a week. Again, that number is
20:44
988. We're hearing from so many
20:46
of you, Robbie Emel's middle age
20:48
is so confusing. I'm 72 and
20:50
still waiting for it to begin.
20:52
Okay, I am a tiny bit
20:54
slower, but really nothing else has
20:56
changed in my life. My attitude
20:58
remains optimistic, my days remain busy,
21:00
I remain interested, and some people
21:03
even say, I'm interesting. I think
21:05
that whole middle-age thing can really
21:07
bring a guy down, don't give
21:10
in. A study between 2002 and
21:12
2020 suggests middle-age Americans feel significantly
21:14
lonelier. than their European counterparts.
21:16
That's according to the American
21:18
Psychological Association. Professor Lockman, give
21:21
us a little more insight
21:23
into what societal and relational
21:25
changes tend to happen during
21:27
midlife that can lead to
21:29
that loneliness. Yes, so social
21:31
relationships are really important for your
21:33
health physical health and mental health
21:35
And in some ways midlife should
21:37
be a period where you are
21:40
not lonely because you have so
21:42
many roles and there's so many
21:44
people who you're interacting with both
21:46
in the community at home and
21:48
work But yet there are people
21:50
in midlife who do feel lonely.
21:52
So it's loneliness is not necessarily
21:55
tied to how many people you
21:57
know or how many people you
21:59
interact with And so that is
22:01
an issue that is of importance,
22:03
but there was actually another recent
22:05
study. that showed that midlife actually
22:07
was lowest in terms of loneliness
22:09
compared to those who were younger
22:11
and older. So there's a lot
22:13
of mixed reports in terms of
22:15
loneliness, but in general people have
22:17
become more lonely as a surgeon
22:19
general has shown us in some
22:21
of his recent initiatives. So in
22:23
general people are more lonely and
22:25
I think a lot of that
22:27
just has to do with how
22:29
much time we have to spend
22:31
on so many other things that
22:33
we don't necessarily have as much
22:35
time to. nurture and enrich our
22:37
social relationships. Well and Chip, how
22:39
much of your work at Modern
22:41
Elder Academy is about creating a
22:43
sense of community for those who
22:45
may not feel deeply connected to
22:47
others? It's interesting, Jen. A lot
22:49
of the people who come are
22:51
coming because they're going through some
22:53
kind of transition, and there's a
22:55
lot of transitions happening in what
22:57
academics call middle essence. We know
22:59
all the transitions of adolescents, but
23:01
middle essence has a lot as
23:03
well. So they come for the
23:05
transitions and cultivating purpose and learning
23:07
how to own their wisdom. But
23:09
what we found is that the
23:11
number one reason they come back
23:13
again, and many people do, because
23:15
we have two campuses. one in
23:17
Santa Fe, New Mexico, and one
23:19
in Baja in Mexico on the
23:21
beach, is because of the relationships.
23:23
And that's why I mentioned friendship
23:25
as a practice. We have 58
23:27
regional chapters around the world. And
23:29
what people really are looking for
23:31
is not just. quantity of friends,
23:33
but it's quality and depth of
23:35
conversation. And I think that's what
23:37
we're, you know, the fine art
23:39
of a conversation is something we
23:41
were so maybe good at 50
23:43
years ago or 100 years ago.
23:45
And it, because we're so addicted
23:47
to our devices these days, people
23:49
have lost some of the ability
23:51
to have a thoughtful, interesting conversation
23:54
that is not agitated. or partisan
23:56
in some way. And so that's
23:58
part of the reason people come
24:00
back and are part of our
24:02
regional chapters. But I like to
24:04
say to people, if you think
24:06
of friendship as a practice, you
24:08
will invest in it like you
24:10
do, a meditation practice or playing
24:12
golf or whatever it is that
24:14
you're trying to get better at.
24:16
We're talking to Chip Conley. He's
24:18
author of Learning to Love Midlife.
24:20
Also with us, psychology professor Margie
24:22
Lachman and geriatric specialist, Dr. Alicia
24:24
Arbaha. And we're hearing from you,
24:26
Janice writes, my 50s were a
24:28
time of unusual euphoria and increased
24:30
empathy for all people and causes.
24:32
It was also incredibly freeing to
24:34
be past the monthly hormonal cycle.
24:36
Keep sending your thoughts our way.
24:38
Email us at 1A at WAMU.org.
24:40
I'm Jen White. You're listening. to
24:42
one A. Dr. Abaha'i, one of
24:44
the biggest issues you see among
24:46
your patients is that they haven't
24:48
established long-term care relationships with primary
24:50
care doctors or therapists so when
24:52
they reach middle-age the care isn't
24:54
in place in the way they
24:56
may need it. So how how
24:58
can we build a care network
25:00
before we reach middle-age? I think
25:02
this is so important for so
25:04
many reasons and often... when we're
25:06
younger than middle age, our primary
25:08
care providers are maybe it's like
25:10
a gynecologist or OBGYN and for
25:12
men, they may not have one
25:14
at all. And so you don't
25:16
start to really think about those
25:18
things until either you have your
25:20
own health crisis or you start
25:22
to see your loved ones have
25:24
those crises and say, wait, what
25:26
would I do in this situation?
25:28
I don't have someone. So I
25:30
think some ways to start having
25:32
that nice longitudinal relationship with a
25:34
health care provider is to maybe
25:36
You've kind of interviewed them by
25:38
work if you're attending those appointments,
25:40
or if you're just not sure
25:42
where to start, start with your
25:44
internal medicine or family medicine health
25:46
care provider, and you're not quite
25:48
too young to get a geriatrician
25:50
if you're over the age of
25:52
55. and geriatrics. As scary as
25:54
it might sound to come and
25:56
see a geriatrician, we're all about
25:58
helping you stay as independent and
26:00
healthy as possible as you're getting
26:02
older. So I don't be afraid
26:04
to come find one of us
26:06
as well. We're all trained in
26:08
internal medicine and geriatrics and family
26:10
medicine as well. So just very
26:12
important I think to start. to
26:14
think about as mental health as
26:16
we've been hearing, it's sometimes not
26:18
until our 40s or 50s that
26:20
we have the skills and the
26:22
ability to integrate our childhood experiences
26:24
and our young adult experiences. And
26:26
so we're going to need support
26:28
when those things start to come
26:30
up. And so it's important to
26:32
establish that. great relationship with a
26:34
therapist, if you have access to
26:36
one, or other source of support,
26:38
whether it be through a faith
26:40
community or other type of support,
26:42
because that will help as well.
26:44
The health we have in middle
26:46
age directly predicts the health we
26:48
have in older age, and so
26:50
it's so important to take care
26:52
of things early. Chip, as we've
26:54
discussed, your 40s were an extremely
26:56
difficult period in your life, but
26:58
your 50s were an entirely different
27:00
experience. What changed? Yeah, I wasn't
27:02
expecting it because I think one
27:04
of the challenges and maybe the
27:06
reason the word crisis is applied
27:09
is that many of the Transitions
27:11
that people are going through in
27:13
their 40s They worry that they're
27:15
gonna last forever the sandwich generation
27:17
and Perry menopause and possibly feeling
27:19
irrelevant at work and maybe divorce
27:21
or you know your body not
27:23
looking like it used to For
27:25
me, I got to my 50s
27:27
and I was sort of not
27:29
sure if I was just going
27:31
to continue to feel worse and
27:33
worse. And then I felt that,
27:35
you know, comfort. Like, you know,
27:37
I just as I got comfortable
27:39
in my own skin, it started
27:41
to sag. And I was okay
27:43
with that. It was like, you
27:45
know what? I'm not worried so
27:47
much about what other people think
27:49
about me. I started to realize
27:51
that, you know, you know, my
27:53
body, I'm more focused on the
27:55
long-term maintenance than the short. term
27:57
vanity and I got curious about
27:59
some things and then next thing
28:01
out of the blue I was
28:03
asked by the three young founders
28:05
of Airbnb 12 years ago to
28:07
come in and be their modern
28:09
elder what they called someone who's
28:11
as curious as there were wise
28:13
and I was 52 and all
28:15
of a sudden I saw that
28:17
wow I had some relevance and
28:19
I had some wisdom to offer
28:21
these younger people and I did
28:23
that for seven and a half
28:25
years and it was beautiful. Well,
28:27
we're discussing this so-called midlife crisis
28:29
and unpacking what actually happened in
28:31
midlife. We're here with Chip Conley.
28:33
He's the author of Learning to
28:35
Love Midlife. Margie Lachman, she's a
28:37
psychology professor, and geriatric specialist, Dr.
28:39
Alicia Arbaha'i. And we're hearing from
28:41
so many of you sharing emails,
28:43
midlife is a time for deciding
28:45
what you want the rest of
28:47
your life to be. You find
28:49
yourself thinking, oh, I never want
28:51
to do that again, and wow,
28:53
I would really like to learn
28:55
or do such and such. In
28:57
my case, I made the difficult
28:59
decision to change churches. I have
29:01
been unhappy for many years. My
29:03
husband did not join me. But
29:05
I reached a point where it
29:07
where it. just necessary. Midlife is
29:09
a time for truth. Keep sharing
29:11
your stories with us. Email us
29:13
at 1A at wamu.org and we'll
29:15
be right back. Now
29:55
let's get back to our discussion
29:57
about the so-called midlife crisis and
29:59
what actual happens when we become
30:01
middle-aged. We're here with Dr. Alicia
30:03
Arbache. She's an associate professor of
30:06
medicine at the Johns Hopkins University
30:08
School of Medicine. She's also an
30:10
expert in geriatric medicine. And Chip
30:12
Conley, he's the author of Learning
30:14
to Love Midlife, 12 reasons why
30:16
life gets better with age. He's
30:18
also the founder of Modern Elder
30:20
Academy, that's a midlife wisdom school
30:22
with dozens of chapters around the
30:24
world, and Margie Lockman. She's a
30:26
professor of psychology at Brandeis University,
30:29
and the director of the Lifespan
30:31
Development. lab at the university. And
30:33
let's go to our inbox. I
30:35
am almost to my mid-fifties and
30:37
what I struggle with most during
30:39
this time is really the meaning
30:41
of life. Sometimes I'm wondering what
30:43
the heck is even the point.
30:45
We just work and work and
30:47
that's just something I've really been
30:49
struggling with so I'm hoping to
30:52
hear what other colors have to
30:54
say about this. especially those that
30:56
are currently in midlife and those
30:58
that are past midlife and what
31:00
suggestions they have. Janea, thanks for
31:02
that message. Well, I want to
31:04
go to this that we got
31:06
from Gina, since you wanted to
31:08
hear what other people are saying,
31:10
Janea. Gina writes, I had a
31:12
cranial aneurysm and stroke at age
31:15
46. I did not have a
31:17
midlife crisis. I went directly to
31:19
old age having to use a
31:21
walker to have an adapted car
31:23
and do many tasks differently. My
31:25
advice to someone having a midlife
31:27
crisis is to enjoy the life
31:29
you have now. Adjust your definition
31:31
of normal and find ways to
31:33
change anything that prevents you from
31:35
doing what you want. And if
31:38
you don't know what you want,
31:40
be thankful that you have choices.
31:42
Professor Lachman, that came from a
31:44
listener in our audience, but any
31:46
other guidance for Jayna? Yes. Well,
31:48
I mean, there are many people
31:50
who unfortunately experience curveballs in midlife,
31:52
such as she described. And it's
31:54
not easy to deal with it.
31:56
It seems like she has really
31:58
a good perspective, and I think
32:01
her... advice to enjoy midlife is
32:03
really a great idea for people
32:05
to think about because when you
32:07
get to the middle of anything,
32:09
whether it's life or the middle
32:11
of the semester as I'm a
32:13
professor. It's a natural time for
32:15
reflection, looking back on where you've
32:17
been and thinking about where you're
32:19
going. And so it can be
32:21
a period where you think about
32:24
making changes. Maybe you decide you're
32:26
not happy with how things are
32:28
going and it's okay to change.
32:30
And so along the theme we're
32:32
talking about, I don't necessarily see
32:34
that as a crisis if people
32:36
make a change. You might make
32:38
small tweaks, but even if you
32:40
make some major changes in your
32:42
life. That can actually be a
32:44
growth experience and something that is
32:47
a positive in terms of how
32:49
things ultimately will turn out. And
32:51
I think also when people get
32:53
to midlife, for some reason they
32:55
think that time is running out.
32:57
There's this sense that there's not
32:59
much time left to do things,
33:01
but in fact, you have half
33:03
your life left. So think about
33:05
it as there's plenty of time
33:07
left to do things. You don't
33:10
have to do everything at once.
33:12
And so looking at it as
33:14
an example. expanse of time remaining
33:16
in your life for doing other
33:18
things that you would like to
33:20
do and to make changes. Yeah,
33:22
I'll tell you, Jane, I'm in
33:24
response to your message. I've, for
33:26
the first time in my life,
33:28
since I was maybe eight years
33:30
old, I've started journaling and for
33:33
me, my mind always moved too
33:35
quickly to do a written journal,
33:37
but I found an app where
33:39
I can just record voice memos.
33:41
And that's been in. incredibly therapeutic
33:43
to just out loud process some
33:45
of what I'm working through as
33:47
I'm just a few weeks away
33:49
from 50 and it's been a
33:51
really useful tool and I think
33:53
there's something about talking about it
33:56
out loud just to myself. I
33:58
don't know. Maybe that would be
34:00
helpful for you, for you too.
34:02
Just a thought. Well, Dr. Abahai,
34:04
you're 48, and you're currently experiencing
34:06
some of the midlife changes. We've
34:08
been discussing, what has this period
34:10
been like for you personally? Yeah,
34:12
49 actually so I'll be 50
34:14
like next in a few months
34:16
It's it's so interesting I've been
34:19
reflecting on a lot of what
34:21
people have been saying and and
34:23
in caring for my own patients
34:25
when I see them go through
34:27
It's it's I'm just learning a
34:29
lot from the experience I think
34:31
the two words that that are
34:33
sort of sitting with me as
34:35
I go through this time is
34:37
resilience and reflection You've talked about
34:39
reflection just now with your comment
34:42
around journaling, which I so appreciate
34:44
in my own time in my
34:46
own work with medical students and
34:48
others, I really encourage reflective practice
34:50
as a way to just get
34:52
to know oneself and what one's
34:54
thinking and feeling. And to go
34:56
back to it and see what
34:58
kind of growth has occurred. So
35:00
I'm working on my own set
35:02
of reflective practices. And then in
35:05
terms of the resilient side of
35:07
things, as these curveballs hit, that
35:09
our colleagues have talked about here,
35:11
I think about, well, how can
35:13
I reframe and recover from the
35:15
different types of experiences that have
35:17
come on? Each of my parents
35:19
has been diagnosed with very serious
35:21
illness. I myself, I'm going through.
35:23
my own illness journey or I
35:25
have and have come out on
35:28
the other side. And so when
35:30
I think about that, I look
35:32
back and think, wow, this is
35:34
a time of resilience and growth.
35:36
I wouldn't have wanted all of
35:38
these lessons necessarily, but it's life,
35:40
right? And it can teach us,
35:42
I'm reflecting on how it's teaching
35:44
me to be a more compassionate
35:46
and kind individual when I see
35:48
other people going through their journeys
35:51
and to give people a bit
35:53
of grace. as well as first
35:55
giving myself a bit of grace
35:57
through this process. And I've only
35:59
started to think about that recently.
36:01
So you're technically considered to be
36:03
at the tail end of mint
36:05
life, but how are you looking
36:07
back on the beginning of this
36:09
period as you begin to leave
36:11
it behind? Yeah, I think it
36:14
goes further than some of my
36:16
colleagues, I think. I actually do
36:18
think... midlife can go into your
36:20
early 70s. But for me, I
36:22
would just say that the beauty
36:24
of recognizing that the early midlife
36:26
is when you're almost like the
36:28
caterpillar eating and consuming and the
36:30
core of midlife, which might be
36:32
your 50s, is almost like the
36:34
crystallist. It's when you're really shifting
36:37
all things, you're editing things, you're
36:39
metamorphizing what's important to you. And
36:41
Richard Ror, who's on our faculty,
36:43
a very famous Christian mystic, talks
36:45
about the fact that our primary
36:47
operating system in our 50s, and
36:49
for me, I found this to
36:51
be the case, moves from our
36:53
ego to our soul. For the
36:55
caller who left the voicemail, I'd
36:57
say she should probably read his
36:59
book, which is called Falling Upward.
37:02
It's spirituality for the two halves
37:04
of life. And then later midlife,
37:06
which I believe I'm in now.
37:08
is a time where you make
37:10
sense of things. You know, our
37:12
painful life lessons are the raw
37:14
material for our future wisdom. And
37:16
this is an era for us
37:18
to be generative. Eric Erickson's word
37:20
to describe the idea of giving
37:22
back to younger generations. So I'm
37:25
feeling very much in the generative
37:27
stage, but I do know that
37:29
my late 40s, I was very
37:31
much in the confusion phase and
37:33
the feeling stuck phase. Well, we
37:35
got this message from Chris who
37:37
says, I love the show topic
37:39
today. I'm a postmenopausal woman age
37:41
57. I've embraced many things about
37:43
my age, including letting the silver
37:45
hair rock. I hear you. I
37:48
like who I am more today
37:50
than ever. I just wish I
37:52
wasn't so weary of body mind
37:54
and spirit. Energy or lack thereof
37:56
is a huge issue, even with
37:58
a healthy lifestyle. It's frustrating to
38:00
find yourself in a much more
38:02
positive place on so many levels,
38:04
but... physically deteriorating. Seems unfair somehow.
38:06
Please keep up this research. Professor
38:08
Lockman, you're a researcher for a
38:11
30-year study called Midlife in the
38:13
United States and looks at the
38:15
biomedical, the psychological, and social factors
38:17
that shape midlife. What are we
38:19
still learning about this period? Yes.
38:21
Well, it's really a fascinating period.
38:23
It was for a very long
38:25
time, people in my field in
38:27
lifespan psychology studied younger adults and
38:29
older adults, and there was a
38:31
huge gap in the middle. We
38:34
really didn't know much about it.
38:36
And so we are learning a
38:38
lot about this period. And it
38:40
does change over time in terms
38:42
of what midlife is like as
38:44
people are living longer and parents
38:46
are living longer. But one of
38:48
the things that I'm glad Chip
38:50
brought this up is this notion
38:52
of generativity. which is really caring
38:54
and concerned for younger generations, and
38:57
also for leaving your mark on
38:59
the world. So midlife is really
39:01
a period where not only are
39:03
you concerned with your own development,
39:05
but also focus quite a bit
39:07
on the development of those who
39:09
are younger. And mentoring becomes a
39:11
really, I think, important and satisfying
39:13
aspect of midlife. And in our
39:15
research, we find that generativity does
39:17
really peak around age 50. It's
39:20
really a period where people start
39:22
to turn to focus on other
39:24
people and share their knowledge and
39:26
experience with people who are wanting
39:28
to learn and developing. And so
39:30
that's one of the things that
39:32
I think is important that we've
39:34
learned. We're talking to psychology professor
39:36
Margie Lachman, geriatric specialist Dr. Alicia
39:38
Arbaha'a, and author of Learning to
39:40
Love Midlife, Chip Conley. I'm Jen
39:43
White. You're listening to One A.
39:46
We got this question from Paul
39:48
who says, I'm 62. As things
39:50
break down and our abilities in
39:52
health may subtly or abruptly change,
39:54
how do we know if our
39:56
decline is normal? Dr. Abaha, what
39:58
can you tell us? Love that.
40:00
question. So it is not normal
40:02
to lose memory at rates that
40:04
are, for example, causing you impairments
40:06
in your daily life. It is
40:08
not normal to have, you know,
40:10
sudden changes in our health and
40:12
well-being. And so I think this
40:14
question is important. And I think
40:16
that's why having that long term
40:18
or setting it up now, relationship
40:20
with a health care provider and
40:22
with other therapists and counselors is
40:24
important because then you can start
40:26
to see and talk about these
40:28
issues with people who either have
40:30
known you for a while or
40:32
are getting to know you now
40:34
to bring those up. So I
40:36
think if there is a question
40:38
or concern about a feeling, a
40:40
mood, a symptom, go to your
40:42
health care provider and I know
40:44
that's a whole separate challenge in
40:46
action. great health care, but it's
40:48
just so important to begin to
40:50
find that now because a lot
40:52
of the things that we think
40:54
of as maybe part of normal
40:56
aging actually aren't and need to
40:58
be checked out and evaluated. And
41:01
then, you know, if there isn't
41:03
anything that comes up there, then
41:05
we can start to turn to
41:07
thinking about what else in life
41:09
could be affecting what that person
41:11
is experiencing. So definitely don't go
41:13
through things alone and assume it's
41:15
just part of normal aging. not
41:17
sure. We also got this from
41:19
Debra who says this is a
41:21
great discussion on midlife. Thanks for
41:23
having it. I agree with the
41:25
professors who said that plenty of
41:27
people in their early 60s consider
41:29
themselves middle-aged. I'm one. At 64
41:31
I totally see myself as middle-aged.
41:33
One reason I totally see myself
41:35
as still middle-aged. One reason I'm
41:37
very active in my local tennis
41:39
leagues playing as much as four
41:41
or five times per week in
41:43
the outdoor season. Activity is key.
41:45
An activity that's combined with social
41:47
interaction is even better. Dancing, team,
41:49
sports, pickleball, balance, anything that can
41:51
involve activity plus. people I think
41:53
is wonderful and then focusing on
41:55
balance and flexibility as we get
41:57
older is even more key. Well
41:59
let's go to one more voice
42:01
message. I am 43 I'm sorry
42:03
I'm 42 I'll be 43 in
42:05
20 days and if I can
42:07
be frank I don't feel like
42:09
I'm in my midpoint. I still
42:11
feel like I'm in my 20s
42:13
I have a nine-month-old baby and
42:15
a five-year-old and life it just
42:17
seems not figured out I don't
42:19
feel like I'm an adult I
42:21
don't feel like I was where
42:23
my parents were when they were
42:25
in their 40s I still feel
42:28
like I'm in my 20s trying
42:30
to figure life out Stephanie thanks
42:32
for that message and I just
42:34
want to echo that I think
42:36
there's this idea that once you
42:38
reach a certain age you know
42:40
more about the world and yourself
42:42
but that isn't I don't think
42:44
that's always true as I'm right
42:46
around the corner from 50 just
42:48
weeks away, and in so many
42:50
ways I feel more uncertain now.
42:52
And I'm curious how much of
42:54
this may be about the fact
42:56
that we don't discuss middle age
42:58
until we reach middle age. And
43:00
Chip, how can we embrace the
43:02
reality of this period of life
43:04
and all its complexity earlier in
43:06
life so we can better prepare
43:08
for it? Well, I really appreciate
43:10
Stephanie's message there because we have
43:12
such variability in terms of when
43:14
we have life stages. Some people
43:16
don't get married till their 40s
43:18
and they don't have their kids
43:20
to late 40s or they adopt
43:22
kids in their 50s. And so,
43:24
you know, there's no one-size-fits-all here.
43:26
What's been very fascinating to me
43:28
at the Modern Elder Academy, a
43:30
place that's dedicated to midlife. is
43:32
that 75% of the people who
43:34
come are 45 to 65. But
43:36
we've had people as young as
43:38
25 and as old as 91
43:40
come to our programs in Mexico,
43:42
in Baja, on the beach, and
43:44
then in Santa Fe. And so
43:46
these week-long programs have attracted such
43:48
a varied collection. The younger people
43:50
are often coming because they hear
43:52
we're a midlife wisdom school, and
43:54
number one, they want to learn
43:57
more about wisdom. And number two
43:59
is they want to connect with
44:01
older people who they can learn
44:03
from. The people who are coming
44:05
in their 80s and 90s are
44:07
often coming because they want to
44:09
become a beginner over and over
44:11
again. They realize that being curious
44:13
and open to new experiences is
44:15
positively correlated with living a good
44:17
life. So I think the main
44:19
summary here is. Don't peg yourself
44:21
based upon your age as being
44:23
defined by anything that any of
44:25
us are saying, because it's really
44:27
about your life stage more than
44:29
it is your age. Well, we'll
44:31
have to leave the conversation there
44:33
for now. That's Chip Conley. He's
44:35
the author of Learning to Love
44:37
Midlife. Twelve reasons why life gets
44:39
better with age. She's also founder
44:41
of the Modern Elder Academy. That's
44:43
a Midlife Wisdom School with dozens
44:45
of chapters around the world. Also,
44:47
Margie Lachman. She's a professor of
44:49
psychology at Brandeis University in Waltham,
44:51
Massachusetts. She's also the director of
44:53
the Lifespan Development Lab at the
44:55
Lifespan Development Lab. School of Medicine
44:57
in Baltimore. She's also an expert
44:59
in geriatric medicine. Thanks to you
45:01
all. And we'll end on a
45:03
word of wisdom from one of
45:05
you. Alice and emails, I feel
45:07
like midlife is about owning your
45:09
story. My story is dramatic, but
45:11
probably not actually more so than
45:13
anyone else's story. I was diagnosed
45:15
with multiple sclerosis when I was
45:17
41. COVID changed the world, and
45:19
I chose to leave a nearly
45:21
15-year job I loved dearly at
45:23
50 because the pandemic laid bare
45:26
many problems. I started another job
45:28
at 51, working with a world-class
45:30
professional symphony. If this is Middle
45:32
A. I don't want any other
45:34
age. Today's producer was Haley Blassing
45:36
Game. This program comes to you
45:38
from WAMU, part of American University
45:40
in Washington, distributed by NPR. I'm
45:42
Jen White, Nila Boudou, will host
45:44
The Round Up Tomorrow, and Todd
45:46
will be with you next week
45:48
as a... A us
45:50
take the show
45:52
to Mexico City
45:54
for a special
45:56
project, so make
45:58
sure you tune
46:00
in. make Thanks for
46:02
listening. in. I'll
46:04
talk more soon. This
46:06
is soon. This is 1A.
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