What we get wrong about our midlives (Rebroadcast)

What we get wrong about our midlives (Rebroadcast)

Released Tuesday, 25th March 2025
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What we get wrong about our midlives (Rebroadcast)

What we get wrong about our midlives (Rebroadcast)

What we get wrong about our midlives (Rebroadcast)

What we get wrong about our midlives (Rebroadcast)

Tuesday, 25th March 2025
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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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