Chronic pain isn’t just physical—it’s personal, emotional, and deeply misunderstood. And when it comes to older adults, the pain often hides in plain sight. In this episode, I sit down with pain psychology expert, Dr. Jennifer Steiner, to explore the invisible impact of chronic pain and what every therapist must understand to truly help older adults living with it.
You’ll walk away with a fresh perspective—and four critical psychological themes—that can transform the way you support older adults in your practice.
The real size of the chronic pain epidemic—and why it’s often underestimated in older adults
Common pain conditions affecting people 65+
Dr. Steiner’s personal journey from growing up with chronic pain to becoming a national leader in pain psychology
How chronic pain influences mental health, identity, relationships, and work
4 psychological themes every therapist must recognize when treating chronic pain:
The Body as an Obstacle
Pain is Invisible—and Real
Disrupted Sense of Self
Unpredictability of the Condition
Chronic pain is not just a physical issue—it’s deeply psychological.
Older adults face unique mental health challenges stemming from pain that disrupts their identity, relationships, and everyday life.
Invisible pain is real and often stigmatized.
Without visible signs, older adults may face disbelief and invalidation from loved ones and even providers, which can deepen distress and isolation.
Therapists play a pivotal role in restoring agency.
Helping clients reframe their experience, process grief, and develop adaptive coping can dramatically improve quality of life.
Stigma, unpredictability, and loss of self are therapeutic entry points.
Use these psychological themes to build deeper, more effective interventions for older adults living with chronic pain.
It’s only with your help that we can meet the mental health needs of older adults. So thank you for being here—and thank you for doing your part.
If you enjoyed this episode, please subscribe, leave a review, and share it with a colleague or friend. Together, we’re building a movement for mental health and aging. Because there is no expiration date on healing, transformation, and growth.
Dr. Regina Koepp is a board certified clinical psychologist, clinical geropsychologist, and founder and CEO of the Center for Mental Health & Aging: the “go to” place for mental health and aging. Dr. Koepp is a sought after speaker on the topics of mental health and aging, caregiving, ageism, resilience, intimacy in the context of life altering Illness, and dementia and sexual expression. Dr. Koepp is on a mission to ensure mental health and belonging for older adults, because every person at every age is worthy of healing, transformation, and love. Learn more about Dr. Regina Koepp here.
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Older adults deserve high quality mental health care.
Therapists deserve the training to provide that care.