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How a Live-in Carer Can Support an Elderly Person Who is Experiencing Mental Health Challenges


access care live-in carer with home care client sat talking on the sofa

Mental health challenges can have a big impact on people of all ages, but they can become particularly pronounced as we grow older. While live-in care is often associated with helping and supporting live-in care clients with physical disabilities or age-related conditions, it's also a really invaluable option for elderly live-in care clients who are facing mental health challenges. A live-in carer can play a key role in improving not only the day-to-day living of their live-in care client but also on their overall emotional health and well-being. 


In this next Access Care guide we are going to explore how live-in care can help and support elderly people dealing with issues such as anxiety, depression, bipolar disorder, and OCD.  You'll also gain some valuable insights into the causes of these types of mental health conditions in older adults, along with steps to help lessen the symptoms that they may have. 


Lastly, we’ll discuss the specialised and important role of live-in care agencies like us at Access Care.


What is Live-in Care?

Before we start to understand how live-in care can help and support elderly live-in care clients who are experiencing mental health challenges, it's important to have a clear understanding of what live-in care actually entails. 

Live-in care is a type of personalised home care service where a professional live-in carer lives in the same home as their live-in care client who they are supporting. This type of live-in care arrangement means that the live-in carer is  available to provide round-the-clock live-in care assistance, making sure that their live-in care client can maintain their own independence as much as possible, while also receiving dedicated support tailored to their unique needs. 


Below is a detailed list of the main features and benefits of live-in care:

  1. Personalised Care Solutions 

  Live-in care is centered around the specific and unique needs and preferences of the live-in care client. The care solutions are developed collaboratively to ensure that all aspects of the live-in care clients physical, emotional, and social life are considered and supported. 

  1. 24/7 Presence 

  A live-in carer is always available 24 hours a day, to provide help and assistance, whether it's during the day or in the middle of the night. This constant presence can be a really great source of reassurance, for both the live-in care clients and their own loved ones. 

  1. Companion Care and Emotional Support 

  One of the key roles of a live-in carer is providing their clients with companion care. This is particularly helpful for elderly live-in care clients who may be feeling as though they are isolated or lonely, as the live-in carer can offer meaningful interaction throughout the day and emotional support on a daily basis. 

  1. Help with Daily Living Activities 

  Live-in carers can help with lots of different daily activities, including dressing, bathing, grooming, and cooking. A live-in carer’s goal is to make life easier while empowering their live-in care client to remain as independent as possible. 

  1. Managing Household Tasks 

  Aside from personal care, live-in carers help with tasks such as cleaning, laundry, and maintaining a safe, organised household environment for their live-in care client. This helps to make sure that the home is comfortable and functional for their live-in care client’s needs. 

  1. Medication Administration and Health Monitoring 

  Many older adults need help and assistance managing their medication schedules. Live-in carers can help their clients by ensuring proper doses are taken on time and by monitoring them for any side effects or changes in health status, acting as a key link to healthcare professionals.

  1. Support After Hospitalisation or Surgery 

  Following hospitalisation or surgery, live-in care can provide essential post-operative support, helping with recovery and rehabilitation in a familiar home environment.

  1. Specialised Care for Chronic Conditions 

  Live-in carers are often trained to support live-in care clients who are living with chronic conditions such as dementia, Parkinson's disease, or diabetes. They bring their special expertise and understanding that promotes the effective management of these conditions.

  1. Transportation and Errands 

  For live-in care clients who no longer drive, live-in carers can support them with transportation to doctor's appointments, social events, or running errands, this helps to make sure that their live-in care client stays engaged with their community.

  1. Nutritional Support and Meal Preparation 

   Balanced nutrition is so important for maintaining health, particularly in elderly live-in care clients. Live-in carers can prepare meals that meet their live-in care client’s specific dietary requirements and preferences, promoting overall well-being.

  1. Respite for Family Carers 

   Live-in care provides loved ones with peace of mind and short term respite for family members who may be acting as carers. Knowing that a loved one is in the professional and compassionate hands of their live-in carer allows family members to focus on their own lives while staying involved as much as they wish.

  1. Promoting Independence at Home 

   Unlike in a residential care home, live-in care allows elderly live-in care clients to remain in their own homes. This familiar environment can contribute significantly to emotional stability and overall comfort, particularly for live-in care clients who are experiencing mental or physical challenges.

  1. Professional Expertise and Support Network 

   Live-in carers are not only trained live-in care professionals but they are also connected to a larger network of healthcare providers, offering access to extra resources as and when needed. They may work closely with physiotherapists, mental health specialists, and doctors to ensure holistic care.

Live-in care is more than just a practical solution, it is a way to really enhance the quality of life for elderly people by providing them with  tailored, compassionate, and dignified help and support within the comfort of their own home. This approach to care sets the stage for addressing more specific challenges, including mental health.


What Do We Mean by Mental Health Challenges?

When it comes to mental health challenges, they can can range from mild, temporary issues caused by stressful life events to chronic disorders that need ongoing treatment. 

Conditions like anxiety, depression, bipolar disorder, and obsessive-compulsive disorder (OCD) are quite common among older adults but often go undiagnosed or untreated.

Understanding these challenges is the first step in identifying how a live-in carer can help. 

Below, we are going to take a deeper look into each condition and outline its potential impact on the lives of elderly people.


Anxiety in the Elderly

Prevalence of Anxiety in the UK 

Anxiety is one of the most common mental health issues among the elderly. According to the UK's Mental Health Foundation, approximately 15% of people over 65 experience anxiety severe enough that it has an impact on their overall quality of life. 

Despite these numbers, anxiety is an often overlooked condition in older populations, which in turn leads to prolonged discomfort and isolation.

What Anxiety in the Elderly Looks Like 

Elderly people may not always articulate their feelings of worry or fear. Instead, the symptoms might manifest physically, be wary of the following symptoms and be aware if your live-in care client or loved one starts displaying some of the following:

  • Restlessness or difficulty sleeping

  • Rapid heartbeat or shortness of breath

  • Constant worrying or excessive fear about daily tasks

  • Avoidance of social situations 

Types of Anxiety Common in Older Adults

  • Generalised Anxiety Disorder (GAD): Persistent worry about different aspects of their life.

  • Social Anxiety: Intense fear of judgment in social settings.

  • Health Anxiety: Excessive concern about physical symptoms or diseases.

Depression in the Elderly

How Common is Depression?

According to The Royal College of Psychiatrists, one in five older people who are living in the community experience the mental health condition that is known as depression. This figure then rises to two in five for those who live in care homes.

Symptoms of Depression in Older Adults 

  • A persistent sadness or a loss of interest in previously enjoyable activities 

  • Fatigue and low energy 

  • Feelings of worthlessness or hopelessness 

  • Difficulty concentrating 

  • Changes in appetite or sleep patterns 

It's important to recognise that these types of symptoms can overlap with other conditions, such as dementia, which makes professional assessment very important.

Bipolar Disorder in the Elderly

Challenges of Recognising Bipolar Disorder 

Bipolar disorder in older adults may go misdiagnosed for years, as mood swings and energy shifts are sometimes attributed to them aging. This condition is usually made up of episodes of:

  • Mania: High energy, impulsive behavior, and irritability.

  • Depression: Low mood, fatigue, and withdrawal from activities.


OCD in the Elderly

How OCD Impacts Elderly Lives 

Obsessive-Compulsive Disorder (OCD) can cause intrusive thoughts or repetitive behaviors in people. For example, you might notice that an elderly live-in care client might constantly check to see if they've locked the front door or repeatedly wash their hands to help reduce their feelings of anxiety.

Common Causes of Mental Health Issues in the Elderly

Mental health challenges can emerge in old age due to many different factors, including the following:

  1. Life Events: Bereavement, retirement, or losing independence can trigger feelings of anxiety or sadness. 

  2. Vitamin Deficiencies: A lack of vitamin D or B12 can lead to mood changes or cognitive difficulties. 

  3. Medication Side Effects: Certain medications have side effects that often interfere with mood or mental clarity. 

  4. Dehydration: Dehydration is a surprisingly common condition in the elderly and can have a severe impact on mental health.  


How a Live-in Carer Can Help Elderly People with Mental Health Challenges

Live-in carers can provide tailored support for various mental health conditions, offering their live-in care clients both practical care and emotional security. Here is how they can help:

Supporting Elderly People with Anxiety

  • Companion Care: Having someone that is always around to talk through worries or fears offers immense relief. 

  • Routine Creation: A live-in carer can establish predictable routines, this can help to minimise triggers for anxiety. 

  • Relaxation Techniques: From guided breathing exercises to gentle physical activities, some live-in carers can teach their live-in care client different strategies to promote calmness. 

Supporting Elderly People with Depression

  • Encouraging Activities: Live-in carers can help to motivate their client to take part in hobbies, exercise, or social visits. 

  • Mood Monitoring: A live-in carer can be there to observe changes in their live-in care client’s mood or behavior, ensuring early intervention if symptoms worsen. 

  • Medication Reminders: Lots of older adults struggle to manage prescription schedules, something live-in carers oversee with care.

Supporting Elderly People with Bipolar Disorder

  • Stability: Live-in carers help maintain balance, preventing manic or depressive episodes. 

  • Professional Liaison: They can accompany live-in care clients to therapy sessions or psychiatric consultations, ensuring continuity in their treatment. 

  • Crisis Support: When episodes occur, a live-in carer is there to ensure safety and comfort. 

Supporting Elderly People with OCD

  • Guided Structure: Live-in carers can gently set limits on their clients compulsive behaviors while also promoting routines that help to build their confidence. 

  • Environment Organization: A tidy, orderly home can really reduce stress for those who are living with OCD. 

  • Understanding and Empathy: Live-in carers can offer compassionate reassurance during challenges. 


The Impact of Dehydration on Mental Health in the Elderly

Dehydration is a surprisingly common issue among elderly people and can have a profound impact on both their physical and mental health. 

Older adults are particularly vulnerable to suffering from dehydration due to factors such as a reduced sense of thirst, reduced kidney function, and the side effects of certain types of medications that increase fluid loss. While the physical symptoms of dehydration often present with dry skin, dizziness, or tiredness, the effects of it on mental health can also be quite significant and are often overlooked.


When dehydrated, elderly people may experience noticeable cognitive impairment, such as confusion, memory problems, and having difficulties with attention or decision-making. 

These types of symptoms are sometimes mistaken for other conditions like dementia or depression, leading to a misdiagnosis or unnecessary treatments. 

Not only that but dehydration can also exacerbate feelings of irritability, anxiety, or lethargy, which also has a big impact on emotional well-being. Making sure your elderly live-in care client or loved one has adequate hydration is therefore essential not only for maintaining their physical health but also for preserving their mental clarity and emotional stability.


Signs and Symptoms of Dehydration

  • Confusion or disorientation  

  • Fatigue and lethargy 

  • Dizziness or headaches 

  • Dry mouth and cracked lips 

How to Prevent Dehydration in Elderly People 

  • Encourage your live-in care client or elderly loved one to have regular drinks throughout the day. 

  • Offer your live-in care client or elderly loved one hydrating foods such as fruits and soups. 

  • Make drinking water accessible, placing bottles or cups within easy reach.


How a Live-in Carer Can Help Prevent Dehydration in Their Client 

Live-in carers play a really important role in making sure that their live-in care clients remain properly hydrated, which is so essential for both their physical and mental well-being. 

Here are some ways they can help prevent dehydration:

  • Regular Hydration Reminders: Live-in carers can create a schedule to remind their live-in care clients to drink water regularly, even if they do not feel thirsty. 

  • Monitoring Fluid Intake: A live-in carer can track how much their live-in care client drinks daily and make adjustments as needed to maintain hydration. 

  • Providing Accessible Options: They can ensure water, herbal teas, or other hydrating beverages are always within easy reach, particularly for those with mobility issues. 

  • Preparing Hydrating Meals: Incorporating water-rich foods like fruits, vegetables, and soups into their live-in care client’s diet helps boost overall fluid consumption. 

  • Recognising Early Signs of Dehydration: A live-in carer can quickly identify the signs of dehydration in their live-in care client, such as dry skin or confusion, and take proactive steps to address them. 

  • Encouraging Small, Frequent Sips: For live-in care clients who are reluctant or unable to drink large amounts at once, live-in carers can encourage manageable sips throughout the day. 

  • Adapting to Preferences: Understanding the client’s favorite beverages and tailoring hydration strategies accordingly can make staying hydrated more enjoyable. 

By maintaining consistent hydration practices, live-in carers can massively improve their live-in care clients’ overall health and prevent complications arising from dehydration. 


Trusted Charities for Elderly Mental Health Support

For extra help, these UK-based charities are invaluable resources:

  • Age UK – Provides information and advice for older people and their loved ones. 

  • Mind – Offers support through a variety of different mental health programmes. 

  • Rethink Mental Illness – Specialises in personalised mental health help and support for adults. 

How a Live-in Carer Can Also Help with Physical Challenges to Health 

Supporting Live-in Care Clients with Physical Health Issues 

A live-in carer doesn’t just provide assistance to those living with mental health challenges; they also play a really essential role in helping live-in care clients with physical health issues too. 

Their care is tailored to meet the specific health needs of each live-in care client, ensuring they maintain their independence and quality of life. 


Assisting with Mobility Challenges 

Live-in carers can help their live-in care clients with limited mobility by providing physical assistance during their daily activities such as walking, transferring from bed to chair, or using mobility aids. This reduces the risk of their live-in care client falling and encourages safe movement. 

Managing Chronic Conditions 

For live-in care clients living with chronic health conditions like arthritis, diabetes, or heart disease, live-in carers can help and assist with medication routines, prepare nutritious meals, and monitor symptoms. They ensure live-in care clients follow recommended care schedules, promoting better long-term health outcomes. 

Supporting Rehabilitation or Recovery 

If an elderly live-in care client is recovering from surgery or illness, live-in carers offer critical support during rehabilitation. They can help with physiotherapy exercises, provide encouragement, and help their live-in care clients regain their strength and confidence in their abilities. 

Personal Care and Hygiene 

Live-in carers maintain the dignity of their live-in care clients by offering help with personal care tasks, including bathing, dressing, and grooming. This means that their live-in care client remains comfortable and well cared for. 

This personalised support means elderly live-in care clients with physical health challenges to live safer, more fulfilling lives in the familiarity of their own homes.

The Importance of Companion Care in Live-in Care 

Companion care is such an important aspect of live-in care but is unfortunately often overlooked. It delivers remarkable benefits for overall mental health and well-being. Building a genuine, consistent connection with a live-in carer can massively enhance an elderly live-in care client’s quality of life by reducing their feelings of loneliness and fostering a sense of belonging. Through conversation, shared activities, and companion care, live-in carers help to lessen any feelings of isolation, which is a common challenge among older adults. 

Not only that but this emotional support can boost self-esteem, ease anxiety, and create a sense of normalcy and joy in daily life. 

Companion care establishes a foundation of trust and empathy, creating a positive, uplifting environment where live-in care clients feel understood and valued.

Client Testimonial 

"Regina has been so warm and nurturing and slotted into our family setup effortlessly. She has cooked and baked for Dad and often volunteered to cook for Dad's family too, thus helping to continue to ensure the home is somewhere where friends and family are always made to feel welcome. She ate meals with Dad and would sit and watch films with him in the evenings. This gentle sense of companionship really helped to ease Dad's transition into accepting care and support. We really could not recommend her more highly.” 

Annie, Daughter of Client


Who We Are at Access Care 

At Access Care, we’ve been at the forefront of live-in care in the UK for over 30 years. 

At Access Care we believe that everyone deserves to live comfortably in their own home, surrounded by their own personal routines and possessions. 


By matching live-in care clients with highly qualified live-in carers, we provide peace of mind for loved ones while encouraging independence and dignity for our live-in care clients. 



Your Loved One Deserves Exceptional Care

Mental health challenges in the elderly can feel daunting, but the help and support is out there. 


Live-in care offers a holistic solution that really enhances a live-in care client’s well-being and restores a sense of normalcy. 


If you would like to learn more about how we can support your family, please give us a call today on 01264 319 399 or download our brochure. Together, we can find the perfect live-in carer to match your loved one’s needs.


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