Q&A: The Surprising Upside of Getting Old

Americans have tremendous fear of aging — and a great deal of prejudice against the elderly. But, as the joke has it, being old is better than the alternative. And, despite our fears, new research suggests that being old is also a lot better than it looks.22

I spoke with Dr. Marc Agronin, whose new book, How We Age: A Doctor’s Journey Into the Heart of Growing Old, explores these issues through the rich stories of his patients’ lives. Agronin is the psychiatrist for the Miami Jewish Health Systems, a nonprofit that is the largest provider of health care for seniors in the Southeast.

What led you to want to work with older people?
When I went to medical school, I knew I wanted to go into psychiatry, that was a given. In my second year, by a chance encounter I began working with a geriatric psychiatrist and I loved the work. I took an immediate interest in working with older patients. They reminded me not only of my grandparents but also of my wonderful aunts and uncles. I felt that there was so much I could learn from these elders that I was just drawn to it and never looked back.

Many people would think that would be a very depressing field of medicine.
I see that all the time and experienced it even when I was doing my training. The older patients were often the ones that the students didn’t want to be around.
[But] the difference wasn’t just in attitude for me: whenever I had experience with older individuals I quickly had deep appreciation for not only their life experience, but also the gratitude they had when someone younger would spend time with them. It was always a positive experience. I never regarded it as something frightening or unpleasant.
I love the stories they tell and hearing about history. So, for me, writing this book was natural — it would be full of stories.

Research now suggests that as we age, our moods improve and we actually grow happier.
There’s great potential. It didn’t occur to me right away how much people learn and grow as they age. That message really transformed my view of aging. I wasn’t trained to look for strengths, but found over time that those strengths are the things that get people through difficult times, whether psychological or spiritual or emotional. They also allow people not only to overcome challenges but even to thrive. The more I saw, the more impressed I was.
Aging, in spite of the inevitable [challenges], is a long process and has its rewards. Amid all the challenges, often the rewards not only balance things out, but most individuals experience a greater degree of well-being and a deeper sense of meaning than they do when they are younger. I often find I get a little taste of that. I feel when I’m with older individuals, I’m as close to the fountain of knowledge as one can get.