Therapy at 60 can seem a bit
daunting. There’s a lot of life to talk about. Yet I’ve seen many older people delve
into emotional struggles quite successfully.

Yet therapy might not seem needed to
someone whose life looks perfect. “It’s my time to enjoy life. I wouldn’t
change a thing.” Maybe that’s true. If so, that’s wonderful.

But it’s also true that perfect-seeming
can be far from perfect.

Perfectly Hidden Depression

I’ve been researching what I term perfectly hidden depression (PHD) for several years. If that phrase
brings you relief, or intrigues you, then you may be someone whose secrets have
been hidden by a perfect-looking life.

If you’ve never been able to turn off
a nagging voice of self-criticism and shame, if you don’t know how to connect
with painful emotions, or believe that if your true feelings were known, you’d
lose others’ respect, then you might far too easily identify with PHD.

There are many reasons to break your
silence.

The Outside Doesn’t Match the Inside

The pressure you can feel is immense.
You can’t ever let anyone down because you’re only as important and successful
as your last project.

No matter that you get more tired
than you used to or you’re grieving friends that have died, you have to be the
penultimate grandmother, the consummate advocate for whatever cause you’ve
taken up.

You can be surrounded by friends,
involved in a job or multiple activities where you’re highly engaged – and no
one would look at you and believe you might be hiding shame, anxiety, or fatigue.

Even if you tried to tell them,
they’d likely say, “What, you? You’re the epitome of what every woman wants to
be at 60.” Your own loneliness – knowing that
no one knows the real you – could easily lead to despair.

Are You a Marie?

Let’s talk about Marie. She was 62
when she walked into my office.

I’d met Marie socially many times in
my hometown in Arkansas. When anyone spoke of her, her multiple accomplishments
were touted – having a highly successful legal career; building a non-profit support
program for young mothers with substance abuse issues; creating a loving family
and a network of great friends; even surviving the early death of her husband.

Everyone knew her as a fighter, a
brave heart – someone who cared and who could
influence other people to do the same.

She sat, smiling, in front of me, and
said, “I’ve heard you’re pretty direct.”

I laughed. “Yes, I have that
reputation.”

“Well that’s what I need. Because I
don’t understand, when I have so many blessings in my life, why I feel this
dread. Yes, I’ve had some health issues. But I’m okay now. It’s as if I can never
do enough. I feel panicked that I’m still trying to prove myself. And yet, I
know I have already proven myself. Why can’t I let up?”

When I asked about her past, she looked
away for a second, and then looked back. “I promised myself I’d be honest with you
today. But it’s very hard.”

An hour later, there were tears in
her eyes as she got up to leave. She’d been vulnerable and real. She’d realized
she’d always failed to earn her demanding mother’s love or her absentee
father’s attention.

The coping strategy that she’d
devised to handle her childhood pain, to be extremely accomplished and always
look in control, was now escalating into panic as she grew older. She began to
glimpse the damage done that she’d never allowed anyone, perhaps not even herself,
to see.

Self-compassion began in that hour.
“That’s what my constantly trying to ‘do more’ has meant, hasn’t it? Oh my
gosh. I want to stop. But I don’t know another way.”

What It All Means –
for You

Like Marie, you can choose to risk stirring that pot – to look into the recesses of your heart and mind for hurt and grief that you’ve had “no time for,” and to challenge the rigid rules that still govern you.

Because it is your time. It’s
time for freedom from shame.

It’s time to give yourself the gift
of vulnerability.

And it’s time for genuine
self-acceptance.

If you wonder where you might be on the spectrum of perfectly hidden depression, take this questionnaire.

If you want to delve deeper and understand how PHD might be affecting your life, you can read more on the topic in Perfectly Hidden Depression: How to Break Free from the Perfectionism that Masks Your Depression.

And if you’re looking for a therapist, why not check out Better Help’s online matching service. It’s always a good idea to have someone empathetic to share your burden.

Let’s Have a Conversation:

How often do you mask your true
feelings so you can appear perfect to the people around you? How often do you
find time for yourself? Are you hiding unresolved pain? Is your
perfectly-looking life too stressful? Please take a moment to share in the
comments below.