Tuesday October 10, 2023, is World Mental Health Day. Mental health disorders impact everyone from children to older adults. Approximately 15% of adults 60+ have a diagnosable mental health disorder. Depression and anxiety are the most common diagnoses and can present in many ways. It is often under-diagnosed and even when diagnosed, often under-treated in the primary care settings especially when experienced by older adults. Older people have many life stressors including the loss of loved ones, a drop in socioeconomic status with retirement, and decline in physical and/or cognitive abilities.  All these changes can increase isolation and loneliness.