Moving from a longtime home into assisted living—or any more structured care setting—is one of the most emotionally complex transitions an older adult and their family can face. With that At Triad Psych, we make it clear to all of our clients, regardless of their age, that everyone needs a reason to get out of bed. And this is no different for our geriatric clients. we specialize in psychotherapy for older adults that honors autonomy, identity, and relationships while addressing the practical realities of health, safety, and support.
This work is led in part by Michelle Lovely, MSW, MHA, whose unique background in both clinical social work and healthcare administration helps older adults and families move through assisted living transitions with clarity, compassion, and confidence. Michelle’s approach combines evidence-based psychotherapy, family-inclusive care, and social work case management, providing comprehensive support during every stage of the transition.
Why This Transition Is So Emotionally Complex
Relocating to assisted living or a care-focused environment often stirs up a mix of emotions for older adults and their loved ones. Common concerns include:
- Loss and identity shifts: Leaving a home filled with memories can feel like losing a chapter of life—and sometimes a sense of self.
- Autonomy vs. safety: Accepting help with daily tasks can be emotionally difficult, especially when it challenges long-held independence.
- Uncertainty and anxiety: New caregivers, environments, and routines can heighten anxiety or sadness.
- Shifting family roles: Adult children often become care coordinators or decision-makers, which can strengthen family bonds but also create new tensions.
- Layers of grief and growth: Even positive moves bring complex emotions—grief for what’s changing, alongside hope for what’s next.
Geriatric psychotherapy offers a structured, compassionate space to process these emotions, build coping tools, and navigate transitions with dignity and understanding.
A Family-Centered, Whole-Person Approach
At Triad Psych, we believe older adults thrive when the entire care ecosystem—the client, family, and support network—works together.
Michelle Lovely’s approach reflects this belief through:
- Collaborative sessions: Family members are invited to participate (with the client’s consent) so everyone has a shared understanding of needs, boundaries, and expectations.
- Goal-oriented strategies: Sessions focus on communication, problem-solving, and emotional regulation to promote smoother adjustment.
- Strengths-based care plans: Michelle helps clients identify meaningful activities and interests that can continue in new settings, fostering continuity rather than loss.
- Built-in case management: With training as both an MSW and MHA, Michelle integrates practical support—coordinating with providers, navigating care options, and helping with logistics.
Evidence-Based Therapy for Older Adults
Michelle’s therapeutic approach draws from models proven effective in geriatric therapy and life transition counseling, including:
- Cognitive Behavioral Therapy (CBT) and Problem-Solving Therapy for anxiety, low mood, and adjustment concerns.
- Meaning-centered and life-review work to help individuals reflect on life stories, values, and sources of purpose.
- Behavioral activation to rebuild joy, motivation, and engagement in daily life.
- Motivational interviewing to support readiness and choice when a move feels necessary but undesired.
Each therapy plan is tailored to the client’s unique emotional, cognitive, and social needs. When appropriate, Michelle collaborates with physicians, guardians, and care facilities to ensure smooth coordination across systems of care.
Common Concerns About Assisted Living Transitions
Below are some of the most frequent worries older adults share during this process—and how psychotherapy can help.
- Independence
“I’m worried I won’t get to make my own choices anymore.”
Therapy helps reframe independence—focusing on maintaining agency and decision-making, even within a supportive environment. - Identity and purpose
“I’ve always taken care of others—what will my days look like now?”
Together, we explore new ways to find meaning and connection, honoring both past roles and future opportunities. - Leaving home
“It’s hard to think about leaving the place where I built my life.”
Therapy offers space to grieve, reflect, and carry forward comfort and continuity in meaningful ways. - Uncertainty
“I don’t know what to expect—will I fit in or feel out of place?”
Therapy builds coping skills, emotional resilience, and strategies to help individuals find belonging in their new environment. - Emotional adjustment
“I know it’s the right move, but it still feels like a big loss.”
We normalize these emotions and guide clients toward acceptance, healing, and renewed purpose.
What Families Can Expect
- Comprehensive intake: A compassionate assessment covering medical, emotional, and logistical needs, as well as personal goals and strengths.
- Shared transition plan: A collaborative plan that integrates therapeutic goals with practical next steps.
- Ongoing support: Consistent check-ins before, during, and after the move to navigate emotional and logistical challenges.
- Follow-through: Continued care to ensure the new setting feels safe, meaningful, and connected for all involved.
Getting Started
If you or a loved one is preparing for—or struggling after—a move to assisted living, Triad Psych is here to help.
With Michelle Lovely, MSW, MHA, you’ll have a therapist who understands both the emotional and practical realities of aging and transition. Her work combines clinical insight, compassionate care, and family collaboration to make this next chapter one of dignity, connection, and purpose.
Contact Triad Psych today to schedule a consultation or learn more about our psychotherapy services for older adults, geriatric counseling, and assisted living transition support.
Together, we can make this next stage of life safer, more manageable, and more meaningful.