Mental health professionals-individually and organizationally-tend to negate the possibility that many if not most of us we struggle with cognitive decline in late adulthood and all of us struggle with our own inevitable demise. Planning for problems that may undermine our professional clinical abilities has always been an important professional responsibility. However, it is understandable that we are-more or lessinvested in denying the inevitably of our own decline and death. In fact, health service psychologists (HSPs; e.g., clinical, counseling, and school psychologists), psychiatrists and social workers have an ethical obligation to be mindful of illness and/or personal problems that may impair our clinical abilities. A national survey about how mental health training programs in clinical psychology, social work, and psychiatry as well as 35 informal, semistructured conversations with mental health professionals and a review of the literature were conducted to understand how mental health professionals are planning for cognitive decline and death. These findings suggest that mental health professionals-individually and organizationallytend to negate and avoid planning for their own possible cognitive decline and eventual death. Current understandings about the spectrum of cognitive changes associated with aging and related differential diagnostic considerations are summarized. Finally, a series of suggestions are outlined for mental health professionals-individually and organizationally-that support prevention, self-care, responsible planning, and our commitment to professional competence in the face of our aging, decline, and death.
Public Significance StatementThe present study and review of the literature suggests that mental health care providers have not focused on preparing for their own possible cognitive decline and eventual death. This paper details ways that graduate programs in clinical psychology, social work, and psychiatry as well as ongoing professional development can and needs to support ethically informed planning for our own potential cognitive decline and eventual death.