Feb. 9, 2026

83 I When "Fine" Means Lonely: Mental Health Care for Aging Parents Across Cultures ft. Neelam Brar

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Overview:

We explore intersection of aging, mental health, and technology with Neelam, founder of Total Life, to explore how we can better support seniors through innovative care models and AI-powered tools. We hear how a personal family experience inspired Neelam to address the lack of mental health support in elder care, and learn about Total Life’s approach to integrating therapy into seniors’ primary care visits and reducing barriers to access, such as long wait times and lack of culturally competent providers. We discuss the stigma around therapy in older populations, the challenges and opportunities of providing virtual care, and how AI assistant “Lily” is being piloted to enhance adherence and engagement without replacing human clinicians.

Three Takeaways:

Mental Health in Elderly Care Is Critically Underserved
Through a personal story about her mother's post-surgery depression during COVID, Neelam emphasizes that mental health for seniors is rarely integrated into discharge plans or standard care. She points out the shocking statistic that less than 6% of seniors get timely mental health interventions, underscoring a systemic issue in resource allocation.

Cultural and Linguistic Barriers Compound Access Issues
The episode tackles the unique cultural challenges seniors face in accessing therapy, especially when language and cultural concordance are needed. Neelam discusses their efforts to build a diverse roster of therapists, including different ages, religions, and languages—an element crucial for genuine engagement and effectiveness.

AI’s Role as a Clinical Ally, Not a Replacement
Introducing “Lilly,” an AI-based care coordinator, Neelam makes it clear that while AI can enhance engagement and adherence in care plans, it is not meant to replace human clinicians. The episode explores how older adults are surprisingly receptive to technology when it’s framed as helpful and personable, and how AI can fill gaps between therapy sessions.

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