About older adults
Psychological support for older adults addresses loneliness, grief, adapting to retirement or illness, memory concerns and caring for a partner. Many professionals also offer sessions at home or online.
Occupational therapists help people gain or recover independence in daily activities after an illness, injury or developmental difficulty: self-care, school, work and leisure. They often work with children with autism or sensory needs and with older adults.
Getting mental health care in Bolivia
Public health system · Sistema Único de Salud (SUS)
Bolivia's Sistema Único de Salud is defined as a universal and free public health system run by the Ministerio de Salud y Deportes. Mental health care is still limited and mostly delivered through general health services and departmental programmes. In 2025 the Ministry published the country's first Plan Plurinacional de Salud Mental (2026-2030), aimed at community-based care integrated into primary care.
How to check that a professional is licensed
- Ministerio de Salud y Deportes and Colegio Médico de Bolivia. Under the Ley del Ejercicio Profesional Médico (Ley 3131 of 2005), doctors must be registered (matriculado) with the Ministry of Health and enrolled in the Colegio Médico de Bolivia. Ask a psychiatrist for their matrícula number and specialist title.
- Colegio de Psicólogos de Bolivia (departmental colegios). A law regulating the practice of psychology, including registration with the Colegio de Psicólogos de Bolivia, was approved by the Senate in the 2023-2024 session, but its final enactment could not be confirmed. Ask the psychologist for their university degree and Colegio membership.
- Colegio Profesional de Trabajadores Sociales de Bolivia. Ley 1692 of 2025 requires a professional degree in social work to practise and a registration (matrícula) number on every professional act.
Urgent help in Bolivia
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 118 · Ambulancia
Information reviewed in November 2026 · Sources: extranet.who.int, paho.org, lexivox.org, lexivox.org
Signs to look out for
Ageing brings changes, but persistent sadness, loss of interest, anxiety, withdrawal or irritability are not an inevitable part of getting older. It may be worth seeking help after losses such as bereavement, retirement or loss of independence, when loneliness is weighing heavily, or when there are noticeable changes in memory, orientation or behaviour that worry the person or their family.
What helps: treatments and professionals
Psychological therapies such as cognitive-behavioural therapy, problem-solving therapy and reminiscence or life-review therapy are effective for older adults with depression or anxiety. Neuropsychologists assess memory concerns and design cognitive stimulation. Psychologists, psychiatrists with experience in older people, occupational therapists and social workers often work together, and family carers can also receive support and guidance.
When to seek urgent help
Sudden confusion, drowsiness, difficulty speaking, weakness on one side or a fall with injury need immediate medical attention: contact your local emergency services. Seek urgent help too if an older person expresses thoughts of suicide, stops eating or drinking, or if you suspect abuse or neglect. Reviewing medication with a doctor is important when behaviour changes.
What you can do in the meantime
Staying connected matters: regular contact with family, friends, neighbours or community groups helps protect mood. Keep routines with daily activity, walks, meals and sleep, and continue hobbies or learn new ones. Check hearing and vision, since difficulties can increase isolation. Carers should also look after themselves and ask for help, as caring can be exhausting.
What does a occupational therapist do?
An occupational therapist helps people take part in the everyday activities that matter to them, from washing and dressing to studying, working, socialising or managing a home. Day to day they assess how a physical, mental health, developmental or cognitive condition affects daily life, then work on skills, routines, adaptations and equipment. They see children, adults and older people, often within multidisciplinary teams.
When to see a occupational therapist
Consider an occupational therapist when daily tasks have become difficult after an illness, injury or stroke, when a mental health condition makes routines and work hard to sustain, when a child has sensory, motor or self-care difficulties, or when an older person needs support to stay independent at home. For emotional therapy itself, a psychologist is usually the main professional.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in Bolivia cover psychological care?
Bolivia's Sistema Único de Salud is defined as a universal and free public health system run by the Ministerio de Salud y Deportes. Mental health care is still limited and mostly delivered through general health services and departmental programmes. In 2025 the Ministry published the country's first Plan Plurinacional de Salud Mental (2026-2030), aimed at community-based care integrated into primary care.
How do I check that a occupational therapist is licensed in Bolivia?
Ministerio de Salud y Deportes and Colegio Médico de Bolivia: Under the Ley del Ejercicio Profesional Médico (Ley 3131 of 2005), doctors must be registered (matriculado) with the Ministry of Health and enrolled in the Colegio Médico de Bolivia. Ask a psychiatrist for their matrícula number and specialist title.