In this blog series, I am discussing concepts related to capacity to demystify capacity for folks who may be learning about financial or testamentary capacity, the need for a capacity assessment, or other aspects of capacity for the first time. I am a geropsychologist in Los Angeles, CA with a specialization in aging and assessment, and I am often hired to conduct evaluations of a person’s capacity for different things, such as managing finances, changing a will or trust, making medical decisions, or living independently.
As we get older, life often brings changes, and one big one can be where we live. For a lot of older adults in the US, being able to live independently is very important. It may mean to them that they're in charge of their own lives. So, when someone has to move – maybe to a smaller house, a place with a bit of help (like assisted living), or even with family – it can be tough.
What Does Capacity for "Independent Living" Mean?
The capacity for independent living is a complex concept because it isn't just one thing; it's a mix of different abilities:
Physical: Can a person get around at home by walking, using a walker, scooter, or wheelchair? Can they get dressed, eat, and do things like cook or pay bills?
Mental: Can a person remember things related to safety or medications, solve problems, make decisions, and plan?
Emotional: How is the person’s mood? How are they handling stress?
Social: Does the person have friends and family, or perhaps close neighbors that offer support? Do they know how to find help in their community?
An assessment for independent living capacity will usually involve some cognitive testing to see how a person’s memory, attention, and decision-making are functioning. In addition, there will be interviews of the individual and a loved one or caregiver who knows them well. Finally, there are a few standardized tests that look at safety, decision-making, and other independent living skills, and this is usually part of a capacity assessment as well.
When we move homes, even if we know it’s coming, we feel all sorts of things: sadness for what we are leaving behind, worry about what's next, anger about things we can't do anymore, or even relief from the stress of a big house. Older adults transitioning from living independently to another arrangement are likely to have mixed emotions. It's really important to understand and accept these feelings. For some, moving feels like losing control of life and leaving behind what's familiar. For others, it might be a smart choice for safety or an opportunity to be around more people.
How a Geropsychologist Helps People Adjust
Geropsychologists use several ways to help older adults adjust. First, we try to make sure they're involved in the decision-making process as much as possible. Even if a move has to happen, most adults want to choose details whenever possible to maintain a sense of having some control. Choosing things like what furniture they will take to their new home, or how their room is arranged can increase a sense of agency in a difficult situation. A geropsychologist can also help the older adult process and accept that a change in independent living is not necessarily about making their old life exactly the same in a new place, but about creating a life that feels worth living in the new circumstances.
Thinking about things in a new way is a big help. Instead of just focusing on what they've lost, a geropsychologist can help them see the new chances – like less housework, more social time, or new activities. We encourage them to keep their old friends and make new ones where they are now. This could mean joining clubs, going to events, or just chatting with new neighbors.
It's also important for all adults to feel capable and foster a sense of purpose, even under changed circumstances. Regardless of living situation, there are often choices and chances to do some things independently. I would encourage someone dealing with adjustment from living independently to assisted living to do what they can, whether it's managing their own medicine, picking their meals, or taking care of a small plant. Doing things that matter to them, like hobbies, volunteering, or creative activities, is key to feeling useful and happy.
If someone is really struggling with feeling down or anxious, talking to a therapist can be very helpful.
Special types of therapy can help them change negative thoughts, and talking about their life story can help them find meaning. In other cases, a geropsychologist may consult with a family about navigating this change – offering support and ideas based on practical experience. If it is necessary for an older adult to transition from living independently because they no longer have capacity to live safely alone, the adjustment and process can be challenging for the entire family and support system. Consultation to help navigate the changes and anticipate the things that might be difficult can be very helpful during this time.
A Journey, Not a Quick Fix
If you are making the change from independent living, remember that adjusting to a new living situation takes time and support. It's a journey. It requires patience, support, and a focus on adapting and thriving in the new place. Lean on your loved ones for support, and give yourself grace because change is hard!
READY TO NAVIGATE A LIVING TRANSITION WITH CONFIDENCE? CONSULT A GEROPSYCHOLOGIST IN LOS ANGELES, CA
Adjusting to a change in living situation can stir up a mix of emotions—loss, uncertainty, and even relief. When safety, independence, and well-being are on the line, having a clear understanding of an older adult’s capacity is essential for making thoughtful decisions that honor their needs and values.
A capacity assessment provides clarity in these complex moments. As a trusted geropsychologist in Los Angeles, CA, Dr. Stacy Reger offers compassionate, evidence-based evaluations to help older adults and their families navigate transitions with dignity and respect. Her approach blends professional expertise with genuine care—empowering you to move forward with clarity, confidence, and compassion. Take the next step today:
Call (424) 262-1925 to schedule a private consultation
Meet with a licensed geropsychologist for a comprehensive capacity evaluation
Make informed decisions rooted in expertise, empathy, and understanding
MORE SUPPORT FROM DR. STACY REGER IN LOS ANGELES, CA
As a geropsychologist and neuropsychologist, Dr. Stacy Reger understands that decisions about living arrangements, capacity, and care are deeply personal and often emotionally charged. She offers services designed to help older adults and their families navigate these moments with clarity, compassion, and respect—especially when a transition in independence is on the horizon.
Her neuropsychological assessments provide valuable insight into cognitive conditions such as dementia, ADHD, and traumatic brain injury—factors that can influence someone’s ability to live safely on their own, manage daily responsibilities, or make important legal and medical decisions. Beyond capacity evaluations, Dr. Reger conducts med-legal assessments, workers’ compensation evaluations, and pre-surgical screenings to ensure thoughtful, well-informed planning.
She also provides individual therapy for older adults facing emotional or cognitive changes, and serves as a trusted resource for families, fiduciaries, and attorneys through consultation, training, and community presentations. You can explore more insights on capacity, independent living, and supportive decision-making by visiting Dr. Reger’s blog.