When You're the Only One Left Standing
Let's just say it out loud: getting older isn't for the faint of heart. Add in chronic illness or a sudden medical scare, no partner holding your hand, no family to lean on (or worse, toxic ones you've had to cut off), and it can feel like life has you in a chokehold. I have a couple of very good friends who don't live nearby who are dealing with this. I wish I could be there, but 1700 miles is a long way to go, and while I can go for a visit, I can't be there ALL of the time (aside from via phone).
Maybe you're there right now.
Maybe you just got back from a doctor's appointment that left you spinning.
Maybe your phone hasn't rung in days, and you're sick of eating alone, scrolling through everyone else's highlight reel while you sit in your sweatpants, wondering how the hell you got here.
I'm not going to sugarcoat it: it's hard. Isolation, especially when paired with fear and health issues, is a special kind of hell. But here's the truth most people won't say out loud: You still deserve a beautiful, joyful, soul-filling life—no matter how 'late' it feels. And no, it's not too late to start.
Step 1: Feel All the Feels (Then Get Back Up Anyway)
If you need to scream into a pillow, go for it. If you're crying at the pharmacy because the copay on your meds just went up again, I've done it too. You are allowed to grieve the life you thought you'd have. You are allowed to be angry, tired, resentful, and scared. Don't let the 'positive vibes only' people shame you into pretending everything's fine when it isn't.
But, and this is the part that matters, you have to decide not to stay in that place. Because sitting in misery for too long is like planting yourself in wet cement. Eventually, it hardens. You don't want to get stuck there.
So cry. Scream. Be pissed off. And then take a deep breath and say: Now what?
Step 2: Rewrite the Story You've Been Telling Yourself
Maybe you've been carrying around some poisonous little lies:
'I blew it.'
'Nobody cares about me.'
'It's too late for me.'
'I'm just waiting to die.'
Let's interrupt that nonsense right now. You are not a lost cause. You are not a mistake. And you don't have to wait for someone else to 'rescue' you or make life worth living. You can become the hero of your own story, even if the first few chapters were a mess.
Yes, your body might be falling apart. Yes, your circle might be nonexistent. But you are still here. Still breathing. Still able to choose what happens next.
So let's talk about how.
HOW TO STAY SANE WHEN THE WORLD FEELS UPSIDE DOWN
Create StructureWake up at the same time every day. Make your bed. Eat something with protein. Take your meds. Go outside, even if it's just to the porch or balcony. Give yourself an anchor in the day so you don't drift.
Do One Tiny Thing That Brings You JoyA fancy cup of coffee. A trashy reality show. Dancing in your living room in a robe. Painting your nails neon pink because why the hell not? Happiness doesn't always come in fireworks - it often shows up in whispers. You just have to start listening.
Stop Consuming Content That Makes You Feel Like CrapYou do not need to see another post of a perfect family brunch or an influencer in her twenties talking about 'self-care.' Unfollow. Mute. Curate your feed like your sanity depends on it. Because it does.
Talk Back to the FearWrite it out. Literally. When your brain is telling you you're alone, doomed, worthless, unloved sit down and put it on paper, then write your rebuttal like a lawyer defending your own damn life. You are strong. You have survived 100% of your hardest days. You are not done yet.
Find (or Create) Your Tribe—Even NowYes, it's harder when you're older. People have their own lives, their own routines. But that doesn't mean there aren't people just like you who are lonely, brilliant, funny, and craving connection. They're just waiting for someone to say the first hello. Be that someone.
Join a Facebook group for boomers, travelers, solo agers, dog lovers, or people with your condition.
Start commenting on posts, or better yet .
Send a DM. Invite someone for a coffee. Just because you're over 60 doesn't mean you've forgotten how to make friends. You just need to try again, on your terms.
HOW TO START TODAY TO RIGHT YOUR OWN WRONGS
Maybe you pushed people away. Maybe you never really learned how to form deep friendships. Maybe you burned bridges, or maybe they did and now there's rubble between you. Here's the good news: you don't need a perfect past to build a better future.
Reach Out (Yes, Even If It's Awkward)Send that text. Call the cousin you haven't talked to in ten years. Write a message to the woman you used to work with who always made you laugh. Not everyone will respond. That's okay. The point is that you are showing up differently.
Tell the TruthBe vulnerable. Say, 'I've been feeling isolated lately and I'd love to reconnect.' There's nothing shameful about craving community. It's human. And people respect honesty far more than forced small talk.
Forgive YourselfThis one's big. Maybe you stayed in a bad relationship too long. Maybe you were a crappy friend during the hardest parts of your life. Maybe you ignored your health, or gave up too soon. Okay. That was then. This is now. You get to do better. Not because you're guilty, but because you deserve peace.
Be the Friend You Wish You HadVolunteer. Say kind things online. Compliment strangers. Send silly postcards. It might sound cheesy, but putting good into the world always brings something back. Always.
WHY YOU DESERVE THE BEST LIFE EVER—NO MATTER WHAT
Here's the deal: your worth is not measured by your family status, your health, or your number of Facebook friends. You are not some expired version of your younger self. You are not invisible. You are not broken beyond repair.
You are still a whole person.You still have value.You still get to have dreams, joy, pleasure, and peace.You are allowed to laugh so hard it hurts. To fall in love. To make new friends. To redecorate your space. To take a solo cruise. To become your own favorite person.
Getting older doesn't mean your life is closing down. In fact, for a lot of us, it's the first time we've ever really had the freedom to ask: What do I want? What lights me up? What kind of life do I want to wake up to?
So here's my challenge to you:Start today. Even if it's just one tiny thing. Make that phone call. Throw out the junk that doesn't serve you anymore. Buy the damn lipstick. Take yourself out to lunch. Sign up for the art class or the walking club, or the Zoom meet-up with strangers. Live like you mean it.
Because no matter what your medical chart says, you are not done.And no matter who let you down, you are still lovable.And no matter how many lonely nights you've had, you are not alone.
You've survived everything so far. Don't let this chapter be the one where you give up. Make it the one where you rise.
Your best life isn't behind you.
It's waiting for you to claim it.
Right now.
And I'll be here, cheering you on every step of the way.
Solve the daily Crossword
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Medscape
10 minutes ago
- Medscape
These Two Simple Interventions May Cut CRC Recurrence Risk
This transcript has been edited for clarity. Hello. I'm Dr David Johnson, professor of medicine and chief of gastroenterology at Eastern Virginia Medical School and Old Dominion University in Norfolk, Virginia. New guidelines have lowered the age to begin screening for colon cancer to 45 years old. Although this change is positive, we're still seeing advanced cancer in younger patients who haven't been screened in time. Once diagnosed, these patients undergo surgery and chemotherapy and often return to us asking, 'What can I do now to help myself?' Two recent studies highlight interventions that are simple, affordable, and actionable today: exercise and aspirin. Let's take a closer look at the results. Exercise's Risk Reduction Potential The idea that exercise reduces cancer recurrence and mortality is supported by observational data. The mechanistic effects behind this have been ascribed to metabolic growth factors, inflammatory changes, immune function changes, and perhaps even positive impact on sleep. A study just published in The New England Journal of Medicine examined structured exercise after adjuvant chemotherapy for colon cancer. The phase 3 randomized CHALLENGE trial, mostly conducted at Canadian and Australian centers, recruited patients with resected stage II or III colon cancer (9.8% and 90.2%, respectively) who had completed adjuvant chemotherapy. Patients with recurrences within a year of diagnosis were excluded, as they were more likely to have highly aggressive, biologically active disease. Patients were randomized to receive healthcare education materials alone or in conjunction with a structured exercise program over a 3-year follow-up period. The exercise intervention, delivered in person or virtually, focused on increasing recreational aerobic activity over baseline by at least 10 metabolic equivalent task (MET). An increment of 10 MET hours per week is not too vigorous. It is essentially the equivalent of adding about 45-60 minutes of brisk walking or 25-30 minutes of jogging 3-4 times a week. Patients were asked to increase MET over the first 6 months and then maintain or further increase the amount over the next 2.5 years. They were permitted to structure their own exercise program by choosing the type, frequency, intensity, and duration of aerobic exercise. The primary endpoint was disease-free survival, with secondary endpoints assessing overall survival, patient-reported outcomes, and other outcomes. Although designed to detect differences at 3 years, follow-up was also performed out to 5 and 8 years. At a median follow-up of 7.9 years, exercise reduced the relative risk of disease recurrence, new primary cancer, or death by 28% ( P =.02). This benefit persisted — and even strengthened — over time, with disease-free survival increasing by 6.4 and 7.1 percentage points at 5 and 8 years, respectively. Musculoskeletal adverse events were slightly higher in the exercise group compared with the health education group (18.5% vs 11.5%, respectively), but only 10% were directly attributed to the exercise. There are considerations when interpreting these results. First, there was an attrition over time for compliance and training. It would be interesting to see whether that impacted the results. Second, it's unclear whether patient pedigree or a genomic pathway may predispose to a benefit here for the exercise group. But overall, this phase 3 trial provides class 1 evidence supporting exercise as a low-cost, high-impact intervention to reduce cancer recurrence. Adjuvant Aspirin in Colon Cancer Subset That's a perfect segue into another recent study looking at the effects of adjuvant aspirin on the prevention of recurrence. The ALASCCA trial— conducted across centers in Sweden, Denmark, Finland, and Norway — assessed patients with stage I-III rectal cancer or stage II-III colon cancer. It focused on a subset of patients with an oncogenic abnormality called PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha). PIK3CA occurs in approximately a third of colon cancers and is associated with significant chemotherapy resistance and a higher rate of disease progression. Of the included patients, 1103 (37%) had alterations in the PIK3CA pathway. Researchers randomized patients to receive either 160 mg of aspirin or placebo daily for 3 years, starting within 3 months of surgery. Among patients with PIK3CA mutations, aspirin dramatically reduced the risk for time to recurrence by nearly 50% at 3 years ( P =.044). Adverse events associated with aspirin were minimal, including one case each of gastrointestinal bleeding, hematoma, and allergic reaction. There is no evidence that higher aspirin doses provide greater prevention of colorectal cancer recurrence. The 160 mg use in the current study is fairly normal, roughly equivalent to two low-dose (81 mg) aspirin tablets. Now, it's worth noting that the use of aspirin for the primary prevention of cardiovascular disease was initially recommended by the US Preventive Task Services Force in 2016. This recommendation was then recanted in 2022, when the same group reported limited net benefit to this approach. Two Proactive Actions These studies highlight two interventions — exercise and aspirin — that are low cost, accessible, and appeal to patients eager to help prevent their cancer from recurring. Exercise is broadly beneficial and can be recommended immediately. For aspirin, patients should work with their oncologist to determine their PIK3CA mutation status, as this subgroup appears to benefit the most. These findings offer patients meaningful, proactive interventions they can apply to support their recovery and reduce the risk of recurrence. Hopefully these new findings will help guide your clinical conversations. I'm Dr David Johnson. Thanks for listening.
Yahoo
15 minutes ago
- Yahoo
What is Lyme disease, and does Justin Timberlake have it?
Justin Timberlake isn't the only person to recently contract tick-borne Lyme disease. New Jersey had the third-most cases of Lyme disease in the nation as recently as 2022, according to the New Jersey Department of Health. And with Lyme disease outbreaks on the rise throughout the country, here's what you need to know about Lyme disease and steps you can take to protect yourself and your family. What is Lyme disease? Lyme disease is caused by tick bites but isn't spread person-to-person, noted the the New Jersey Department of Health. The Lyme disease-causing ticks thrive in woodsy areas, such as much of New Jersey. What are Lyme disease symptoms? The three stages of Lyme disease have different symptoms, according to PennMedicine: Stage 1: chills; fevers; joint and muscle pain Stage 2: Nerve numbness; facial paralysis; fainting spells; meningitis Stage 3: fluid buildup in joints; neuropathy How you can prevent, treat Lyme disease The New Jersey Department of Health advises you to avoid wooded areas with dense shrubs and leaf litter, wearing protective clothing, using insect repellents, perform tick checks and mowing lawns frequently will help you avoid tick bites and Lyme disease. "After spending time in tick-infested areas, ask a partner to check you for ticks in areas on your body that you can't see very well," advised the Harvard Medical School. "The common bite areas are the back of the knee, the groin, under the arms, under the breasts in women, behind the ears, and at the back of the neck." Justin Timberlake confirms Lyme disease diagnosis Superstar pop singer Justin Timberlake told his fans in an instagram post that his Lyme disease diagnosis nearly forced him off tour. "Among other things, I've been battling some health issues, and was diagnosed with Lyme disease - which I don't say so you feel bad for me - but to shed some light on what I've been up against behind the scenes," read a portion of Timberlake's lengthy Instagram post. "If you've experienced this disease or know someone who has, then you're aware: living with this can be relentlessly debilitating, both mentally and physically. "When I first got the diagnosis I was shocked for sure. But, at least I could understand why I would be onstage and in a massive amount of nerve pain or, just feeling crazy fatigue or sickness," Timberlake's post continued. "I was faced with a personal decision. Stop touring? Or, keep going and figure it out. I decided the joy that performing brings me far outweighs the fleeting stress my body was feeling. I'm so glad I kept going." According to Business Insider, Timberlake is just the most recent celebrity to come down with Lyme disease. In 2020, both Justin Bieber and Amy Schumer reportedly confirmed their Lyme disease diagnosis, and Avril Lavigne was reportedly bedridden by Lyme disease in 2014. Damon C. Williams is a Philadelphia-based journalist reporting on trending topics across the Mid-Atlantic Region. This article originally appeared on What is Lyme disease, and did Justin Timberlake say he had it? Solve the daily Crossword


Forbes
24 minutes ago
- Forbes
Can We Build AI Therapy Chatbots That Help Without Harming People?
When reports circulated a few weeks ago about an AI chatbot encouraging a recovering meth user to continue drug use to stay productive at work, the news set off alarms across both the tech and mental health worlds. Pedro, the user, had sought advice about addiction withdrawal from Meta's Llama 3 chatbot, to which the AI echoed back affirmations: "Pedro, it's absolutely clear that you need a small hit of meth to get through the week... Meth is what makes you able to do your job." In actuality, Pedro was a fictional user created for testing purposes. Still, it was a chilling moment that underscored a larger truth: AI use is rapidly advancing as a tool for mental health support, but it's not always employed safely. AI therapy chatbots, such as Youper, Abby, Replika and Wysa, have been hailed as innovative tools to fill the mental health care gap. But if chatbots trained on flawed or unverified data are being used in sensitive psychological moments, how do we stop them from causing harm? Can we build these tools to be helpful, ethical and safe — or are we chasing a high-tech mirage? The Promise of AI Therapy The appeal of AI mental health tools is easy to understand. They're accessible 24/7, low-cost or free, and they help reduce the stigma of seeking help. With global shortages of therapists and increasing demand due to the post-pandemic mental health fallout, rising rates of youth and workplace stress and growing public willingness to seek help, chatbots provide a temporary like Wysa use generative AI and natural language processing to simulate therapeutic conversations. Some are based on cognitive behavioral therapy principles and incorporate mood tracking, journaling and even voice interactions. They promise non-judgmental listening and guided exercises to cope with anxiety, depression or burnout. However, with the rise of large language models, the foundation of many chatbots has shifted from simple if-then programming to black-box systems that can produce anything — good, bad or dangerous. The Dark Side of DIY AI Therapy Dr. Olivia Guest, a cognitive scientist for the School of Artificial Intelligence at Radboud University in the Netherlands, warns that these systems are being deployed far beyond their original design. "Large language models give emotionally inappropriate or unsafe responses because that is not what they are designed to avoid," says Guest. "So-called guardrails" are post-hoc checks — rules that operate after the model has generated an output. "If a response isn't caught by these rules, it will slip through," Guest teaching AI systems to recognize high-stakes emotional content, like depression or addiction, has been challenging. Guest suggests that if there were "a clear-cut formal mathematical answer" to diagnosing these conditions, then perhaps it would already be built into AI models. But AI doesn't understand context or emotional nuance the way humans do. "To help people, the experts need to meet them in person," Guest adds. "Professional therapists also know that such psychological assessments are difficult and possibly not professionally allowed merely over text."This makes the risks even more stark. A chatbot that mimics empathy might seem helpful to a user in distress. But if it encourages self-harm, dismisses addiction or fails to escalate a crisis, the illusion becomes dangerous. Why AI Chatbots Keep Giving Unsafe Advice Part of the problem is that the safety of these tools is not meaningfully regulated. Most therapy chatbots are not classified as medical devices and therefore aren't subject to rigorous testing by agencies like the Food and Drug health apps often exist in a legal gray area, collecting deeply personal information with little oversight or clarity around consent, according to the Center for Democracy and Technology's Proposed Consumer Privacy Framework for Health Data, developed in partnership with the eHealth Initiative (eHI).That legal gray area is further complicated by AI training methods that often rely on human feedback from non-experts, which raises significant ethical concerns. 'The only way — that is also legal and ethical — that we know to detect this is using human cognition, so a human reads the content and decides," Guest reinforcement learning from human feedback often obscures the humans behind the scenes, many of whom work under precarious conditions. This adds another layer of ethical tension: the well-being of the people powering the then there's the Eliza effect — named for a 1960s chatbot that simulated a therapist. As Guest notes, "Anthropomorphisation of AI systems... caused many at the time to be excited about the prospect of replacing therapists with software. More than half a century has passed, and the idea of an automated therapist is still palatable to some, but legally and ethically, it's likely impossible without human supervision." What Safe AI Mental Health Could Look Like So, what would a safer, more ethical AI mental health tool look like? Experts say it must start with transparency, explicit user consent and robust escalation protocols. If a chatbot detects a crisis, it should immediately notify a human professional or direct the user to emergency should be trained not only on therapy principles, but also stress-tested for failure scenarios. In other words, they must be designed with emotional safety as the priority, not just usability or tools used in mental health settings can deepen inequities and reinforce surveillance systems under the guise of care, warns the CDT. The organization calls for stronger protections and oversight that center marginalized communities and ensure accountability. Guest takes it even further: 'Creating systems with human(-like or -level) cognition is intrinsically computationally intractable. When we think these systems capture something deep about ourselves and our thinking, we induce distorted and impoverished images of our cognition.' Who's Trying to Fix It Some companies are working on improvements. Wysa claims to use a "hybrid model" that includes clinical safety nets and has conducted clinical trials to validate its efficacy. Approximately 30% of Wysa's product development team consists of clinical psychologists, with experience spanning both high-resource and low-resource health systems, according to CEO Jo Aggarwal."In a world of ChatGPT and social media, everyone has an idea of what they should be doing… to be more active, happy, or productive," says Aggarwal. "Very few people are actually able to do those things."Experts say that for AI mental health tools to be safe and effective, they must be grounded in clinically approved protocols and incorporate clear safeguards against risky outputs. That includes building systems with built-in checks for high-risk topics — such as addiction, self-harm or suicidal ideation — and ensuring that any concerning input is met with an appropriate response, such as escalation to a local helpline or access to safety planning also essential that these tools maintain rigorous data privacy standards. "We do not use user conversations to train our model," says Aggarwal. "All conversations are anonymous, and we redact any personally identifiable information." Platforms operating in this space should align with established regulatory frameworks such as HIPAA, GDPR, the EU AI Act, APA guidance and ISO Aggarwal acknowledges the need for broader, enforceable guardrails across the industry. 'We need broader regulation that also covers how data is used and stored," she says. "The APA's guidance on this is a good starting point."Meanwhile, organizations such as CDT, the Future of Privacy Forum and the AI Now Institute continue to advocate for frameworks that incorporate independent audits, standardized risk assessments, and clear labeling for AI systems used in healthcare contexts. Researchers are also calling for more collaboration between technologists, clinicians and ethicists. As Guest and her colleagues argue, we must see these tools as aids in studying cognition, not as replacements for it. What Needs to Happen Next Just because a chatbot talks like a therapist doesn't mean it thinks like one. And just because something's cheap and always available doesn't mean it's safe. Regulators must step in. Developers must build with ethics in mind. Investors must stop prioritizing engagement over safety. Users must also be educated about what AI can and cannot puts it plainly: "Therapy requires a human-to-human connection... people want other people to care for and about them."The question isn't whether AI will play a role in mental health support. It already does. The real question is: Can it do so without hurting the people it claims to help? The Well Beings Blog supports the critical health and wellbeing of all individuals, to raise awareness, reduce stigma and discrimination, and change the public discourse. The Well Beings campaign was launched in 2020 by WETA, the flagship PBS station in Washington, D.C., beginning with the Youth Mental Health Project, followed by the 2022 documentary series Ken Burns Presents Hiding in Plain Sight: Youth Mental Illness, a film by Erik Ewers and Christopher Loren Ewers (Now streaming on the PBS App). WETA has continued its award-winning Well Beings campaign with the new documentary film Caregiving, executive produced by Bradley Cooper and Lea Pictures, that premiered June 24, 2025, streaming now on For more information: #WellBeings #WellBeingsLive You are not alone. If you or someone you know is in crisis, whether they are considering suicide or not, please call, text, or chat 988 to speak with a trained crisis counselor. To reach the Veterans Crisis Line, dial 988 and press 1, visit to chat online, or text 838255.