Publisher Summary Recent findings suggest that generalized anxiety is a more common problem among the elderly than depression. Anxiety and depression among older adults frequently coexist with common physical manifestations including chest pains, heart palpitations, night sweats, shortness of breath, essential hypertension, headaches, and generalized pain. Because physicians often fail to diagnose underlying symptoms of anxiety and depression in elderly patients, the emotional component of the symptoms are frequently not dealt with. This chapter discusses the serious problem of anxiety in older adults. Diagnostic suggestions are made to distinguish anxiety brought on by both physical and social causes. A case study using case management and a personal story explore older adult anxiety and the very real pain it causes in older adults. Anxiety affects 7.3% of an elderly population as compared to 2% for depression in the same population.