Communication That Connects: The Push and Pull of Ambivalence
Have you ever wanted two different things at the same time? That push and pull is called ambivalence, and it's something many older adults experience when facing major life changes.
Whether it's accepting help, using a walker, getting hearing aids, or considering a move to assisted living, it's common to think, "I know I should... but I don't want to."
You might hear things like:
• "I'm worried about falling if I stay here alone, but I love my home and don't want to leave."
• "I don't want a caregiver because I value my independence, but I'm not sure I can keep doing everything by myself."
These aren't contradictions. They're signs that someone is carefully weighing an important decision.
I once worked with a woman named Faye who shared how lonely and anxious she felt in her home each night. As she spoke, the weight of those feelings was obvious. Then she smiled and quietly said, "I just can't imagine leaving the home I love."
That is ambivalence in its purest form: balancing safety with independence, and practicality with deep emotional attachment.
When seniors express mixed feelings, it doesn't mean they're refusing change. More often, it means they're thoughtfully working through it.
One of the most helpful things family members can do is resist the urge to immediately solve the problem. Instead, create space for honest conversation.
Try these approaches:
• Listen more than you talk.
• Ask open-ended questions that encourage reflection.
• Stay calm, supportive, and free of judgment.
• Acknowledge both the fears and the hopes.
• Ask permission before offering advice so they remain in control of the conversation.
• Ask open-ended questions that encourage reflection.
• Stay calm, supportive, and free of judgment.
• Acknowledge both the fears and the hopes.
• Ask permission before offering advice so they remain in control of the conversation.
Ambivalence isn't a roadblock. It's often the first step toward meaningful change. When older adults feel heard and supported, they're more likely to make thoughtful decisions with confidence.