Individuals seeking to cope with issues of aging may experience anxiety about the unknown future, feelings of vulnerability, fear of disability and infirmity or concern regarding the significance of aches and pains. There may be anxiety about work or living transitions, fear of dependency or being a burden to loved ones, depression or loss of interest in life outside oneself. Dr. MacRoy works with clients to come to terms with the unknown possibilities of aging, addressing the “What if’s” to explore scenarios and discover possible approaches. This realistic assessment of possibilities can give clients a sense of some control and reassurance that rather than being helpless, there are options for managing oneself in a changing world. Clients are encouraged to explore their personal perspectives, discussing values and priorities while discovering adaptability and new choices. Counseling can involve family or caregivers where appropriate.