Aging Into Aliveness
Many of us find getting old challenging—experiencing loss, limitation, and sometimes loneliness. Old age can become bleak not because life offers less, but because we slowly withdraw from participating fully in what is still here.
What makes the difference between merely growing old and growing alive?
Several weeks ago, I brought vegetarian takeout to share lunch with Jack and Greta, my 85- and 78-year-old friends. As we sat enjoying Greta’s homemade chocolate chip cookies, Jack’s cellphone rang from across the kitchen.
He pushed himself up from his creaky wooden chair and answered in a booming voice, “Sergeant Jeff, Station F. What can I do for you?”
A startled voice replied, “I’m so sorry, I have the wrong number.”
Jack hung up and burst into laughter, thoroughly delighted.
“I get such a kick out of scaring those spam callers,” he said, still grinning. Then his face softened. “What else is there to do in my old age? My knees ache. My back hurts all the time. I’m bored.”
In that moment, I saw two truths living side by side. His laughter revealed that the spark of aliveness was still there. But his resignation revealed how small his world had become. His days were organized around managing discomfort and passing time. He was no longer meeting life with curiosity but enduring it.
Aliveness had not left him. It had simply stopped being invited.
On my drive home, I thought of another friend, Monte, who was preparing to celebrate his 80th birthday by writing eighty letters—one to each person who had shaped his life—to thank them.
He was also planning a solo road trip across the country in his van, with no fixed itinerary.
“Just for the adventure,” he told me. “To see the country. To see what I find. To see what I find in myself.”
Monte lives with heart disease and arthritis. His body stiffens; he tires more easily. Yet none of this defines the horizon of his life.
He once said to me, “Even when my body stiffens, I stay curious. It keeps my psyche supple.”
His body is aging. His curiosity is not.
And curiosity keeps him in conversation with life.
I was reminded of this again when I saw Paul and Mary at a friend’s birthday gathering. Paul, ninety-four, sat hunched in his wheelchair. Mary, eighty-six, leaned forward as she walked. Their bodies carried the unmistakable signatures of time.
Yet their presence was vibrant.
“We’re having the best years of our lives,” Mary told me without hesitation.
“What gives you joy?” I asked.
She laughed. “We don’t worry about anything anymore. We can do whatever we damn want.”
Paul leaned forward, eyes bright. “We’re excited to meet new friends. Every day is something new.”
Nothing in their external circumstances had expanded. But their willingness to meet life openly had. They were not waiting for better conditions. They were inhabiting the life that was already here.
Their aliveness did not come from what their bodies could do. It came from their willingness to remain present to experience.
The difference between merely growing old and growing alive lies in how we meet our experience. When we identify primarily with loss and limitation, our world contracts. We begin to live as observers of our decline rather than participants in our unfolding.
Identification can feel comforting. It validates our struggle. It offers community. It gives the mind something to organize around when life feels uncertain. But when limitation becomes our primary identity, it quietly narrates our entire story.
We are more than what no longer works.
We are the awareness that notices.
We are the longing that reaches.
We are the capacity to love and be touched.
Recently, my six-year-old grandson handed me a drawing of Winston, his owl squishmallow, carefully sketched on purple paper.
“Ah Mah,” he said, “I chose purple because it’s your favorite color.”
I felt something soften inside me. I held the paper. I held him. I let the moment fully land.
When I was younger, I might have smiled and moved on, already occupied by the next task. Aging has given me something youth did not: the willingness to stop. To feel. To savor. To let a simple moment register in my body.
Aging, I am discovering, is not only a process of losing. It is also a process of becoming available—to tenderness, to gratitude, to presence.
We do have agency. We may not choose our aging bodies, but we do choose how we meet our experience. Awareness of that choice changes everything.
I often begin my day with simple questions:
What would bring me alive today?
How can I be kind to myself today?
What am I curious about right now?
How might I show kindness to someone else?
Where is life inviting me to participate?
These questions shift my attention from what is diminishing to what is still possible. They soften physical suffering with tenderness. They move me out of isolation in my head and back into relationship—with myself, with others, with life.
Curiosity keeps us present.
Presence keeps us alive.
Aging is inevitable. Aliveness is not.
Aliveness asks something of us. It asks for our participation. Our openness. Our willingness to remain in conversation with the life that is still unfolding.
Irrespective of where you are in life, I wonder:
What would you choose differently if you were committed not just to growing older, but to growing alive?
If this reflection resonates, I would love to hear what arises for you. And if you feel moved to share it with someone who might need encouragement, please do.
With love,
Dr. Nellie


Nellie, your words really resonate with me and I thank you! For the past 26 years that I have known you, I continue to learn from you.
Chris and I recently returned from a trip to India - such a fascinating country with lovely people.
One of our amazing guides told me that every day he does something kind or generous for some living being. He often goes to the cow pound in his city, makes a donation and hand feeds the cows some fresh grass and/or corn stalks. We went to the cow pound with him to feed the cows and it was such a special/unforgettable experience. Learning our guide, I now make it a point to do something kind at least once a day; it's a wonderful feeling.
I too have discovered that as I get older, I have more confidence and enjoy slowing down in some ways. My curiosity has increased. I enjoy more time reading wonderful books and having a cup of tea.
I have my senior horse, Mina, and we are growing old together. I visit her three times a week and I hand walk her, brush her, talk to her (a lot), spend time outside with her and am physically active for two to three hours. Such good physical and emotional therapy for me (and her)!
Thank you again Nellie!
Very well said Nellie.