Dr. Michael O’Brien

Dr. Michael O’Brien is a clinical psychologist specializing in geriatric psychology and end-of-life care. With a PhD from Duke University and over 20 years of experience, he has devoted his career to improving the mental health and quality of life of older adults. His areas of expertise include late-life depression and anxiety, adjustment to aging and retirement, dementia care, caregiver support, grief and loss, and existential concerns related to mortality and legacy. Dr. O’Brien’s approach is characterized by deep respect for the wisdom and life experience of his older clients. He recognizes that aging brings unique psychological challenges but also opportunities for continued growth and meaning-making. For clients experiencing depression or anxiety related to health changes, loss of independence, or social isolation, he provides evidence-based treatments adapted to the needs of older adults. He’s particularly skilled at helping people navigate the identity transitions that come with retirement, becoming a grandparent, or moving to assisted living. A significant portion of Dr. O’Brien’s practice focuses on dementia care—both supporting individuals in early stages of cognitive decline and helping family members cope with the grief and stress of watching a loved one’s deterioration. He provides neuropsychological assessments to help differentiate normal age-related changes from pathological cognitive decline. For families, he offers education about dementia progression, communication strategies for engaging with someone with memory loss, and emotional support for the anticipatory grief and caregiver burnout that often accompany this journey. Dr. O’Brien also provides end-of-life counseling, helping individuals process fears about dying, reflect on their lives, and find peace as they approach death. He helps people have difficult conversations with family members about wishes for care, unresolved conflicts, and expressions of love and gratitude. His presence brings comfort during one of life’s most challenging transitions. Additionally, he works with bereaved individuals processing the loss of spouses, siblings, and friends—losses that become increasingly common in later life. His gentle, patient demeanor and genuine care for the dignity of older adults make him an invaluable resource for families navigating the complexities of aging.