Introduction
In a world where technology increasingly bridges gaps, Mara Topper stands at the forefront of a transformative approach to senior counseling. As the CEO of Senior Counseling Services, Mara has dedicated over two decades to enhancing the mental well-being of older adults and their families through client centered psychotherapy.

Her journey, marked by passion and innovation, highlights the profound impact of compassionate counseling and mediation services on aging populations. Join us as we delve into Mara's insights on mental health, aging, and the power of telehealth in senior counseling.
The Genesis of Senior Counseling Services
Mara Topper's foray into senior counseling was serendipitous yet driven by a deep-seated commitment to family and mental health. Initially involved in union management negotiations, Mara's career path took a pivotal turn when she co-founded Senior Counseling Services with her former husband, David, in 2001.
"We started the company from a home office, recognizing a tremendous need for in-home mental health counseling for seniors," Mara recalls. Today, their services have evolved to offer telehealth counseling, allowing clients to receive support from the comfort of their homes.
Pioneering Telehealth in Senior Counseling
Anticipating the global shift towards telehealth, Mara transitioned her practice online ahead of the COVID-19 pandemic. "By December 2019, I had planned on getting all my therapists onto telehealth," she explains. This foresight not only ensured continuity of care but also expanded access to counseling for seniors, particularly those without access to computers or smartphones. "Medicare covers phone-only counseling, which has been a lifeline for many," Mara notes, highlighting the adaptability of her services to meet diverse needs.
Navigating Resistance and Building Trust
One of the challenges in senior counseling is overcoming initial resistance from clients. "Counseling is strictly voluntary," Mara emphasizes, "and for it to be successful, the client needs to be the decision-maker." Her approach involves educating both clients and their families about the benefits of counseling, ensuring that the process is client-led and focused on their specific concerns. Whether addressing short-term coping mechanisms or long-term mental health issues, Mara's team is dedicated to empowering clients through personalized support.

The Role of Family in Counseling and Mediation
Family dynamics often play a crucial role in the counseling process. "We offer individual and family counseling because caregiver stress is a common issue," Mara explains. By involving family members in sessions, her team addresses not only the client's needs but also the emotional and logistical challenges faced by caregivers. This holistic approach extends to elder mediation, where Mara facilitates communication and decision-making among family members regarding care arrangements, health decisions, and more.
Addressing Caregiver Burnout and Emotional Challenges
Caregiver burnout is a prevalent issue among families caring for aging relatives. "It's not only physically taxing but also emotionally draining," Mara acknowledges. Her team provides strategies for managing stress, incorporating mindfulness practices, and connecting families with community resources. "We empower our clients and their families to find balance and resilience," she says, underscoring the importance of a holistic approach to elder care.
Staying Informed and Ensuring Confidentiality
In a rapidly evolving field, staying informed is crucial. Mara and her team engage in continuous professional development, attending workshops and sharing knowledge to keep abreast of the latest developments in elder care. Equally important is maintaining confidentiality, a cornerstone of trust in counseling and mediation. "We ensure all communications are HIPAA-compliant and encrypted," Mara assures, highlighting the rigorous standards upheld by her practice.
The Unique Value of Elder Mediation

Mara's expertise in elder mediation sets her apart, offering families a neutral space to resolve conflicts and make informed decisions. "I'm a facilitator, not a decision-maker," she clarifies, guiding families through a collaborative process that prioritizes effective communication and mutual understanding. From living arrangements to financial planning, Mara's mediation services address a wide range of issues, fostering harmony and cooperation among family members.
Conclusion
Mara Topper's work at Senior Counseling Services exemplifies the transformative potential of telehealth and compassionate counseling in elder care. Her dedication to empowering individuals and families through innovative strategies and personalized support is a testament to the profound impact of her services. As Mara continues to navigate the complexities of aging and mental health, her insights offer a beacon of hope and resilience for seniors and their families. To learn more about Mara's services, visit Senior Counseling Services at https://www.seniorcounseling.info/ and explore the possibilities of compassionate care.
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