• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia
friends

Friendship is a key to living a long, healthy life. Here’s how to make and sustain them in middle age

By
Alexa Mikhail
Alexa Mikhail
Senior Reporter, Fortune Well
Down Arrow Button Icon
By
Alexa Mikhail
Alexa Mikhail
Senior Reporter, Fortune Well
Down Arrow Button Icon
February 23, 2023, 8:30 AM ET
Feeling lonely can harm people's physical and mental health as they age.
Feeling lonely can harm people's physical and mental health as they age. Flashpop—Getty Images

In many ways, it’s easier to make friends when you’re a child, as kids meet in the classroom, on the playground, or through a recreational sports team—the opportunities seem endless. 

Fast-forward to adulthood, when forging platonic relationships becomes trickier than finding a like-minded pal to play tag with at recess. Sure, there might be your post-grad roommates or close colleagues, but at some point, maintaining friendships takes a backseat. 

Many middle-aged adults are essentially swimming against the tide trying to keep up with caregiving and job responsibilities, and find one day that they haven’t prioritized new friendships or nourished old ones. 

“As we approach middle age, we have found ourselves busy,” says Dr. Marc Schulz, coauthor of The Good Life and associate director of the Harvard Study of Adult Development. “Some people wake up and realize that they really need to rebuild their friendship connections…a lot of their social connections may revolve just around work, or just around other sorts of activities that their kids do.” 

Older adults may also grieve the loss of past friendships, making them fearful and closed off to new opportunities, says Dr. Nina Vasan, a psychiatrist and the chief medical officer at Real, a mental health support app. 

As a result, they may ask themselves if making friends “at this stage” of life even matters, Vasan tells Fortune. 

But research shows that the effort is definitely worth it—even if it’s scary to be so vulnerable.

“If we don’t attend to our relationships, if we just assume that we can leave them on automatic pilot, they tend to wither,” Schulz tells Fortune. “We want to have those connections and that source of joy and pleasure that we get by being with friends.” 

Friendships improve our mental and physical health 

In a long-term happiness study that began at Harvard University in 1938, one factor was indubitably significant: relationships. 

When people did prioritize relationships throughout their life, they reported feeling more satisfied—particularly when they said they could call someone in an emergency in the middle of the night, the study found. Relationships also kept them healthier and protected them from loneliness. 

Still, many people are reluctant to do the work required to maintain friendships.

“We seem particularly bad at forecasting the benefits of relationships,” Schulz and coauthor Dr. Robert Waldinger write in their book. “A big part of this is the obvious fact that relationships can be messy and unpredictable. This messiness is some of what prompts many of us to prefer being alone.” 

But being alone is bad for your health—very bad. About one in four seniors over age 65 is socially isolated, the National Academies of Sciences, Engineering, and Medicine reports, which increases the risk for heart disease and early mortality. Isolation is also associated with a 50% increased risk for dementia. A recent study found that satisfying relationships lowered women’s risk for multiple chronic conditions, and that the more satisfying relationships became, the lower their risk. As loneliness affects seniors more drastically—those who are living alone, grieving, or going through major life changes—it becomes imperative to prioritize friendships through adulthood. 

“Persistent loneliness can really lead to significant mental and physical repercussions,” Vasan says. 

So how can older adults maintain friendships? 

Take a risk and be bold, Schulz says. People often avoid reaching out to a distant friend out of fear of rejection. 

“We have a voice in our head that tells us people aren’t as interested in us as we are at them, or they’re not going to have time for me, or maybe they won’t remember me,” he says. “We tend to overestimate the negative.”

If you want to rekindle a friendship, don’t be afraid to send a brief message. “Thinking about you. Hoping we can talk soon,” shows the other person you care and are invested in finding time to reconnect. Once you reestablish the connection, seize the opportunity, Schulz says.  

Schedule a 10-minute phone call, and by the end, instead of saying you hope to hang out soon, intentionally make a plan. Start small—grabbing a cup of coffee before work—and work up to hanging out more regularly in a way that feels natural, he says. 

Remember that it takes time for people to feel comfortable, and it’s okay if friendships don’t bounce right back to where they started. 

How can older adults make new friends? 

Looking to find new friends to add to the mix? Seeking out enriching communities is a place to start, Vasan says. Mentoring or volunteering can help connect older adults with new people. And friendships can flourish regardless of age. Intergenerational friendships can teach everyone something new.

“The trick to making new friends is putting yourself in situations where you’ll repeatedly have contact with other people,” Schulz says. Practice giving someone your full attention and learning from them, which can take the pressure off bonding right at the outset. 

Trying a new hobby can also help older adults find new friendships.

“It can be as simple as asking a new team to play pickleball with at the courts, signing up for a language course you want to learn, or joining a program you’re passionate about,” says Jenn Lim, author of Beyond Happiness: How Authentic Leaders Prioritize Purpose and People for Growth and Impact, who emphasizes adopting a beginner’s mindset: “You’ll find there’s a greater chance your values and sense of purpose are aligned too.”

It’s never too late to start something new, and bonding over a shared passion and interest can help cultivate a relationship. Make it routine. 

“Some of us underestimate how much intention plays a role in building friendships,” Danielle Bayard Jackson, friendship coach and author of the forthcoming book Fighting for Our Friendships, previously told Fortune. “This creates what we call familiar strangers—people you see all the time—and now it becomes less intimidating for me to go up and compliment your shoes or ask you a question about the venue we’re in because we see each other all the time.”

And don’t be afraid to ask for help, Vasan says. Being open and honest about feeling lonely and wanting to make a change gives other people a chance to look out for opportunities for you. Consider telling your older children you wish to seek new fulfilling relationships, if that applies. Maybe they will keep their eyes peeled for community groups, events, and ways to get you connected, she says. 

“It’s okay to say ‘I’m lonely, and I really want to try to meet new people,’” Vasan says.  

And putting yourself out there is half the battle, Schulz says.

Learn how to navigate and strengthen trust in your business with The Trust Factor, a weekly newsletter examining what leaders need to succeed. Sign up here.
About the Author
By Alexa MikhailSenior Reporter, Fortune Well
LinkedIn iconTwitter icon

Alexa Mikhail is a former senior health and wellness reporter for Fortune Well, covering longevity, aging, caregiving, workplace wellness, and mental health.

See full bioRight Arrow Button Icon

Latest in

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • Future 50
  • World’s Most Admired Companies
  • See All Rankings
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Editorial Calendar
  • Press Center
  • Work At Fortune
  • Diversity And Inclusion
  • Terms And Conditions
  • Site Map
  • About Us
  • Editorial Calendar
  • Press Center
  • Work At Fortune
  • Diversity And Inclusion
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.


Latest in

President Donald Trump delivers the State of the Union address during a joint session of Congress at the Capitol on February 24, 2026 in Washington, DC.
Economynational debt
The next generation of senators has a ticking time bomb in its lap: Social Security’s impending insolvency and no plan for the national debt
By Eleanor PringleApril 10, 2026
3 minutes ago
Who’s really in control as AI and Big Tech race ahead?
MagazineEurope
Who’s really in control as AI and Big Tech race ahead?
By Francesca CassidyApril 10, 2026
14 minutes ago
Today’s top high-yield savings rates: Up to 5.00% on April 10, 2026
Personal FinanceSavings accounts
Today’s top high-yield savings rates: Up to 5.00% on April 10, 2026
By Glen Luke FlanaganApril 10, 2026
56 minutes ago
Top CD rates today, April 10, 2026: Lock in up to up to 4.20%
Personal FinanceCertificates of Deposit (CDs)
Top CD rates today, April 10, 2026: Lock in up to up to 4.20%
By Glen Luke FlanaganApril 10, 2026
56 minutes ago
Photo: Donald Trump
EconomyMarkets
U.S. and Iran begin peace talks as Trump’s White House goes to war against the media, insider traders, and the Pope
By Jim EdwardsApril 10, 2026
1 hour ago
Defense executives worry Trump’s proposed military splurge could backfire
NewslettersCEO Daily
Defense executives worry Trump’s proposed military splurge could backfire
By Diane BradyApril 10, 2026
2 hours ago

Most Popular

The U.S. government is spending $88 billion a month in interest on national debt—equal to spending on defense and education combined
Economy
The U.S. government is spending $88 billion a month in interest on national debt—equal to spending on defense and education combined
By Fortune EditorsApril 9, 2026
24 hours ago
A Meta employee created a dashboard so coworkers can compete to be the company's No. 1 AI token user—and Zuckerberg doesn't even rank in the top 250
AI
A Meta employee created a dashboard so coworkers can compete to be the company's No. 1 AI token user—and Zuckerberg doesn't even rank in the top 250
By Fortune EditorsApril 9, 2026
1 day ago
Gen Z doesn't want your full-time job. They want several part-time roles, and it's reshaping the entire workforce
Success
Gen Z doesn't want your full-time job. They want several part-time roles, and it's reshaping the entire workforce
By Fortune EditorsApril 9, 2026
1 day ago
White-collar workers are quietly rebelling against AI as 80% outright refuse adoption mandates
AI
White-collar workers are quietly rebelling against AI as 80% outright refuse adoption mandates
By Fortune EditorsApril 9, 2026
1 day ago
Gen Z workers are so fearful AI will take their job they’re intentionally sabotaging their company’s AI rollout
AI
Gen Z workers are so fearful AI will take their job they’re intentionally sabotaging their company’s AI rollout
By Fortune EditorsApril 8, 2026
2 days ago
Current price of oil as of April 9, 2026
Personal Finance
Current price of oil as of April 9, 2026
By Fortune EditorsApril 9, 2026
23 hours ago