The 'age of never'.

Specific clinical problems emerge in middle-aged men, not so much because of aging, but as a result of the path they have chosen to follow and their reaction to life experiences. For instance, the middle-aged executive has probably spent a lifetime working towards success. His daily existence is characterized by aggression, and his drive to conquer may make him prone to heart disease. Mild depression due to anxious self scrutiny also is common in middle age. Depression and fatigue may lead some patients to overindulge in food, alcohol and/or drugs. Others may become addicted to exercise. These patients look on pain as an ominous threat to their finely balanced daily ritual, and therefore may disregard the warning signs of injury or illness. In treating the problems of middle age, physicians should remember that most middle-aged patients have acquired some practical wisdom.