As Sri Lanka’s aging population continues to soar, the psychiatric morbidity of our elders has seen a visible spurt, a view endorsed by the World Health Organization (WHO), the UN, and a number of cross-sectional studies carried out by private individuals and hospitals. These surveys are important since the country still lacks a proper mental health index which is an important indicator of the overall well-being of a growing aging population. A recent study showed that elderly persons were at higher risk of depression, dementia, and cognitive dysfunction than younger people. Studies have also shown that while many progressive interventional steps are now in place by the Ministry of Health, lack of resources and staff are problems to be reckoned with. In addition, in Sri Lanka, the oldest age category (75+) is increasing more than the young (60–74 age group). Further, the aging process shows a rising number of women in the older age group than the number of men. The number of widows is likely to increase in the future and expected to live longer, which is already happening in Sri Lanka. When they live longer, they have more physical, physiological, social, and other problems relating to age. Of these, psychosocial issues are expected to be greater in Sri Lanka than in most other Asian countries.