Matching with the growing population of older adults in South Asian countries, the number of people having health-related problems, including mental illnesses, needing medical treatment, care, and support is increasing. Depression and dementia are common concerns, along with suicide. Financial problems, high cost of care, lack of support, lack of availability of appropriate professional care, and struggles associated with informal family caregiving are some of the contributing factors. The increased need for old-age mental healthcare is well reported, and countries have developed various policies, and programs to support older adults, along with different laws to protect their interests. However, the gaps in the needs and available supportive facilities are obvious and the specific support for the mental health-related concerns of older adults is minuscule in most areas. Lack of appropriate resources, manpower, and training are obvious reasons, which need to be addressed as a priority by the countries, to avoid the situation becoming a crisis.