The morning sun was hitting the raised garden bed I built for my wife at just the right angle when I noticed something that made me stop and really pay attention. She was sitting in her wheelchair, deadheading the marigolds we’d planted in spring, and for the first time in months she wasn’t complaining about her back pain. Her whole posture was different – relaxed in a way I hadn’t seen since before the stroke.
“It feels like being outside used to feel,” she said later, which might not sound like much, but for someone who’d spent the previous winter mostly indoors, mostly hurting, it was everything.
That’s when I started understanding what all those articles about therapeutic gardens were really talking about. It’s not just about having pretty flowers to look at – though ours are plenty pretty. It’s about creating outdoor spaces that actually work with your body and mind instead of against them, especially as you get older and need all the help you can get.
This whole approach – what the experts call biophilic design – has become something of a project for me over the past eight years. Not the fancy magazine version with expensive water features and exotic plants, but the practical kind that helps real people dealing with real aging issues feel better in their own backyards.
I remember the exact moment this became important to me. It was about six months after my wife’s stroke, when I was struggling to help her with basic daily activities and feeling pretty overwhelmed by all the modifications our house suddenly needed. A friend from church mentioned that his mother’s assisted living facility had redesigned their courtyard area and the residents were spending more time outside, seemed less depressed.
“The staff says it’s made their jobs easier too,” he told me. “Less agitation, fewer complaints about pain.”

That got me researching, and what I found made a lot of sense from an engineering perspective. Human beings evolved outdoors, surrounded by plants and water and natural light. Our nervous systems are literally wired to respond to these things. Take them away – stick us in windowless rooms with artificial everything – and we don’t function as well. It’s not complicated.
The research backs this up in ways that impressed even my skeptical engineer brain. Studies show that just looking at plants can lower your stress hormones within minutes. The sound of moving water reduces blood pressure better than some medications. Even touching natural materials like wood or stone triggers measurable changes in how your nervous system works. This isn’t feel-good nonsense – it’s measurable science.
But here’s what I learned the hard way: most people think biophilic design means scattering some potted plants around and hoping for the best. That’s not how it works. Real therapeutic outdoor spaces require understanding how different natural elements work together to create what the researchers call “restorative environments.” You need to think about all your senses – what you see, hear, touch, even smell.
Take water features, for instance. Everyone wants one of those big fountain things from the garden center, but most of them sound terrible – harsh, artificial splashing that’s more annoying than peaceful. Natural water movement – the way it bubbles over rocks, pools quietly, creates different sounds depending on how fast it’s flowing – that’s what our brains recognize as calming. I spent three weekends building a simple recirculating water feature using a small pump, some river rocks, and copper tubing. Cost me about sixty bucks and sounds like the creek I used to fish in as a kid.
Plant selection matters enormously too, and I don’t just mean choosing things that look nice. Different plants create different effects. Dense plantings with big leaves make a space feel protected and intimate. Grasses that move in the breeze add visual interest. Fragrant plants like lavender or the herbs my wife grows engage your sense of smell in ways that directly affect mood and memory.
I figured this out when I made my first attempt at modifying our backyard for my wife’s wheelchair. I focused entirely on accessibility – smooth paths, raised beds at the right height, good drainage so she wouldn’t get stuck in mud. All practical stuff, which was important, but I didn’t think about comfort or enjoyment. The space worked fine but felt sterile, institutional. My wife used it because she had to, not because she wanted to.
So I started over, keeping all the accessibility features but adding what I now know were biophilic elements. Softer plantings that attracted birds. A small seating area tucked against our back fence where she could sit and feel protected while still seeing the whole yard. Different textures she could touch – smooth river rocks, rough bark, soft lamb’s ear leaves. The change in her attitude was dramatic.
The layout itself turned out to be crucial. I’d read that humans feel most comfortable when they can see their surroundings while having access to protected spaces – something about how our ancestors needed to watch for predators while having somewhere to retreat. Sounds theoretical, but it works in practice. The paths I created curve instead of running straight, and the best seating areas back up against something solid like our fence or the house.
Natural materials make a huge difference too. I tried fake stone pavers first – they were cheaper and supposedly easier to maintain. But they looked fake, felt fake, got slippery when wet. Real flagstone costs more upfront but ages beautifully, provides better traction, and just feels right under your feet or wheelchair wheels. Same with the raised beds – I built them from cedar instead of those plastic kits because real wood weathers in a way that looks natural over time.
Maintenance was a concern initially. I worried that creating a more complex garden would mean more work, and my wife certainly couldn’t do heavy maintenance anymore. But I learned that well-designed natural systems actually become easier to maintain over time. Native plants establish their own balance. Properly designed drainage prevents most problems. The key is working with natural processes instead of fighting them.
I started incorporating what I call “managed natural” areas – sections where I planted native wildflower seeds and mostly let nature decide what grows where. My neighbors thought I was nuts at first, but now they stop by regularly to see what’s blooming. Last spring, I counted twenty-three different bird species visiting our quarter-acre lot. That’s twenty-three more than our old grass lawn ever attracted.
Climate considerations have become increasingly important too, especially here in Michigan where we get harsh winters. Traditional landscaping often fights local conditions, requiring enormous inputs of water and chemicals to maintain. Smart design works with regional patterns – using plants that thrive in our rainfall, incorporating natural drainage, creating microclimates that support local wildlife.
I’m currently helping our church design a memorial garden that will be accessible to elderly parishioners year-round. Instead of trying to create something that looks pretty for six months and dies back to nothing, we’re using evergreens for winter structure, plants that provide seeds for birds, and a small greenhouse where people can tend seedlings even in January.
The health benefits extend way beyond stress reduction too. Well-designed natural spaces encourage gentle exercise, social interaction, and what the researchers call “soft fascination” – the kind of gentle attention that allows your mind to rest and recover. My wife’s physical therapist says her balance improved significantly once she started spending regular time in the garden. My own arthritis pain is definitely better on days when I work outside.
What I find most encouraging is how accessible this approach can be. You don’t need acres or unlimited budgets. Even small patios can incorporate moving water, fragrant plants, and natural materials. I’ve helped friends create meaningful therapeutic spaces in areas smaller than most bedrooms. A simple fountain, some containers with herbs, a comfortable chair positioned to catch morning sun – it doesn’t take much.
The future isn’t about creating artificial nature preserves in our backyards. It’s about understanding how to weave natural elements into our everyday living spaces so they support our health and wellbeing as we age. Just like the old farmhouse porches where people used to sit in the evenings, watching the sky change and feeling connected to something larger than their own four walls.
Robert is a retired engineer in Michigan who’s spent the past few years adapting his longtime home for accessibility and wellbeing. He writes about practical, DIY ways to make homes more comfortable and life-affirming as we age — from raised-bed gardens to better natural light.



