Urinary incontinence has been associated with depressive symptoms in older populations. This study explores coping strategies for urinary incontinence (UI) among adults ages 65+ with depressive symptoms. Analyses were based on 993 incontinent and 2492 continent respondents from the National Survey of Self-Care and Aging. UI was defined as the percent with difficulty holding urine 1+ times per week. Coping techniques included changes in social activities, avoidance of daily tasks and decreased physical activity. UI was reported by 28.7% of the population, increased steadily with age, and included 36.6% of those ages 85+. UI was associated with feeling lonely/blue (p<.0001) and being depressed (p<.001). Those with UI who were lonely or blue were significantly more likely to stay at home (36.5 vs. 28.1%), keep to themselves (17.9 vs. 13.3%), watch TV (61.8 vs. 51.9%), and pray or meditate (61.1 vs. 48.5%), compared to those who were lonely/blue without UI.  Having UI was also associated with being sedentary (p<.001) and limiting fluid intake (39.4 vs. 11.8%). Those with UI were more likely to avoid: gripping/opening things, walking, and bending/stooping (p<.001).  This study confirms previous results showing an association of UI with depressive symptoms. The current analysis suggests that UI coping techniques often adversely affect the quality of life by increasing risks related to social isolation, dependence and diseases related to sedentary lifestyle. These results indicate the need for social workers to carefully assess UI coping strategies and their potential impact on physical and mental health among older adults.