This document discusses physical, cognitive, social, and personality development during middle adulthood (ages 40-65). Physically, people begin to lose height and strength and experience changes related to aging. Cognitively, most middle-aged adults remain mentally sharp. Socially, adults may experience empty nest syndrome or become part of the sandwich generation, caring for both children and parents. In terms of personality, midlife can bring a crisis as adults reflect on their life and legacy through generativity or stagnation. Work also impacts this stage as some adults experience job burnout or switch careers.