There are possibilities for growth and change throughout life, including old age. Therefore psychotherapy is useful with older people, although it is less commonly practiced than would be appropriate. It is also a valuable part of the general treatment program for a variety of emotional and mental conditions among the elderly, not excluding those with varying degrees of organic brain disorder. Unfortunately, many psychotherapists resist undertaking psychotherapy with older people, and many older people themselves look upon their situation as futile. Consequently, in this chapter, these obstacles to treatment must be considered in addition to general therapeutic principles and common themes. (63 pp.)