Abstract
As older adults grow increasingly dependent on their adult children, family roles shift, and multiple unfamiliar demands are placed on caregivers, which puts older adults and caregivers at increased risk for mental illness. When older adults are able to overcome barriers to accessing mental health services (e.g. stigma), psychological therapies are effective when used on their own or in combination with psychotropic medication. This chapter describes a variety of psychological therapies for older adults coping with depression, anxiety, dementia/cognitively impaired disorders, and personality disorders. In addition, numerous resources are offered to help older adults and their family members clarify the necessary changes that must be made to cope with losses and preserve meaning and hope. The chapter highlights several ways to deliver care, including upskilling of existing primary care staff, stepped care, collaborative care, and referral to a mental health specialist in the community.