The world population is ageing, and China is no exception. The Chinese government attaches great importance to older adults’ mental health in the increasingly ageing society. This study adopts a qualitative research approach to investigate how Narrative Therapy is applied from three dimensions in geriatric social work in the Chinese Mainland. There follows a discussion of the relationship between the three dimensions. It concludes with a recommendation on how to improve indigenization and specialization and build an evaluation tool combining qualitative and quantitative modes to promote better application in geriatric social work.