Cognitive Behavioral Therapy With Older PeopleC ognitive behavioral therapy (CBT) is particularly appropriate as an intervention with older people as it is a pragmatic, jargon-free approach that empowers people to manage their problems more effectively through the transmission of coping skills, while adopting a "here and now" problem-solving orientation. CBT is attractive to older people because it presents straightforward rationales to redress problems in practical and effective ways. CBT empowers older people to believe that change is possible at any age, and while not always easy, change can occur through cognitive and behavioral methods of problem solving. Psychoeducation about the nature of maintenance cycles for depression and the anxiety disorders provides helpful coping strategies that can be adopted immediately. The simple, but not simplistic, explanations of how to identify and challenge cognitions and strategies for behavioral change provide older people with tools they can use positively for themselves and pass on to younger generations in their extended families. 1 Depression and anxiety disorders in later life are often misunderstood as occurring as a "natural" consequence of challenges and losses associated with aging. Depression is therefore often underrecognized, underdiagnosed and undertreated in older people, with poorly treated depression associated with higher mortality rates and higher health care utilization costs (Pocklington, 2017). Nevertheless, depression is not an outcome of old age, and it is treatable, with rates of major depressive disorder lower than those in working-age adults (Fiske et al., 2009). CBT with older people has established itself as a mainstream 1 Clinical examples are disguised to protect patient confidentiality.