“Exceptionally well written and thoroughly researched, this book is an ideal desktop companion for any busy CBT clinician. Steffen's vast experience shines through on every page; the case examples highlight her warmth and humanity as an exceptional, caring therapist. I appreciate that the book covers clients in midlife—a much-neglected developmental stage—as well as old age. The final chapter, on aging as a therapist, affords rare insight into how competence, knowledge, and humility develop in helping professionals.”

—Ken Laidlaw, PhD, Professor Emeritus of Psychology, University of Exeter, United Kingdom; Consultant Clinical Psychologist, NHS Highland


“Few clinicians receive specific training for working with clients over 50, yet this expertise is increasingly needed as the population ages. Steffen challenges ageism by emphasizing the wide variability in older adults’ experiences, beliefs about aging, and capacity for meaningful change. The book offers valuable guidance for getting to know older patients as individuals and helping them navigate common concerns, including anxiety, depression, grief, chronic pain, and other health challenges. Steffen also addresses such difficult but essential topics as elder abuse, diminished capacities, and end-of-life care. Clinicians will find insights that deepen their understanding of aging not only in their clients but also in themselves and their loved ones.”

—Deborah Roth Ledley, PhD, private practice, Philadelphia