Older adults face multiple age-related burdens. Although certain mental disorders are more common in the elderly, mental illness-in contrast to physical disorders-is less frequent than in younger individuals. Some clear differences related to gender have been identified in relation to mental disorders in these patients. Older women tend to suffer more frequently from depression and anxiety disorders, while addiction disorders, in particular alcohol abuse, and suicide are more prevalent in men. The importance of psychotherapy in addition to psychopharmacological medication in the treatment of older adults with mental disease has become increasingly clear. This particular patient group tends to be very motivated to work with their care provider; moreover, previously employed constructive coping strategies, as well as the extensive experience in handling problems can be great assets to the therapeutic process.