Dramatic increases in life expectancy within the older population have revealed challenges specific to older adults, yet these are rarely addressed in the personcentered literature. In this paper, we offer the perspective of adults experiencing old age, using the case of a 74-year-old older client as well as research that supports the various challenges expressed by the client. We explore several psycho-emotional challenges experienced by older adults – cognitive capacity, time perspective, autonomy, loss and reminiscing, and the aging body, in order to facilitate understanding of their specific needs. We argue that, for older adults, an empathic approach is key to creating relational depth within a therapeutic relationship so that...