Purpose of Review <p>This review outlines the utility of psychodynamic psychotherapy for older adults, particularly whether it is a valid and evidence-based treatment compared to other psychotherapies, its indications, and special considerations.</p> Recent Findings <p>Psychodynamic psychotherapy includes a family of related therapies based in psychoanalytic theory that can be short-term or long-term, structured or unstructured, and with variable amounts of experiential (i.e., emotion-focused) components. Short-term psychodynamic psychotherapy is listed as an evidence-based practice for geriatric depression by the American Psychological Association. More recently, emotional awareness and expression therapy (EAET), a structured, time-limited, and highly experiential psychodynamic treatment has shown substantial efficacy for older adults with chronic pain.</p> Summary <p>Psychodynamic psychotherapies, especially EAET and other short-term structured approaches, are evidence-based for older adults with depression and chronic pain. Most older adults are appropriate for psychodynamic therapy, as long as they have some preserved capacity to learn and a motivation to self-reflect.</p>