In Older Couples , Dr. Paula Hartman-Stein demonstrates her approach to conducting therapy with couples in their later years. Working with older couples involves many issues not common in therapy with younger people, including issues surrounding illness, cognitive impairment, and physical decline, all of which generally cause some stress in marital relationships. Hartman-Stein's approach is to teach couples better ways to cope with the challenges of aging with the resources they have available. In this session, Dr. Hartman-Stein works with a couple in their early 60s who have become entrenched in negative patterns of interaction. After performing an assessment, she builds rapport with the couple and begins the work of instilling hope.