Old age may involve a sense of loss which needs working through if psychological health is to be achieved. Rigid ideas about the capabilities of the elderly may lead to a failure to explore useful therapies. Expressive therapy in a group proved to be a fruitful way forward for elderly patients in a day hospital. Fifteen structured sessions were held, which involved role play, art and music. The therapists hoped the clients would gain some insight into their potential strengths and also an acceptance of their limitations.