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The demography of ageing shows that not only is the total population getting older, but we are also witnessing ageing. There is a lack of deep reflection on the lifetime gained. Economic and social inequalities, changes in the body with co-morbidities and physical illnesses, the need to carry on working into old age with reduced outlets, digitalization, and modernization are factors that can affect the mental health of people over 65 years old. Psychoanalytic theory and technique have proven validity in dealing with old patients; however, the work of analysts appears sparse, from the skepticism of Freudian origin, and very much oriented on the analyst's narrative, although still many analysts themselves continue to practice their profession even at an age classically defined as “older” and thus contribute to defining new relations of care. The Psychodynamic Diagnostic Manual (PDM) lacks specific treatment for old patients. Starting from literature insights, this paper will try to address the potential of analytical work even at an age usually considered alien to the psychoanalytic theoretical-technical model, focusing on therapeutic presence and the co-construction of a common space of acceptance and sharing, in which to redefine the concept of life.