Work and the structure it affords is one of the most important vehicles for the expression of worth in our society. With so much invested in the external world of position and achievement, threats to job security pose fundamental challenges to individual identity. Recent upheavals in the workplace-downsizings, early retirements, and corporate reorganizations-have shaken the psychological equilibrium of many of our clients, giving rise to feelings of despair and hopelessness. When disruptive and unwanted changes occur later in life, they become additionally tinged with latent concerns about aging and finding meaning as a mature adult.