Old age is an age of problems. The deteriorating physical health will give rise to a lot of mental problems too. Loss of independence, slackening freedom of movements, a feeling of alienation from the society, loss of beloveds and companions of life, fear of being incapacitated or death may prevail during this time. These problems will produce a lot of changes in the way an individual things. Senile cognitive degradation is another problems. If the person is having other mental illnesses like depression, BPD, manias or phobias, senile dementia, Alzheimer's disease, or sense of being singled out the condition can be worse. Any effort to properly understand an old person's mental and physical conditions and helping him to cope up with these changing conditions is what a counselor can do.