A lot of people assume counselling for older adults means gentle chats about reminiscing, or support for dementia care. Sometimes it is that. Much more often, it is something harder to name, and harder to say out loud. What actually comes up In my practice, working mostly with older adults in Point Chevalier and at Tāhi Medical Centre inside Selwyn Village, the conversations tend to circle a small number of real, human concerns. Loneliness, especially once the roles and routi