隨著高齡人口數的增加以及平均壽命的延長，使得高齡者有更多的機會面對生命重大事件的衝擊；而「老年自殺」之問題，是國內近來備受關注的公共衛生議題，是近年來國內老人自殺死亡率高出整體平均自殺死亡率兩倍（朱若蘭，2003），可見高齡者的心理諮商輔導值得關注。其實許多高齡者擁有獨特的潛力、技巧與經驗，這些都能夠對社會服務貢獻；但不幸的是退休造成高齡者被排逐至社會的主流之外，縮減了他們對社會貢獻的機會，製造一種被隔絕、沒用的、失去生活目的等感受；使高齡者有機會回歸至社會的主流，感受到自己仍寸社會是有貢獻的，也可彌補從事高齡者諮商輔導專業人員的不足。 高齡者的諮商包含：一是對於現存問題的治療性的輔導，著重在潛能的發展勝過問題的解決；二是個人或團體討論的預防性的輔導，著重於技能的發展訓練、教育計畫與做決策；三是社區活動計畫以促進身體、心理與社會的健康。建議在進行高齡者的諮商輔導時，「關懷」、「誠信」與「同理心」是非常重要的，並讓高齡者在自己居住或活動環境進行諮商輔道，有助於諮商者更了解高齡者的處境，所以建議在進行高齡者的諮商輔導時，可以運用高齡者生活環境中的事物為開場白。最普遍影響諮商者與高齡者之間互動的因素，是雙方對老的認知與感受，且若能清楚刻板印象的迷思，有助於從事高齡的諮商輔導工作者避免去影響諮商關係的建立。 雖然生涯計畫是諮商輔導的一環，但將服務範圍拓展退休的適應與退休後的規劃是相當自然的；而調適高齡者對於本身身體周觀的認知將有助於提升其生活滿意度，這也來在高齡者的諮商輔導值得作進一步的研究與探討。另一個高齡者最常見的問題就是藥物濫用，所預從事高齡者諮商輔導人員應具備藥物的相關知識，以區分是心理的問題或是藥物過量所引起；最後，諮商輔導人員能夠協助高齡者克服對藥物的心理依賴，而這部份需求整合諮商輔導人員、護理人員、醫師以及其他相關專業人員的合作。

With elder population increasing and average life prolonging, make the elder have more chance face life great affaires de impact. The problem of elder commit suicide is domestic lately being concerned public healthy topic, and the elder suicide death rate high come out whole average suicide death rate two time in ten(Tzu Shang, 2003). It is obvious that psychology condition of the elder worth attention. Many elder person have unique potential, skill with experience being able to social service contribution; Unfortunately, retire is result in elder person arrange besides social leading trend, curtail they to society’s dedicatory chance, manufactured a kind of isolation, useless and lose. Making elder person have chance regress to social leading trend, feel oneself still to society needed. At the same time, there could made up engaging in elder person tutorship professional being lack. The consultation of elder is contained: 1. The consultation of exist problem is emphasized to develop excel problematic settle at potential; 2.The consultation of prevention with individual or group is emphasized in skill development training, educating plan and doing policy; 3.Community activity plan as promote body, psychology and social health. Suggestion to proceed elder person consultation, “caring”, “good faith” and “empathy” is always important. The most available situation of consultation is the elder person lived in or act environment. For assistantance to person much know the elder person, so suggestion that can exert elder person affairs for prologue in life environment. Most generally affection person with the elder person between interact de factor is both sides to old cognize with felling, and if can clear straitlaced impressional fan thought, assistant to engage in senile tutorship worker avoid go affection relation de establish. Though career plan is the element of consultation, the serve range should develop including the adaptation and arrangement after retiring. Transferring elder person towards in itself body objective cognization will assistant to promote it live degree of satisfaction, Another elder person most common problem is exactly medicine abuse, so personnel engaging in the consultation of elder person should possess medicine de relative to knowledge, as distinguishing between psychology problem or sickness cause. At last, personnel be able to assist elder person over come towards the psychology dependence of medicine, but there is needed integrations including taking care personnel, doctor and other relative to professional de cooperation.