<p>Older adults may experience age-related stressors and significant mental health issues, including anxiety and mood related disorders. There is currently limited evidence regarding psychodynamic or psychoanalytic psychotherapy among the older population. This systematic review aimed to assess psychodynamic or psychoanalytic psychotherapy principles among older adults. A literature search using the key words ‘psychodynamic’ ‘psychoanalytic’ ‘psychotherapy’ ‘elderly’ ‘geriatric’ ‘old’ ‘older’ was undertaken by two independent reviewers as per selection criteria. Inclusion criteria included published full-text papers in English between 1980 and 2024 which assessed the involvement of psychodynamic or psychoanalytic therapy principles among older adults. Exclusion criteria included reviews, meta-analyses, books, citations, conference abstracts, theses, or editorials. Thirty-five articles met inclusion criteria and of these, there were 15 case reports, 11 case series, 5 prospective studies, and 4 studies in relation to group therapy. Prospective studies showed clinical improvements among older adults, however behavioural or cognitive psychotherapy more often showed superior outcomes. Most group psychodynamic psychotherapy studies were descriptive but recommended psychodynamic group therapy as a beneficial treatment among older adults. Case series and case reports also primarily recommended psychodynamic or psychoanalytic therapy as a potentially effective treatment which may improve self-reflection, depressive or anxiety symptoms, relationships, and overall functioning. Psychodynamic and psychoanalytic therapy may improve relationships and insight development, and may be a beneficial intervention among older adults for mental health issues such as depression or anxiety.</p>