Background
Person-Centered Therapy (PCT) emphasizes the client's perspective in facilitating behavioral change. While PCT has been applied in various contexts, its effectiveness in addressing mistreatment of older adults, particularly within Asian cultures, is underexplored. Older adults experiencing abuse often face psychological distress and reduced self-efficacy. Practitioners play a crucial role by guiding interventions and supporting clients through complex challenges. This case study examines how PCT can assist older adults in abusive situations, focusing on a clinical intervention with a 75-year-old woman living with her abusive brother.


Objectives
The primary objectives were to evaluate the effectiveness of PCT in helping the client build motivation for behavioral change and improve self-efficacy through incremental goal-setting. Additionally, the study aimed to assess how the structured nature of PCT enabled the client to confront her abusive circumstances and achieve a greater sense of safety.


Method
This qualitative case study involved a Chinese-speaking client aged 75, identified through community screening for abuse. The intervention included four sessions spanning over two months, focusing on collaborative goal-setting and rapport-building. The initial session emphasized exploring motivations for change, while follow-up sessions assessed progress and reinforced motivation.


Results
The PCT approach effectively enhanced the client's motivation and self-efficacy. By starting with small, manageable goals—such as increasing physical activity—the client experienced success that boosted her confidence. Open dialogue and reflective listening allowed her to identify strengths and pursue social support. By the final session, she reported improved self-efficacy and decided to apply for separate housing to leave the abusive situation.


Conclusion
This case study illustrates that the person-centered approach can effectively promote positive change among older adults experiencing abuse. The structured yet flexible nature of PCT, complemented by practitioners' support, empowers clients to achieve meaningful changes and enhances their sense of safety and autonomy. Further research is needed to explore the application of PCT with older populations affected by abuse.