Purpose of review: Depression is a common and disabling diagnosis in the elderly. Psychotherapy, both individual and group, has emerged as an important adjunctive treatment for late-life depression along with medications and neurostimulation therapies. This review seeks to summarize recent literature on group psychotherapy for late-life depression, define the type of therapies commonly used, and discuss both the theory and practice of group psychotherapy. Recent findings: Studies show that various group-based psychotherapies are effective for late-life depression, and there is increasing support for an integrated approach. Accommodations must be made to make therapy accessible and useful for the older adult. Our experience leading a geriatric psychotherapy group at University of Connecticut Medical Center is shared with the reader. Recent evidence-based clinical practice guidelines and other measures, published by the American Group Psychotherapy Association to assist the therapist, are briefly described as well. Summary: Group psychotherapy, in particular utilizing cognitive behavioral therapy and reminiscence therapy, is an effective intervention for late-life depression. © 2019, Springer Nature Switzerland AG.