Follow the case of Mrs J, an 86-year-old patient who presents to a psychiatrist requesting a benzodiazepine for her insomnia. Like many patients who are being treated for depression, Mrs J does not recognize the residual symptoms she is experiencing, but her psychiatrist uses several approaches including metrics and collateral information to identify her continuing symptoms. Once identified, pharmacologic and nonpharmacologic treatment strategies are considered based on her symptoms and age.