Palliation aims to reduce suffering, minimize pain, and increase comfort. Treatment is focused explicitly on improving quality of life rather than altering the natural course of illness. How does this apply to psychotherapy? It may mean that although the patient will not stop being self-involved, impatient, petulant, self-sabotaging, and so forth, the doctor can nevertheless continue to help the patient locate and use remaining strengths. Doing so generally improves self-regard and gives both a needed sense of accomplishment. Loneliness reduction is another goal. Palliative psychotherapy can use elements of psychodynamics, cognitive-behavioral therapy, psychopharmacology, pastoral counseling, coaching, and common sense. The criterion for application of a specific technique is not ideology but pragmatism: whatever helps the patient feel better and improves his or her life. Palliative psychotherapy is for those patients whose unyielding constellation of character problems feels terminally unmodifiable, yet who continue to seek some form of relief.