This chapter presents the case of Al, a 65‐year‐old White male, who came to counseling as his housemate had threatened to leave him if he did not “work out his problems with dying”. The counselor focused on helping Al explore his eventual death without traumatizing him, address his sense of abandonment from his parents and God and his possible abandonment by his wife, and find more meaning and purpose in this late stage of his life. The use of principles from Adler, Beck, and narrative therapy and the infusion of spirituality into the counseling process empowered Al to reach these goals: revisit the losses he experienced throughout his life, find meaning amidst the trauma, perhaps reframe his core beliefs, and move through the stages of grieving toward acceptance. When used to address the developmental task of integrity versus despair, spirituality can provide hope and healing as well as coping mechanisms.