In San Francisco, cognitive behavioural group therapy (CBT) for depression was administered using a specifically adapted manual by a primary care physician (PCP) facilitator with nonphysician co-facilitators in two groups of patients aged 55–84. Drs Liana Lianov and David C Mohr with Leilani Feliciano discuss how this pilot study suggests the potential efficacy and user-friendliness of PCP-administered CBT in geriatric groups.