Objective : This study explored the effects on performance and satisfaction, depression, and quality of life in elderly stroke patients by mental practice by applying a client-centered approach. Methods : From February 15 to March 12, 2021, client–centered mental practice were conducted to 10 hospitalized patients over 65 years of age diagnosed with a stroke in three times a week for 30 minutes, a total of 12 sessions. To confirm the effectiveness, the Canadian occupational performance measure(COMP), Korean version of Beck Depression Inventory-Ⅱ(BDI-Ⅱ), and the Geriatric Quality of Life(GQOL) were evaluated before and after the practice. Results : As a result of applying client-centered mental practice, there were significant differences in both work performance and satisfaction (p<.05), and as a result of comparing after intervention between groups, there was a significant difference in work satisfaction (p<.01). There was a statistically significant difference in all depression changes (p<.05), and there was a significant difference after intervention between groups (p<.05). All of the quality of life changes showed statistically significant differences (p<.05), and there were significant differences after intergroup interventions (p<.05). Conclusion : Client-centered mental practice can have a positive impact on improving the performance and satisfaction of elderly stroke patients, reducing their depression, and improving quality of their life. This training is expected to be available in the future for elderly stroke patients.