Promoting an affirming, competent practice with older lesbian and gay adults

The American Psychological Association's Practice Guidelines for older adults and for lesbian and gay (LG) clients encourage psychologists to increase their awareness of the unique stressors faced by older LG adults. Psychologists are increasingly likely to see an older LG client in their practice as the number of LG elders is expected to swell to nearly 7 million within the next decade, in tandem with the aging of the general population. This article promotes LG-affirming practice and competence by reviewing issues related to stigma and discrimination, physical, sexual, and mental health disparities, legal issues, and barriers in long-term care, as well the capacity for adaptation and resilience evident in many LG older adults. The importance of racial and ethnic group membership and age cohort in the experience of aging among LG adults is discussed. Case examples, resources, and recommendations for practice, advocacy, and research related to LG aging also are provided.