Older LGBTQ+ Adults
Dimensions of Wellness
Affirmative Counseling
Interventions
100

In addition to typical aging concerns, older LGBTQ+ adults frequently encounter these two issues related to their identities, negatively impacting their mental well-being.

What are stigma and discrimination?

100

This is the total number of dimensions included in the wellness model adapted by SAMHSA and discussed in the article.

What is 8?

100

This core principle of an affirmative approach views LGBTQ+ identities in non-pathological ways and as healthy expressions of human diversity.

What is non-pathological viewing (or affirming identities)?

100

An emotional wellness intervention suggested is writing a letter to one's younger self, noting the courage needed during this process. What is the name for this type of intervention?

What is a self-compassion intervention?

200

Compared to their cisgender heterosexual peers, older LGBTQ+ individuals experience disproportionately high rates of these mental health conditions.

What is depression and anxiety?

200

This dimension of wellness involves regulating one's emotions, flexibly expressing feelings, and finding ways to live more fully both independently and connected to others.

What is emotional wellness?

200

During the assessment process, affirming counselors must continually maintain awareness of how the wellness dimensions interconnect and are impacted by these client factors.

What are clients' contextual factors (e.g., sexual orientation, gender identity, age)?

Intersecting identities. 

200

For environmental wellness, counselors might encourage older LGBTQ+ clients to spend time outdoors or connect them to Meetup groups that engage in these types of activities.

What are outdoor and community-related activities?

300

What are some potential psychosocial risk factors for older LGBTQ+ adults?

 

What are social alienation, loneliness, and isolation?

300

Being surrounded by an adaptive environment that supports wellness, including access to fresh air and natural light, comprises this dimension.

What is environmental wellness?
300

What is intersectionality?

What is a concept that recognizes that clients' identities are intertwined with societal privilege and oppression due to other overlapping identities. 

300

Attending an LGBTQ+ chorus or learning to play a musical instrument are examples of activities that can stimulate this dimension of wellness.

What is intellectual wellness?

400

This specific sub-group within the older LGBTQ+ community faces significantly increased mental health risks, often due to limited social supports and increased internalized shame.

Who are older transgender adults?

400

This federal agency adapted the eight dimensions of wellness model for its wellness initiative.

What is SAMHSA?

400

Why must interventions for older LGBTQ+ adults be framed within cultural and historical contexts?

What is they allow for the client to feel affirmed, understood, and allows the counselor to adequately help them.

400

For many older LGBTQ+ adults, this term refers to individuals they consider family who are not biological relatives, and counselors should clarify and involve them in treatment.

What is "family of choice"?