Counseling LGBT elders

Abstract

Although little empirical information exists on what constitutes effective psychotherapy specifically for LGBT elders, gay affirmative treatment approaches are increasing among practicing clinicians. LGBT elders as a specific population have certain unique issues that should be considered by clinicians when providing psychotherapy and counseling. While not all issues pertain to every individual, concerns about coming out, internalized oppression, sexual minority stress, and stereotyping are issues that should be considered by clinicians when counseling LGBT elders. Having an understanding of these issues promotes culturally competent practice. Using a gay affirmative approach in counseling allows the clinician to utilize different theoretical psychotherapeutic approaches when working with LGBT elders. Cognitive-behavioral therapy, person-centered therapy, and existential therapy lend themselves to effective counseling strategies when combined with a gay affirmative approach. Other theoretical approaches may also be equally effective with LGBT elders. Besides individual counseling, LGBT elders may benefit from group therapy, couples counseling, or pastoral counseling if indicated.