Unique Challenges with Aging in the LGBTQIA+ Population

Written By Graham Gallivan

Growing older and moving through new chapters of life is a universal experience, but not necessarily uniform in outcomes. As we age, change is a natural part of the process, and with that comes new challenges. For those who identify as LGBTQIA+, aging often comes with a unique set of challenges that the general society may not fully understand.

These challenges circle around social stigmas, discrimination, and systemic barriers. While society has made significant progress in achieving equity and inclusion, disparities still exist in healthcare access, legal protections, social support, resources, and financial security.

Any of these struggles can deter the willingness to seek help with the aging process. Recognizing and understanding the unique hurdles can make all the difference in obtaining the proper support.

The Weight of Historical Trauma

Many older adults who identify as LGBTQIA+ have had to endure decades of their identities being criminalized, forcing them to hide themselves from public view. The Stonewall riots of 1969 were fueled by police brutality and discriminatory practices. That event became a pivotal moment for LGBTQIA+ rights, sparking widespread protests and activism. Even still, same-sex marriage wasn't made legal until 2015.

Inequality led to many people living in secret and being constantly hypervigilant. These habits don't go away overnight. They lead to chronic stress that is much more compounded than the average age-related stress. Higher stress levels can, in turn, lead to an increased likelihood of anxiety, depression, isolation, or other mental health issues.

For some people, this stress and trauma can be passed down from generation to generation, making it more of a universal problem. Your ancestors' experiences may influence your own aging process.

Healthcare Fears and Discrimination

As we all age, it's safe to assume there will be more medical management and care required. One very pressing challenge facing many LGBTQIA+ individuals is trying to navigate the healthcare system, which isn't always the most affirming or knowledgeable of specific needs.

Experiencing any discrimination or receiving ineffective care can easily lead to mistrust of the system as a whole. When faced with situations where there is a facility stay involved, there can be this pressure to go back "in the closet" for fear of being judged or mistreated.

The thought of having to hide or revert to previous habits can be enough to deter seeking necessary treatment.

Chosen Family vs Biological Family

Typically, the aging process involves relying on family in new and unexpected ways. For LGBTQIA+ individuals, the definition of family often leans towards this concept of chosen family.

While chosen family may include biological family members, it essentially involves close friends and partners. Unfortunately, in the legal and healthcare realms, chosen family has little to no legal recognition or authority. When it comes to important medical and financial considerations, they're not able to help.

If your biological family members are estranged or unsupportive, you may be put in a position where you have to face these challenges alone. Even when you have family members who accept you, there are still added complexities around decision-making, inheritance, caregiving, and other legalities.

Financial Insecurity

Despite any strides, there are still higher rates of discrimination in the workplace for the LGBTQIA+ community. This means potentially lower earnings, benefits, and retirement savings.

With legislation ever changing, there are potential accessibility concerns for spousal benefits as well. There is also no certainty or security that this will become a more straightforward process.

Finding Support that Understands

If you're facing challenges as an LGBTQIA+ individual and are concerned with navigating these as you move through the aging process, you don't have to handle matters alone. Working with a therapist who understands and affirms LGBTQIA+ issues can provide crucial support.

Together, we can address your concerns, process any stress or trauma, develop a plan for the future, and establish ways to stay connected. Are you ready to explore LGBTQIA+ therapy further? I'm here to help!

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