How do Pride and the Psychology of Aging fit together? Well, let me tell you, there are an estimated more than 3 million LGBTQ folks over 50 living in the US. This number is expected to more than double to 7 million by 2030. Okay, but here’s the thing. These are just estimates the numbers are probably higher, but they’re estimates because the US Census hasn’t captured how many LGBTQ folks actually live in America.
Whether you’re working with older adults as a professional, caring for older LGTBQ loved ones, are an LGTBQ older adult yourself, or are an ally like me, we all need to be aware of the unique needs and challenges that LGBTQ older adults face as well as the strengths that they possess.
According to SAGE (Services and Advocacy for GLBT Elders), LGTBQ older adults are twice as likely to be single and live alone, and four times less likely to have children. They’re more likely to experience depression, discrimination, social stigma, and the negative effects of prejudicial treatment and as a result are more likely to face homelessness, poverty and have poor physical and mental health outcomes than heterosexual older adults. This is why it’s so important that there are organizations like SAGE.
SAGE is a national advocacy and services organization that’s been looking out for LGBT elders since 1978. SAGE builds welcoming communities and keeps LGBT issues in the national conversation which ensures a fulfilling future for all LGBT people.
Today, I am delighted to interview Dr. Tim Johnston, the Senior Director of National Projects at SAGE. In this role, Dr. Johnston oversees the SAGECare cultural competency training program, and national partnerships with other advocacy organizations. Dr. Johnston is the author of Welcoming LGBT Residents: A Practical Guide for Senior Living Staff, which is the first comprehensive book on how to create a positive and safer experience for LGBT older adults in senior living settings. And today, he’s going to share his expertise with us.
Here’s a look inside my interview with Dr. Tim Johnston:
By the end of this episode, you’ll have a deeper understanding of the unique needs of LGBTQ older adults, what LGTBQ seniors can do to enhance their physical and mental wellness, and what health providers and allies can do to to create affirming places for older LGTBQ folks.

Dr. Regina Koepp is a board certified clinical psychologist, clinical geropsychologist, and founder and CEO of the Center for Mental Health & Aging: the “go to” place for mental health and aging. Dr. Koepp is a sought after speaker on the topics of mental health and aging, caregiving, ageism, resilience, intimacy in the context of life altering Illness, and dementia and sexual expression. Dr. Koepp is on a mission to ensure mental health and belonging for older adults, because every person at every age is worthy of healing, transformation, and love. Learn more about Dr. Regina Koepp here.
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