This article explored the psychosocial risk factors and characteristics that negatively influence wellness among older (65+ years) lesbian, gay, bisexual, transgender, and other nonheterosexual and/or gender-expansive (LGBTQ+) adults. LGBTQ+ affirmative wellness counseling techniques and interventions for counselors working with this population are presented using eight dimensions of wellness as a framework. Affirmative counseling approaches to enhance the emotional, environmental, financial, intellectual, occupational, physical, social, and spiritual dimensions of wellness are examined. Clinical considerations and further research are discussed.

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