Benefits Of LGBTQ Therapy

LGBTQIA-specific therapy conducted by licensed therapists provides affirming care for individuals whose gender identity and/or sexuality generally differ from those who identify as cisgendered (gender and/or expression aligns with sex assigned at birth) and heterosexual (attracted to the opposite sex). 

LGBTQIA+ affirming therapy or counseling provided by licensed therapists is a valuable resource for the LGBTQIA+ community. Finding the right therapist who understands the challenges of gender transition, gender nonconforming identity, and discrimination can be critical to resolving mental health issues, relationship issues, and anger management. The LGBTQ therapy and counseling space can offer a safe, supportive space to discuss lesbian, gay, bisexual, and gender nonconforming concerns, providing immediate help and affirming therapeutic care from licensed LGBTQ therapists.

The community that LGBTQ therapy supports

LGBTQ stands for lesbian, gay, bisexual, transgender, and queer. This term has evolved over time, and more inclusive terms now include LGBTQIA (which adds an “I” for intersex and an “A” for asexual), LGBTQ+ (the ‘+’ refers to other identities not specifically referenced in the acronym), or QUILTBAG (queer and questioning, unsure, intersex, lesbian, transgender and two-spirit, bisexual, asexual and aromantic, and gay and genderqueer). The word “queer” may sometimes be used as a blanket term to encompass all the identities within the LGBTQ community. However, not all people within the LGBTQ community are comfortable with this terminology, so ask the person before using a word to refer to them, and choose whichever term is most comfortable for you.

In addition to LGBTQIA individuals, the American Psychological Association also includes a diverse array of sexual minorities (including pansexual, queer, fluid, and asexual), expressions (such as gender non-conforming and androgynous), and gender identities (including transgender, third gender, genderfluid, transitioning, and gender non-binary) under the umbrella of the people who may benefit from LGBTQ+ affirmative therapy or counseling with a licensed therapist.

What is LGBTQIA+ affirmative therapy?

Licensed therapists who specialize in providing affirmative care to LGBTQ clients are educated on gender identities, expressions, and sexual orientations. These therapists provide counseling and therapy services for LGBT+ clients who are navigating negative experiences, trauma, and mental health concerns related to stigma and minority stress. In addition, LGBTQ therapists can be a helpful resource for people who are currently exploring or questioning their sexuality or gender, or who are experiencing gender dysphoria. LGBTQ+ therapists who practice affirmative therapy are held to a high standard for providing conscientious and empathetic gender-affirming counseling and therapeutic care. Affirmative therapy with a licensed therapist is much more appreciated than therapy focusing on conversion since conversion therapy statistics show that conversion therapy is harmful and ineffective.

Helpful statistics

Living as part of the LGBTQ community can come with unique challenges due to pervasive homophobia, transphobia, and heterosexism. These factors can lead to social stigma, minority stress, and the increased risk of violence. Bullying, discrimination, and a lack of family acceptance or outright rejection are common LGBTQ youth-related problems. Seeking counseling from a licensed therapist who specializes in working with the LGBTQ+ community can be a valuable source of support and guidance for individuals who identify as queer—particularly those who are younger. Many studies and surveys have indicated the prevalence of discrimination and its mental health effects on queer people, including the following:

• A survey from The Trevor Project found that 45% of youth who identify as LGBTQIA+ considered suicide or experienced suicidal ideation in 2022.
• A 2019 survey found that 86% of LGBTQIA+ youth reported harassment or assault at school. 
• 30–60% of people who identify as queer are estimated to experience anxiety or depression at some point, which is 1.5 to 2.4 times higher than the rates at which cisgendered heterosexual individuals may. 
• One long-term study found that transgender individuals were six times more likely to have an anxiety or mood disorder, and six times more likely to attempt suicide than individuals without gender incongruence. 
• In 2022, 60% of youth who identified as LGBTQIA+ and wanted to get mental health services like LGBTQ affirmative therapy were not able to do so.

Identifying with a gender identity besides “cisgender,” a gender expression besides “gender-confirming,” or a sexual orientation besides “heterosexual” does not make someone more likely to experience a mental illness in their life. However, the lived experience of LGBTQ+ mistreatment does. While many spaces are still not inclusive, affirmative therapy with an LGBTQ therapist can provide a safe space for these individuals to process and understand their lived experiences, get connected with other therapeutic support services or peers, and receive gender-affirming care. To find a therapist that offers therapy and counseling in this area, consider both in-person and online therapy services for LGBTQ adults.

LGBTQIA+ stigma in healthcare settings

Almost one in six LGBTQIA+ adults have experienced stigma and discrimination in a healthcare setting, leading 1 in 5 individuals in this community to avoid seeking out healthcare services due to fear. Those who experience discrimination also tend to experience a higher risk of heart disease and high blood pressure, making it even more important for them to receive routine healthcare. Reachable, affirming care is lacking in both physical and mental health services. Non-binary clients, for instance, often have trouble relating to therapists or experience outright prejudice and discrimination. They may struggle to find a therapist with experience treating gender dysphoria or offering counseling and mental health resources to gender-diverse individuals.

Finding a therapist

If you identify as LGBTQIA+ and you’re searching for a therapist, you can use these suggestions to find a therapist with expertise who may be a good fit:

• Seek a therapist who states that they provide LGBTQ-affirming therapy or counseling. 
• Read up on the therapist, their client focus, and their specialties to learn more about their experience in LGBTQ therapy. 
• Ensure they are licensed and check their educational background and years of experience in LGBTQ therapy. 
• Look for a therapist you think you could feel comfortable talking to during a therapy session. For example, you may be more at ease or understood when working with an LGBTQ therapist who has the same identity as you. 
• Make a list of questions to ask the therapist during a phone interview or first therapy session, one of which might be about their past experience providing therapy to people with your identity or in your situation. If you are transgender and you need your therapist to write a letter supporting gender-affirming medical care or changes to legal documents, ensure they know how to navigate this process. 
• If you’re uncomfortable calling a therapist out of fear of misgendering, you may want to consider having a friend or family call for you to book your initial therapy appointment. 
• If you decide your therapist is not a good fit, it’s okay to look for someone else. It’s important to find the right therapist to get the most out of your therapy sessions.
• When looking for a therapist, consider whether you’d like to try individual therapy, couples therapy, or family therapy and whether you want to receive in-person or online therapy.
• If you’re unable to find a therapist who offers LGBTQ-affirming therapy in your area, consider online therapy. Online therapy and counseling can be just as effective as in-person therapy, and seeing a therapist online may be more affordable than seeing a traditional therapist.

Mental health tips for LGBTQIA+ individuals

In addition to seeking LGBTQ affirmative therapy or counseling with licensed therapists, there are other actions you can take and resources you can use to help maintain or improve your mental health as an individual of the LGBTQ+ community:

• Find a safe space or other accepting and supportive environment, which may be in-person or online.
• Find the nearest LGBTQIA+ community health center, which gender-diverse people often consider to be valuable resources. They may also point you toward a therapist who offers free or affordable affirming therapy.
• For students, join a student-run Gender & Sexualities Alliance Network to build resilience in the community and organize with other youth who identify as LGBTQIA+. 
• Read about LGBTQIA+ journeys on the It Gets Better Project website. 
• Read books and listen to podcasts created by people whose gender and/or sexuality do not conform with societal expectations, which can provide a sense of connection, joy, improved self-worth, and acceptance. 
• Consider incorporating preventative practices, even if you’re satisfied with your current state of mental health. These may include talking about your feelings with friends and/or family, getting enough sleep, practicing positive self-talk, eating a balanced diet, staying physically active, socializing, volunteering, and practicing mindfulness or meditation.
• Consider calling a hotline if you don’t know where to get resources or you’re looking for someone to talk to. If you’re worried that you or someone you know is in danger, call emergency services immediately (911 in the United States). 

Support hotlines

Hotlines that are available to support LGBTQIA+ people 24/7 include the following:

• LGBT National ​Hotline: 1-888-843-4564
• Trans Lifeline: 1-877-565-8860
• The Trevor Project: 1-866-488-7386
• National Domestic Violence Hotline: 1-800-799-SAFE (7233)
• National Suicide Prevention Lifeline: 988
• Crisis Text Line: Text HOME to 741741

Affirming therapy

Some of the most common mental health challenges among people who identify as LGBTQIA+ are anxiety disorders, major depressive disorders, and substance use disorders, all of which can be treated by licensed LGBTQ-affirming therapists. A six-week therapist-guided online intervention for anxiety and depression was effective in reducing symptoms for the 46 participants. A greater reduction in symptoms was observed in the online-delivered treatment recipient group as compared to the control group. During cognitive behavioral therapy sessions, therapists help their clients identify inaccurate beliefs about the world, themselves, their work life, and their future and reshape them to target maladaptive emotional and behavioral responses. 

Online support options

If you are struggling to schedule an appointment with an in-person therapist, or if you prefer attending therapy sessions from the comfort of your own home, you might want to try cognitive behavioral therapy with an online therapist. Therapists who provide affirmative therapy can incorporate CBT techniques into therapy sessions, which is shown to be efficacious. If you’re interested in virtual affirming therapy with an LGBTQ therapist, an online therapy platform like BetterHelp can match you with a licensed, affirming therapist based on your needs and preferences. You can meet with the therapist via phone, video call, and/or online chat to get counseling and address the challenges you may be facing.