Lbian, Gay, Bisexual, Transgenr, Queer, and Intersex (LGBTQI+) | SAMHSA

Contents:

• ISSU ARISG PSYCHOTHERAPY WH LBIAN, GAY, BISEXUAL, AND TRANSGENR PATIENTS
• APA’S GUIL FOR PSYCHOTHERAPY WH LBIAN, GAY AND BISEXUAL CLIENTS: THE FUNDAMENTALS FOR PRACTICE
• PSYCHOTHERAPY FOR GAY AND LBIAN CLIENTS
• ISSU PSYCHOTHERAPY WH LBIAN AND GAY MEN: A SURVEY OF PSYCHOLOGISTS
• LBIAN, GAY, BISEXUAL, TRANSGENR, QUEER, AND INTERSEX (LGBTQI+)
• THE GAY AND LBIAN PSYCHOTHERAPY TREATMENT PLANNER
• QUEER & GAY BERL: YOUR GUI FOR LGBTQ+ BERL

ISSU ARISG PSYCHOTHERAPY WH LBIAN, GAY, BISEXUAL, AND TRANSGENR PATIENTS

Although a person’s sexual or romantic orientatn or genr inty may not be a source of distrs, people who intify as lbian, gay, bisexual, transgenr, queer, qutng, asexual, or any other orientatn or genr inty may fd that the social stigma of livg as a mory is a source of strs or anxiety. Acrdg to a 2007 survey, stunts who intified as lbian, gay, bisexual, or transgenr were almost ten tim as likely to have experienced bullyg and victimizatn at school and more than twice as likely to have nsired suici as their heterosexual, non-transgenr classmat wh the prev year.

APA’S GUIL FOR PSYCHOTHERAPY WH LBIAN, GAY AND BISEXUAL CLIENTS: THE FUNDAMENTALS FOR PRACTICE

Early edns of the Diagnostic and Statistil Manual (DSM) intified homosexualy as a mental disorr, until clil rearch monstrated sexual or romantic attractn to someone of the same genr is a normal, healthy, posive form of human sexualy. In this article, the abbreviatn LGBT is ed as shorthand for a wi range of inti, sometim wrten as LGBTQQI+, meang lbian, gay, bisexual, transgenr, queer, qutng, and tersex, wh the + ditg that the list do not leate all possible sexual and genr inti.

A lbian, gay, bisexual, or transgenr inty is evably lked to multiple inti: child, parent, spoe and/or partner, siblg, profsnal, employer, employee, ngregant, patient, or if a patient’s LGBT inty is not the primary foc of treatment, s impact on the urse of treatment should not be unrtimated or overlooked. Lendg support to that observatn is the fact that 30% of homels youths are LGBT, most often rultg om beg forced out of their home or feelg a need to n away om home bee their sexual orientatn, genr inty, and/or genr exprsn are not accepted (15) the nsequenc of wispread negative attus toward LGBT dividuals, is not surprisg that they may be unable to acknowledge to themselv, or reveal to others, any homoerotic feelgs, attractns, or fantasi. Clil prentatns related to beg the closet n vary severy, om the ls tense se of a young adult man nsirg the possibily that he might be gay to more severe maniftatns, which any ht of same-sex feelgs ris totally out of nsc awarens.

PSYCHOTHERAPY FOR GAY AND LBIAN CLIENTS

Stayg the closet is sometim done for relig reasons; at other tim is due to personal choice, such as an dividual’s efforts to mata a stable, heterosexual, cisgenr Out of the ClosetGay people the pre-war years, then, did not speak of g out of what we ll the “gay closet” but rather of g out to what they lled “homosexual society” or the “gay world, ” a world neher so small, nor so isolated, nor, often so hidn as “closet” impli.

Herdt and Boxer (20) have scribed g out as a rual procs of passage requirg a lbian, gay, or bisexual person to unlearn prcipl of sentialist heterosexualy, unlearn stereotyp of homosexualy, and learn the ways of LGBT culture. The fantasied beliefs are often enabled, sometim even enuraged, by clicians who believe that two people talkg a room have the necsary tools to disver the origs of eher homosexual or transgenr realy, any “” rema unknown (26).

ISSU PSYCHOTHERAPY WH LBIAN AND GAY MEN: A SURVEY OF PSYCHOLOGISTS

Harry Stack Sullivan hypothized that children who ultimately beme homosexual as adults were members of the “out-group, if only wh rpect to so-lled mutual masturbatn and other prumably homosexual activy which went on this group of boys as preadolcent pals” (34).

LBIAN, GAY, BISEXUAL, TRANSGENR, QUEER, AND INTERSEX (LGBTQI+)

They allowed for the possibily of a lbian, gay, or bisexual person beg sufficiently mature to bee heterosexual, if they are motivated enough and have aquate adult (meang heterosexual) etlogil theori are not formulated an objective vacuum.

THE GAY AND LBIAN PSYCHOTHERAPY TREATMENT PLANNER

Richard Isay (36) reported that the gay male patients he treated often sought him out as an openly gay psychoanalyst bee they had ncerns that heterosexual therapists would not treat them wh appropriate empathy, rpect, and should not assume that therapists who intify as LGBT themselv will herently have greater sight to the issu that brg LGBT patients to treatment.

QUEER & GAY BERL: YOUR GUI FOR LGBTQ+ BERL

Transferenc will velop whether or not a patient knows a therapist is LGBT—or whether the patient knows anythg else about a therapist for that matter (47) (36) noted that gay therapists livg closeted, profsnal liv may have a untertransferential need to hi, particularly if or when they experience their own homosexualy as somethg secretive and shameful. Given the strsors that LGBTQ+ groups mt nont, such as homophobia, societal discrimatn and prejudice, g out, and negotiatg fay relatnships, fdg a therapist that is openly LGBTQ or specializ Lbian, Gay, Bisexual, Transgenr issu n offer some support and healg. The LGB Guil at a Glance The “Guil for psychotherapy wh lbian, gay and bisexual clients” (APA, 2000) were created to help psychologists intify the fundamental issu unique to the asssment and treatment of LGB dividuals, upl, and fai.