Out On The Couch

Build Community in Group Therapy with LGBTQIA+ Individuals

Posted: 12-3-24 | The Affirmative Couch

High angle view of group of people sitting on chairs and talking to specialist

Group therapy isn’t just sitting in a circle and taking turns talking—it’s about working to build a community where individuals can learn, heal, and grow together. For sexuality-, gender-, and relationship-expansive individuals, this form of therapy can be transformative. It provides a safe space where participants connect with others who truly understand their experiences and fosters a deep sense of belonging. For those navigating anxiety, depression, trauma, or identity-related challenges, affirming group therapy offers a unique and powerful path to healing that goes beyond traditional one-on-one sessions.


How Group Therapy Helps Build Community

Group therapy has been a trusted therapeutic method for over 50 years, bringing people together under the guidance of a trained therapist. Group therapy can be used as a primary treatment approach or in conjunction with individual therapy.

What makes group therapy so powerful is its ability to combat isolation—something that is especially significant for LGBTQIA+ individuals who face rejection, discrimination, or stigma. Group therapy provides a safe, affirming space where individuals realize they aren’t alone in their struggles. Connecting with others who share similar experiences reduces shame and fosters a sense of belonging while giving clients skills to build community outside of therapy too! 

Beyond the therapist’s guidance, peer support becomes an essential part of the process, offering emotional validation and practical advice. Through group therapy, individuals can embrace their identities, develop self-acceptance, and build the resilience necessary to navigate life’s challenges.

LGBTQIA+ Issues Group Therapy Can Address


Managing Stress, Depression, and Anxiety
Stress, depression, and anxiety are rampant in our modern culture. LGBTQIA+ individuals often experience this to a much higher degree due to societal rejection and the complexities and challenges they face in their day-to-day. Group therapy helps individuals address these challenges in a space where they are understood and supported. The guiding therapist and group members can work collaboratively on strategies to build resilience and cope with these pressures in a supportive environment.

Navigating Identity and Self-Acceptance
Group therapy creates a safe space for exploring sexual orientation and gender identity without fear of judgment. Hearing from other gender and sexuality diverse members of the group can help individuals expand their own understanding of themselves. Participants can process their feelings, understand themselves more deeply, and embrace their true identities.

Dealing with Discrimination and Stigma 

Discrimination, both external and internalized, is a common experience for LGBTQIA+ individuals. Group therapy helps members share and develop strategies to manage discrimination and heal from the effects of stigma and internalized homophobia. While external discrimination and stigma are ongoing societal issues that are not solvable in therapy, it is helpful to share these issues with a group that understands the struggle. As affirmative therapists, we know one of the primary resilience factors to combat gender minority stress is helping clients build community. 

Gender Dysphoria and Transitioning
For transgender and non-binary individuals, being part of a group of gender-diverse folx all in different stages of their transitions allows for meaningful discussion. Such group therapy provides an affirming space to explore gender identity, process feelings related to dysphoria, and navigate the challenges associated with transitioning. Members can learn from each other’s experiences and find new outlooks that may positively challenge their thinking.

Relationship and Family Issues
Many LGBTQIA+ individuals face strained relationships with family members or partners due to their identity. Group therapy offers a space to process these complexities, share similar experiences, and learn how to navigate difficult relationship dynamics.

Feeling Normal
Group therapy allows LGBTQIA+ individuals to address personal issues without always centering their queerness or feeling othered by that intersection. It creates a space where they can focus on general life challenges, all while knowing they’re supported by a community that understands them and the complexities involved with being LGBTQIA+.

Important Affirmative Practices for Group Therapy

1. Create a Safe and Affirming Space

Therapists must foster an environment where all members feel heard and respected. This is achieved through inclusive language, respecting pronouns, and ensuring members feel comfortable sharing at their own pace. For more information on this, read our blog, 5 Ways To Create a Welcoming Space for LGBTQIA+ Clients.

2. Set Group Guidelines
Clear guidelines around confidentiality, respect, boundaries, and inclusivity are essential. Participants should feel in control of what they share while ensuring sensitive topics are handled thoughtfully to protect everyone’s well-being.

3. Facilitate Honest Communication
Group therapy thrives on open, honest communication. By encouraging members to share their experiences with identity, relationships, and personal struggles, therapists can facilitate a foundation of empathy and mutual understanding.

4. Incorporate Intersectionality
It’s important to recognize that the experiences of LGBTQIA+ individuals are not monolithic. Factors such as race, culture, and disability intersect with their sexual and gender identities, influencing their mental health. Affirmative group therapy takes these intersections into account to provide holistic care.

5. Manage Negativity and Microaggressions Within the Group
Even in affirming spaces, negativity and microaggressions can occur. Gathering a group of individuals each with deep hurts can create unique challenges. Therapists must address these situations promptly and sensitively to maintain a safe and inclusive environment for all participants.

In Conclusion…

Group therapy goes beyond individual therapy by creating a powerful space to connect, heal, and grow within a community. It provides essential tools and unique opportunities for personal growth and self-acceptance that individual therapy may lack. By combining the guidance of a trained therapist with the strength of peer support, affirming group therapy empowers LGBTQIA+ individuals to embrace their authentic selves and overcome the challenges they face.

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