Out On The Couch

Traumatic Invalidation and its Impact on LGBTQIA+ Clients

Posted: 8-21-23 | Rachel Jones

Traumatic invalidation carries significant implications for therapists working with LGBTQIA+ clients. It is crucial to understand what traumatic invalidation is, its discernible effects on LGBTQIA+ people, and how society contributes to an invalidating environment for historically marginalized communities. For mental health professionals, understanding and addressing traumatic invalidation within the context of working with LGBTQIA+ communities [...]

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Managing Conflict in Affirmative Therapy

Posted: 12-7-22 | The Affirmative Couch

Relationships between therapists and clients can involve vulnerability. Exploring topics related to identity is delicate work.  Both client and therapist may be impacted by their education, knowledge, and preconceptions. Moreover, therapy often requires discomfort. None of this is news but: but managing conflict while centering your client’s experiences takes skill and experience.

Affirmative therapy requires [...]

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5 Challenges Facing the LGBTQ+ Community

Posted: 6-29-22 | Andrew Kravig

The fight for LGBTQ+ rights has come a long way, but the battle for acceptance is far from over. Therapists working with clients who are members of the LGBTQ+ community commonly see elevated rates of mental health challenges in this population, including anxiety, depression, trauma, disordered eating, and even suicidal ideation (Young & Fisher-Borne, 2018). Many [...]

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The Trauma Impact of Cancel Culture

Posted: 3-30-22 | Amelia Ortega

 

 Over the last two years of the COVID-19 pandemic, community relationships have shifted  to a location primarily online. The centrality and importance of technology-mediated relationships is now an established interest within the fields of social work and psychology (Trepte et al., 2017, Okdie et al., 2018) along with social and relational conflicts like cancel [...]

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How online self-disclosure benefits LGBTQIA+ therapists with lived experience

Posted: 2-18-22 | Teresa Theophano

Self-Disclosure and Community Building

We know that LGBTQIA+ community members are resourceful and resilient. We also know about startling disparities in the mental health of queer and trans individuals v. that of cisgender and heterosexual ones. As a queer femme clinical social worker who has spoken openly and published about my own lived experience of [...]

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5 Ways To Create a Welcoming Space for LGBTQIA+ Clients

Posted: 1-18-22 | The Affirmative Couch

Are you a mental health professional wondering how to make your office an LGBTQIA+ friendly space? Providing an inclusive space where LGBTQIA+ clients feel welcome can help them open up and feel comfortable seeking care. To help you craft an open environment where your clients can freely be themselves, here are five ways to create a welcoming space for LGBTQIA+ clients.

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Therapy with Black Gay Men addicted to meth

Posted: 8-18-21 | Jerry St. Louis, LGSW

To be a Black Gay Man with an addiction to crystal meth, is to be stuck between to worlds. This article will explore ways that psychotherapists can provide affirmative therapy with Black Gay men addicted to methamphetamines. The first two articles of this series, Affirmative Therapy: Crystal Meth in the Black Gay Community and [...]

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Defining Power for Affirmative Therapists

Posted: 8-4-21 | Melissa Dellens

Clinics, treatment centers, and group practices play an important role in the communities they serve. Power flows through every relationship from the individual dyad in treatment to a community clinic’s relationship with federal policy (Hess & Schultz, 2008).  Moreover, these dynamics can be seen as both a commodity and resource (Peterson & Zimmerman, 2004) in [...]

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4 Barriers to Affirmative Clinic Change

Posted: 6-9-21 | Melissa Dellens

Gerald Caplan is seminal in developing some of the early theories of consulting work (Caplan, 1960). Caplan worked in Israel after World War II providing mental health support to 16,000 displaced and orphaned teens in overwhelmed residential and refugee facilities (Mendoza, 1993). Caplan’s resources were limited, and his team had no way of serving the [...]

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Black Gay Men and Crystal Meth: My Story

Posted: 5-25-21 | Jerry St. Louis, LGSW

I am Black, gay, and a social worker. I work in a recovery center where I help individuals attain and maintain their sobriety.  I have had experience on both sides of the “social service” table, and my personal and professional experience has given me access to the elusive community of crystal meth users.

A friend [...]

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Affirmative Therapy: Crystal Meth in the Black Gay Community

Posted: 2-10-21 | Jerry St. Louis, LGSW

Crystal Meth & the Gay Community

Crystal meth has had a devastating effect on the gay community. Over the last 20 years, meth has grown into a catastrophic force, contributing to about 15% of all drug death overdoses (NIDA, 2019). Gay and bisexual men use methamphetamines at a higher rate than heterosexual men (Lea et [...]

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Why LGBTQIA+ Affirmative Therapy is Critical During the Pandemic

Posted: 11-25-20 | The Affirmative Couch

LGBTQIA+ Affirmative Mental Health During the Pandemic

The stress and anxiety wrought by the COVID-19 pandemic may be universal–so many of us face fears of the virus itself, not to mention job loss, illness striking our loved ones, and myriad missed social, professional, and financial opportunities–but all of us experience these differently. Just as everyone’s [...]

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How to Help Clients with Queer Impostor Syndrome

Keywords: queer, LGBTQ, LGBTQIA, impostor syndrome, impostor, cognitive behavioral therapy, CBT, core beliefs

I thought I identified one way, but now I’m not sure. What if this really was just a phase?

I’m afraid I won’t like all of the changes medical transition will cause to my body. What if I’m not really trans?

Can [...]

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A COVID-Era Review of Five Fabulous LGBTQIA+ Adult Coloring Books

Posted: 7-11-20 | Stephanie Sullivan

Coloring Books in Therapy

Coloring books aren’t just for children anymore: adult coloring books have gained great popularity in the last few years. They have been found to reduce symptoms of anxiety and depression; increase perseverance; and provide short-term stress relief (Eaton & Tieber, 2017; Flett et al., 2017; Rajendran et al., 2020; Simmons, 2016). [...]

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Maintaining Hope & Self-Compassion for LGBTQIA+ Clients During Covid-19

Posted: 4-22-20 | addyson tucker, Psy.D.

By now, we are all experiencing the impact of the ubiquitous trauma and stress surrounding COVID-19 in some way. What might have started with a distal awareness of the problem quickly snapped to a reality that the world will forever be changed by this virus. You might have also noticed the varying “stages of

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Telepsychotherapy Protects Queer Communities From COVID-19

Posted: 3-15-20 | The Affirmative Couch

Telehealth offers psychotherapists a way to provide quality mental health services while still practicing and promoting extreme social distancing. This practice, instituted early, can help save lives during the COVID-19 pandemic (Pueyo, 2020; Stevens, 2020). Psychotherapists who work with queer communities should be switching to telehealth in order to decrease the risk faced [...]

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Dating Violence Among LGBTQIA+ Teens

Posted: 2-29-20 | Muria Nisbett

Muria Nisbett, LCSW

As a mental health professional, you may be familiar with some of the issues faced by teens who identify as LGBTQIA+: bullying, harassment, rejection, and physical and emotional violence. One lesser known and often undiscussed issue is teen dating violence (TDV). Violence against LGBTQIA+ teens is usually categorized as a hate [...]

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Helping Queer and Trans Clients Navigate Fatphobia During the Holidays

Posted: 11-27-19 | addyson tucker, Psy.D.

As we approach winter and prepare for “hibernation,” diet culture and fatphobia often kicks into high gear.  Family meals, holiday parties, and New Year’s resolutions surround us, regardless of whether we celebrate, and become fertile ground for fat shaming. The “holiday season” is already hard enough for many LGBTQIA+ folx*. It can also be an [...]

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Caring for LGBTQ+ Caregivers of Older Adults

Posted: 11-13-19 | Teresa Theophano

LGBTQ+ caregivers of older adults (generally people age 60+) are a special population in need of support and affirmative care. These family members and friends provide unpaid physical and/or emotional assistance to spouses and partners, parents, friends–some of whom were former partners–siblings, and neighbors. While temporary caregiving for others, when one is recovering from surgery, [...]

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Intimate Partner Violence in the LGBTQIA+ Community

Posted: 10-30-19 | Muria Nisbett

Written by: Muria Nisbett, LCSW

Edited by: Manny Kemphues, MA. AMFT

Prevalence

As we recognize October as national domestic violence awareness month, and we hold vigil for the 24 people per minute who experience rape, physical violence or stalking by an intimate partner in the United States (NDVH, 2019), let’s not forget the [...]

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HIV Long Term Survivors: Time to Thrive

Posted: 9-17-19 | Jacob Rostovsky

How do you learn how to live when you spent most of your young adult life thinking you were going to die? This question resonates for many of my gay male identified clients who are HIV long term survivors (HLTS). For someone to be considered an HLTS they must have survived twice the median age [...]

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