5 Challenges Facing the LGBTQ+ Community
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 [...]
Mental Health Outcomes of Gender-Affirming Care
In recent years, both the ethics and efficacy of affirmative mental healthcare have been debated on a national stage. In 2022 alone, Florida state legislators have proposed a “Don’t Say Gay” bill, Alabama passed a law outlawing gender-affirming medical or mental healthcare for teens, and more than a dozen states like Ohio have followed in [...]
4 ways affirmative therapists can support transgender teens
Approximately 1.9 million youth across the United States between the ages of 13 and 17 identify as lesbian, gay, bisexual, or transgender (Williams Institute, 2020). Nearly 70 percent of homeless transgender teens are homeless due to family exclusion (Williams Institute, 2020). Even when LGBTQIA+ youth have stable housing and family life, there are unique stressors [...]
The Trauma Impact of Cancel Culture
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 [...]
Working With LGBTQIA+ Clients: What Therapists Should Know
As a therapist, your first priority is understanding your clients’ needs. This is no less true when working with LGBTQIA+ clients. Many therapists have distanced relationships with the LGBTQIA+ world. Some clinicians do not feel the need to explore LGBTQIA+ experience and identity. This lack of exposure threatens to hinder your work with members of [...]
Deconstructing Compulsory Heterosexuality in Psychotherapy
A key aspect for therapists practicing affirmative psychotherapy is deconstructing heteronormativity. Defined by the American Psychological Association as “the assumption that heterosexuality is the standard for defining normal sexual behavior,” heteronormativity stems from a long-standing, embedded cultural belief that traditional gender roles are unchanging and omnipotent. (2022) Taken a step further, heteronormativity becomes compulsory heterosexuality [...]
How online self-disclosure benefits LGBTQIA+ therapists with lived experience
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 [...]
5 Ways To Create a Welcoming Space for LGBTQIA+ Clients
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.
Self Disclosure of the Polyamorous Therapist
As the mental health field makes inroads toward inclusive and equitable practice, efforts to understand the needs of polyamorous people are expanding beyond the basics (Johnson, 2013). Moreover, it is important to ensure polyamorous therapists are included in that discussion. As practitioners, we are examining ourselves for opportunities to better meet the needs of [...]
5 Essential Self-Care Tips for Psychotherapists
Being an affirmative psychotherapist is an important and selfless job, but when you’re so caught up in caring for others, it’s easy to overlook your own well-being.
For your sake and the sake of your clients, it’s crucial to take the occasional step back to focus on your own needs. Here are five essential self-care [...]
Non-binary Microaggressions in Psychotherapy
COVID-19 & (Re)claiming Gender
As a non-binary, genderqueer, and trans femme therapist myself, I have encountered my own fair share of microaggressions related to gender identity. During the pandemic, I have witnessed many people for the first time in their lives take a break from performing gender in a way society deems acceptable. As [...]
Making the most of your clinic’s power
Organizational empowerment is an active and participatory process through which individuals, organizations, and communities gain greater control, efficacy, and social justice (Peterson & Zimmerman, 2004). Firstly, we explored Brofenbrenner’s ecological model (Hess & Schultz, 2008), and Prillelensky’s (2008) understanding of power dynamics. Secondly, we will introduce organizational empowerment theory (Peterson & Zimmerman, 2004) and [...]
Therapy with Black Gay Men addicted to meth
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 [...]
Defining Power for Affirmative Therapists
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 [...]
Bisexual Polyamorous Clients in Therapy
Before getting into this article, I would like to locate myself. I am a white, bisexual, able-bodied, ambiamorous, cisgender woman with anxiety and a chronic illness who has been in both monogamous and polyamorous relationships. As someone who identifies as bisexual, has navigated both polyamorous and monogamous relationships, and specializes in working with these [...]
Kink-Aware Therapist: Challenging Your Awareness
Please note that this article contains content related to sexual trauma.
Together, we have journeyed through the previous articles in this series towards becoming a kink-aware therapist, Depathologizing Kink in Therapy and Kink-Aware Therapy: Consent and Negotiation to discuss kink practices and understand the consent and negotiation tactics that govern them. Buehler (2017) [...]
4 Barriers to Affirmative Clinic Change
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 [...]
Black Gay Men and Crystal Meth: My Story
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 [...]
Clinician Resources for Internalized Transphobia
(Re)imagining gender through stories
In my first article in this two-part series, I explored and reviewed works created by queer and trans clinicians who approached internalized transphobia from a clinical perspective, and offered actionable steps to dismantle it in the therapeutic space with clients. In this second and final installment, I explore memoirs from [...]
Depathologizing Kink in Therapy
Please note that this article contains content related to sexual trauma.
Surviving sexual trauma can change the way that sexual contact is experienced and enjoyed, and the prevalence of posttraumatic stress disorder symptoms in sexual assault survivors is outrageously high, at around 94% (Chivers-Wilson, 2006). At the same time, rediscovering enjoyable physical contact as a [...]
Mono-Poly Relationships in Therapy
Ask Us Anything: How does a therapist deal with a couple where one partner prefers monogamy and the other wants to be polyamorous?
First, we can consider the many ways in which one might ask this question, which can change its meaning. There are several situations when this will come up in the therapy room, and [...]
