Out On The Couch

Managing Political Stress and Mental Health

Posted: 10-8-24 | The Affirmative Couch

In a 2019 study, nearly 40 percent of Americans reported that politics had a profound negative impact on their mental health. This number seems to have only increased leading up to the 2020 presidential election, among all political affiliations. What’s more, a 2023 study published by the American Psychological Association suggests that [...]

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Inclusivity, Intersectionality, and Feminist Therapy

Posted: 9-18-24 | The Affirmative Couch

Anyone who tries to define feminism will quickly realize why there is no agreed upon definition that can stand across eras and geographies. Feminism exists as a form of critique, creation, advocacy, identity and much more, all depending on who you ask and when. As Feminist Therapists, we face the essential task of developing an [...]

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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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Affirmative Psychoeducation for Autism Self-Diagnosis

Posted: 7-25-23 | Lauren Demshar Abbott

A Rise in Self-Diagnosis

Some DSM-trained clinicians may bristle when a patient identifies with a mental health diagnosis they have come to informally. In recent months, a common concern voiced in supervision and among mental health providers is the increase in patients and clients questioning if they embody characteristics of Autism.

Self-reflection is arguably a [...]

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The Courage to Care for the Transitioning Self

Posted: 5-22-23 | Karina Schneidman

How It Begins

Any life transition is hard. The human condition is a complicated one at best. It is riddled with pain, sorrow, confusion, darkness, and the unknown. However, that also comes with the gift of growth, beauty, love, happiness, peace and of course courage to live the life each of us deserves. As these [...]

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5 Tips for Affirmative Therapists During Autism Acceptance Month

Posted: 4-12-23 | The Affirmative Couch

As you may know, April is Autism Acceptance Month. As knowledge of autism continues to grow and change with every year—and there are a greater number of adults who know that they are autistic—we wanted to highlight a few things that can help affirmative therapists work with their autistic clients.

 

Avoid Using Functioning Labels

[...]

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5 Essential Self-Care Tips for Psychotherapists

Posted: 12-14-22 | Andrew Kravig

Being an affirmative psychotherapist is an important job. It’s easy to get caught up in caring for others and overlook your own well-being. While doing psychotherapy may be seen as “selfless,” it should never be “self-sacrificing.” For your sake, and for the sake of your clients, it is crucial to take a step back and [...]

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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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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 [...]

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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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Self Disclosure of the Polyamorous Therapist

Posted: 1-12-22 | Mandy Simmons

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 [...]

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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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Why LGBTQIA+-Affirmative Primary Care Matters

With the global COVID-19 pandemic continuing into its second year, the conversation around access to healthcare has never been more relevant. For many people, going to a doctor for an annual physical was not feasible before the pandemic, whether due to lack of insurance coverage, financial cost, taking time off from work, transportation issues, or [...]

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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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Substance Abuse Treatment Needs to Affirm LGBTQIA+ Clients

Posted: 11-18-20 | Madeline Hodgman-Korth, LISW

“Grant me the serenity to accept the things I cannot change, the courage to change the things that I can, and the wisdom to know the difference.”

In 12-step treatment settings, the Serenity Prayer often makes an appearance at the beginning or end of a group session in substance abuse treatment. Drawn from the Christian [...]

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Helping Queer Clients Become Their Own Liberators

Posted: 9-9-20 | Matthew Spector

Liberation Psychology’s Critical Contribution

Keywords: Liberation, Psychology, LGBTQIA+, Affirmative, Queer, Decolonizing, Martin-Baro, Anti-oppression

Liberation psychology strives to understand and address the oppressive sociopolitical structures affecting communities in order to promote their healing (Martín-Baró, 1994). Developed by the Spanish-born psychologist Ignacio Martín–Baró in 1970s El Salvador, liberation psychology tasks itself with examining contexts of oppression in [...]

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