PRIDE IN PRACTICE
LGBTQIA+ Mental Health Across the Lifespan
June is Pride Month. It’s the month where we focus on the authenticity, tenacity and strength of our LGBTQIA+ friends, family and community members. For many, this month is full of celebrations, expressions of self and acknowledgment of the ongoing fight we have to receive and maintain equal rights. This fight occurs in community, but many fights occur in isolation.
Members of the LGBTQIA+ community face unique challenges that can have a huge impact on their mental health. These challenges and their impact can vary based on age, racial or ethnic identity, gender assigned at birth and poverty. We can increase our awareness and improve our cultural competence to provide the most effective treatment for our clients. Below are some of the challenges faced at various stages of life and ways to support our clients in these areas.
Adolescence (ages 13-18): This is a key time for identity exploration, regardless of gender or sexual identity. Youth who identify as LGBTQIA+ may experience social isolation, bullying, family conflicts and even abandonment from family members. They experience higher rates of anxiety, depression and suicidal ideation. Often our offices are the only places where they experience a caring adult and the freedom to be their authentic selves. We can change that internalized stigma and decrease guilt and shame simply by accepting them as they are.
Adulthood (ages 19-64): This is a large age range; however, the challenges are often the same. They may still be experiencing challenges of adolescence, combined with increased rates of poverty, housing discrimination, workplace discrimination and social isolation. We can support them by helping them learn how to set boundaries, advocate for themselves, and build support systems.
Older adults (ages 65+): This population has challenges that have not been well studied. What is known as that this age in general increases risk of social isolation. Adding in the loss of support systems due to suicide, violence related death and health issues related to HIV and AIDS, this increases their risk. Additionally, with the increased health needs of this age group, they may experience identity erasure in their medical care. We can provide support by helping them be self-advocates, validating their identity and building a supportive community.
The clinical skills needed to work with this population are the same as we use to work with any of our clients. Increasing awareness and knowledge of their unique challenges improves our cultural competency and quality of care. For more information and resources please visit The Trevor Project
