What is the Best Approach for LGBTQ+ Therapy?

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When it comes to therapy, LGBTQ+ folks may face unique challenges. Finding the right therapist and therapy approach can make a big difference. It's important those who identify as LGBTQ feel understood, supported, and empowered in therapy. In this blog, we’ll explore what makes a LGBTQ+ therapy approach effective for LGBTQ+ individuals, different types of therapy, and how to find the right fit for your needs.

Understanding LGBTQ+ Needs in Therapy

LGBTQ+ individuals often encounter specific challenges related to their identity. Here are some common issues:

  1. Discrimination and Stigma: Many LGBTQ+ folks face discrimination or stigma because of their identity. Their sexual orientation or gender identity may not be accepted in their home, school, work, or larger community. This can lead to symptoms of trauma, anxiety, depression, and low self-esteem.

  2. Family and Social Issues: Some LGBTQ+ people experience rejection or lack of support. The rejection can come from friends, family, coworkers, or even romantic partners. This can create feelings of isolation and affect their mental health.

  3. Identity Exploration: LGBTQ+ individuals may be navigating complex issues related to their identity. This may include coming out, gender dysphoria, or relationships.

  4. Mental Health Concerns: Due to these challenges, according to the Trevor Project, “73% of LGBTQ youth reported experiencing symptoms of anxiety, 58% of LGBTQ youth reported experiencing symptoms of depression, and 45% of LGBTQ youth seriously considered suicide.”

What Makes a Therapy Approach Effective for LGBTQ+ Individuals?

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An effective therapy approach for LGBTQ+ individuals should include several key qualities:

  1. Affirmation and Respect: The LGBTQIA+ therapist should affirm your identity and respect your experiences. They should be open and supportive of who you are. This does not just meant accepting your sexual orientation or gender identity. It also means actively supporting and validating it.

  2. Understanding LGBTQ+ Issues: The LGBTQIA+ therapist should be knowledgeable about the specific challenges and experiences you are facing. If they aren't aware, they should be open to learning. This includes issues like discrimination, internalized stigma, and the process of coming out.

  3. Safe and Non-Judgmental Environment: LGBTQ+ Therapy should be a place where you feel safe and free from judgment. You should be able to express your feelings and experiences without fear of criticism or misunderstanding. Without these factors, therapy cannot be helpful.

  4. Personalized Approach: The therapy should be tailored to your individual needs and goals. This means the LGBTQIA+ therapist should listen to you and work with you to address what’s important to you. They should help you set goals and develop a plan that fits your personal experiences and challenges.

Types of Therapy Approaches

There are several therapy approaches that can be particularly effective for LGBTQ+ folks. Here are some common ones:

  1. Affirmative Therapy: Affirmative therapy is specifically designed to support LGBTQ+ individuals. This approach focuses on creating a positive and accepting environment. The therapist works to affirm your identity! Issues such as discrimination, internalized stigma, and identity exploration are addressed. Affirmative therapy helps validate your experiences and supports your mental health and well-being.

  2. Cognitive Behavioral Therapy (CBT): CBT is a popular therapy approach that helps people change negative thought patterns and behaviors. CBT can help treat trauma, anxiety, depression, and suicidal ideation. In CBT, the therapist helps you identify and challenge unhelpful thoughts and replace them with more realistic ones. This approach can help you develop coping skills and reduce distress.

  3. Humanistic Therapy: Humanistic therapy emphasizes personal growth and self-acceptance. This approach is helpful for LGBTQ+ individuals who are exploring their identity. It can also help for those dealing with self-esteem issues. Humanistic therapy focuses on understanding your experiences. It helps you reach your full potential.

  4. Trauma-Informed Therapy: Trauma-informed therapy is important for individuals who have experienced trauma. Examples include somatic therapy, Somatic Experiencing, and Eye Movement Desensitization and Reprocessing (EMDR). This can help those in the LGBTQ community who have experienced trauma, even if it is not related to their identity. Trauma-informed therapies are centered around helping you feel safe and supported. They acknowledge the impact of trauma and work to create a supportive and understanding environment.

  5. Family Therapy: Family therapy can be beneficial for LGBTQ+ individuals who are dealing with family issues. This approach involves working with family members to improve communication, understanding, and support. Family therapy can help address issues like acceptance and support. It can also work towards building healthier relationships. Family therapy should never be forced and should always been agreed upon by everyone.

  6. Support Groups: Support groups provide a space for LGBTQ+ individuals to connect with others who share similar experiences. Support groups are not a therapy approach on their own. They are a great addition to individual or family therapy, though! They offer mutual support, understanding, and validation. Participating in a support group can provide additional emotional support and help you feel less isolated.

How to Find the Right LGBTQ Therapist

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Finding the right therapist is crucial for getting the support you need. Here are some tips to help you find a therapist who is a good fit for you:

  1. Look for LGBTQ+ Affirmative Therapists: Find LGBTQIA+ therapists who are experienced in working with LGBTQ+ individuals. It's important they practice affirmative therapy. You can look for therapists who advertise their expertise in LGBTQ+ issues. You can also ask for recommendations from LGBTQ+ organizations. An affirmative therapist will be familiar with the challenges you face. They will offer supportive and understanding care.

  2. Check Credentials and Specializations: Make sure the therapist has the appropriate credentials and experience in the therapy approach you are interested in! Some therapists might have additional training or certifications in LGBTQ+ issues. They might specialize in specific approaches like somatic therapy or Eye Movement Desensitization and Reprocessing (EMDR). Checking their credentials can ensure they are qualified to address your needs and can provide you with specific LGBTQ resources in your local area.

  3. Consider Therapy Style: Different therapists have different styles. Some may be more direct, while others may be more reflective. Think about what style feels most comfortable for you. It’s important to find a therapist whose approach and style align with your preferences and needs.

  4. Ask Questions: It's okay to interview a therapist! Ask therapists about their experience with LGBTQ+ clients and their approach to therapy. It’s important to find someone who feels like a good fit for you and who can address your specific needs. Ask how they can support you in achieving your goals.

  5. Trust Your Feelings: Trust your instincts when choosing a therapist! Your gut never lies. You should feel comfortable and respected in the therapy space. If you don’t feel a connection or if something doesn’t feel right, it’s okay to look for another therapist. Your comfort and trust in the therapeutic relationship are crucial for successful therapy.

Start LGBTQ Online Therapy in Michigan

The best therapy approach for LGBTQ+ folks is one that is affirming, respectful, and tailored to your unique experiences. Regardless of the type of therapy you choose, it should be supportive of you and your goals. Finding the right therapist can make a big difference in your mental health and well-being. By seeking out the right support, you can work towards healing, personal growth, and a more fulfilling life. Learn more about our gender-affirming therapists by completing the process below!

  1. Schedule a free therapy consultation

  2. Be matched with one of our LGBTQ Therapists in Detroit

  3. Learn to cope with stressors better!

Additional Virtual Therapy Services in Michigan

At Embodied Wellness, PLLC we offer a variety of holistic treatment services for adults and teens with anxiety, depression, and OCD. We specialize in EMDR, Somatic therapy , Somatic Experiencing, Internal Family Systems, and DBT for trauma. We also specialize in CBT, ERP, Empath Counseling, and Spanish Therapy. We offer online therapy in Michigan. Start overcoming your trauma today by visiting our Detroit-based practice. We also have low-cost therapy options available!

About the Author:

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Sarah Rollins, LMSW, SEP is the founder of Embodied Wellness, PLLC, a group therapy practice providing online therapy in Michigan. She is passionate about expanding awareness of somatic therapy as a way to treat and heal trauma. She incorporates other holistic treatments into her practice including EMDR and IFS

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What Are the Goals of LGBTQ Therapy?