back to June 2024 newsletter
By Kusum Punjabi, AMFT, Director of DEI
Many individuals from the LGBTQIA+ community know the silence of hiding their true identities, fearing non-acceptance from society and loved ones. This fear can lead to profound trauma, with threats of excommunication, withdrawal of support, and physical harm looming.
Historically, the behavioral health field has contributed to these traumas. Homosexuality and diverse gender expressions were once deemed moral failings or mental disorders, subjected to punitive measures and conversion therapies. These harmful practices have left deep psychological scars, fostering environments of fear and shame.
However, the narrative is shifting. Modern understanding recognizes the capacity for diverse sexual and intimate expressions, acknowledging that many traits defy strict gender norms. This broader perspective opens new ways for therapists to support their clients.
Therapists play a crucial role in helping LGBTQIA+ clients heal from the trauma of secrecy and fear. The therapeutic environment must be a sanctuary where clients feel safe to express their identities without fear of judgment. Establishing this safe space begins with therapists demonstrating unconditional positive regard, empathy, and a deep understanding of the unique challenges faced by LGBTQIA+ individuals. An honest exploration of the therapist's own non-normative sexual and gender preferences can also be beneficial.
To repair the ruptures caused by past traumas, therapists can acknowledge and validate clients' experiences, helping them navigate the complexities of their identities and supporting them in building resilience. Therapy should address internalized negative beliefs from societal and familial rejection, fostering a positive self-concept.
Beyond individual therapy, therapists can advocate for systemic change by promoting inclusivity within their practices and communities. This involves educating others about the historical and ongoing challenges faced by LGBTQIA+ individuals and supporting policies that protect and affirm LGBTQIA+ rights.
Ultimately, LGBTQIA+ clients seek therapy environments where they can be authentically themselves. It is the therapist’s role to ensure their practice is a haven of safety, understanding, and respect, where clients can heal and thrive.
