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Mental health and the LGBTQIA+ community: A discussion of the unique mental health challenges faced by LGBTQIA+ individuals

Writer's picture: Robin HuntRobin Hunt

Updated: Jan 17

Mental health is a crucial aspect of overall well-being for everyone, but it's important to recognise that certain communities, such as the LGBTQIA+ community, face unique challenges that can the impact their mental well-being in ways that others won't experience. 


It's also essential to recognise that mental health challenges can vary within the LGBTQIA+ community. For example, transgender individuals may face distinct mental health concerns, including gender dysphoria and barriers to accessing gender-affirming care, while bisexual individuals may experience unique challenges related to biphobia and erasure. Acknowledging these diverse experiences and tailoring mental health support accordingly is vital.




In this article, we'll explore the specific mental health challenges that LGBTQIA+ individuals may encounter and discuss the importance of fostering a supportive and inclusive environment for their mental well-being.


Stigma and Discrimination


LGBTQIA+ individuals often face societal stigma, discrimination, and prejudice, which can significantly impact their mental health. The fear of rejection, bullying, or experiencing hate crimes can lead to increased levels of anxiety, depression, and other mental health issues. It's crucial to acknowledge the negative impact of stigma and work towards creating a more accepting and inclusive society.


Coming Out and Identity Struggles



Coming out and grappling with one's sexual orientation or gender identity can be an emotionally challenging process. LGBTQIA+ individuals may face internal struggles, fear of rejection from loved ones, and uncertainty about their future. These factors can contribute to higher rates of depression, anxiety, and self-esteem issues. Creating safe spaces and providing support during this journey is vital for their mental well-being.


Family and Social Support


The support of family, friends, and community is crucial for the mental well-being of LGBTQIA+ individuals. Unfortunately, not everyone receives the necessary support, and some may face rejection or isolation. Lack of acceptance from loved ones can lead to feelings of loneliness, depression, and low self-worth. Building a strong support network and connecting with LGBTQIA+ organisations can help mitigate these challenges.


Healthcare Disparities



LGBTQIA+ individuals often encounter healthcare disparities, including limited access to LGBTQIA+ affirming healthcare providers, inadequate mental health resources, and lack of culturally competent care. These barriers can prevent individuals from seeking the help they need and exacerbate mental health issues. Promoting inclusive healthcare policies, training healthcare providers, and expanding LGBTQIA+ inclusive mental health services are essential steps towards addressing these disparities.


Intersectionality and Multiple Minority Stress


LGBTQIA+ individuals may also face additional stressors related to their intersecting identities, such as race, ethnicity, disability, or socioeconomic status. The accumulation of discrimination and marginalisation from multiple sources can contribute to higher rates of mental health challenges. Recognising and addressing these intersectional experiences is vital in providing comprehensive support and mental health care for LGBTQIA+ individuals.


Substance Abuse and Addiction



LGBTQIA+ individuals are at a higher risk for substance abuse and addiction due to the unique stressors they face. Some individuals turn to substances as a means of coping with discrimination, internal struggles, or social isolation. Substance abuse can worsen mental health issues and create a cycle of dependency. Providing accessible substance abuse treatment programs that address the specific needs of the LGBTQIA+ community is crucial.


Conversion Therapy and its Psychological Impact


Conversion therapy, the misguided practice of attempting to change an individual's sexual orientation or gender identity, has been widely discredited and condemned by professional mental health organisations. Engaging in such practices can lead to severe psychological distress, including depression, anxiety, and increased risk of self-harm. Advocating for the banning of conversion therapy and raising awareness about its harmful effects is crucial for the mental well-being of LGBTQIA+ individuals. It’s been nearly five years since the UK Government first promised to ban ‘conversion therapy’, yet today, more than 1.5 million LGBTQIA+ people in England and Wales remain at risk of these harmful practices. Check out Stonewall's 'Ban Conversion Therapy' campaign to make your voice heard. 



Despite the challenges faced by LGBTQIA+ individuals, it is important to also highlight their resilience and the strength they possess. Building supportive communities, both online and offline, can offer a sense of belonging and validation, but it is not always an easy thing to do. Promoting self-care practices, such as mindfulness, exercise, and engaging in hobbies, can also enhance mental well-being, but it's not always easy to build those practices into day to day life. Celebrating the successes, contributions, and resilience of the LGBTQIA+ community is a powerful way to combat mental health challenges, as well as providing a beacon of hope for those that are still discovering what good mental health looks like for them.


Supporting the mental health of the LGBTQIA+ community requires ongoing advocacy and allyship. Allies can play a significant role in creating safe spaces, challenging discrimination, and amplifying the voices of LGBTQIA+ individuals. Promoting inclusive policies, advocating for mental health resources, and participating in LGBTQ+ events and organisations are tangible ways to show support and foster positive change.


LGBTQIA+ Mental Health Resources


UK

If there is a medical emergency of any kind, always call 999. 

  • Mind's helplines provide information and support by phone and email.

  • Local Minds offer face-to-face services across England and Wales. These services include talking therapies, peer support and advocacy.

  • Side by Side is our supportive online community for anyone experiencing a mental health problem.

  • akt supports LGBTQIA+ people aged 16-25 who are homeless or living in a hostile environment.

  • Being Gay is OK provides advice and information for LGBTQIA+ people under 25. 

  • British Association for Counselling and Psychotherapy (BACP) provides information and a list of accredited therapists.

  • Brook provides wellbeing and sexual health information and support for young people. 

  • Consortium is a directory of services and groups for people who are lesbian, gay, bisexual and transgender.

  • Families and Friends of Lesbians and Gays (FFLAG) offer support to parents, friends and family members of those who identify as LGBTQIA+.

  • FRANK provides confidential advice and information about drugs, their effects and the law - 0300 123 6600.

  • Galop provides helplines and other support for LGBTQIA+ adults and young people who have experienced hate crime, sexual violence or domestic abuse - 0207 704 2040 (LGBTQIA+ hate crime helpline); 0800 999 5428 (LGBTQIA+ domestic abuse helpline); 0800 130 3335 (Conversion therapy helpline); help@galop.org.uk

  • Gender Identity Research & Education Society (GIRES) works to improve the lives of of trans and gender non-conforming people of all ages, including those who are non-binary and non-gender.

  • Gendered Intelligence is a charity supporting young trans people aged under 25, and information for their parents and carers.

  • General Medical Council (GMC) helps to protect patients and support doctors, and maintains a register of licensed doctors.

  • Hub of Hope is a UK-wide mental health service database. Lets you search for local, national, peer, community, charity, private and NHS mental health support. You can filter results to find specific kinds of support.

  • Improving Access to Psychological therapies (IAPT) provides information about local NHS therapy and counselling services, which you can often self-refer to (England only).

  • LGBT Foundation offers advice, support and information for people identifying as LGBTQIA+ - 0345 3 30 30 30.

  • London Friend offers a range of services around London to support LGBTQIA health and wellbeing including support groups and counselling.

  • Mermaids supports gender-diverse young people aged 19 and under, and their families and carers. Offers a helpline and and webchat - 0808 801 0400.

  • MindLine Trans+ offers free, confidential listening service for people identifying as trans or non-binary, and their friends and families - 0300 330 5468

  • Outcome is a service run by Islington Mind to support LGBTQIA+ people. Runs weekly online drop-in groups and activity sessions, including a drop-in session for asylum seekers and refugees.

  • Pink Therapy offers an online directory of qualified therapists who identify as or are understanding of minority sexual and gender identities.

  • Samaritans are open 24/7 for anyone who needs to talk. You can visit some Samaritans branches in person. Samaritans also have a Welsh Language Line on 0808 164 0123 (7pm–11pm every day).

  • Stonewall provide information and advice for LGBTQIA+ people on a range of issues - 08000 50 20 20.

  • Stonewall Housing provide specialist housing advice for anyone identifying as LGBTQIA+ in England - 020 7359 5767.

  • Switchboard offer listening services, information and support for lesbian, gay, bisexual and transgender people - 0800 0119 100hello@switchboard/lgbt.

  • Terrence Higgins Trust provides support for LGBTQIA+ people worried about their sexual health, including via a listening service - 0808 802 1221.


USA


If there is a medical emergency of any kind, always call 911. 

  • Trevor Project is the leading national organisation providing crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender, queer & questioning (LGBTQIA+) young people under 25

  • True Colors United focuses on supporting homeless youth. They have a hotline but you can also reach out to them for other resources.

  • Pride Institute LGBTQ Dependency is a substance dependency organisation

  • Crisis Text Line is the free, 24/7, confidential text message service for people in crisis. Text HOME to 741741 in the United States.

  • Teen Line can help if you have a problem or just want to talk with another teen who understands, then this is the right place for you!

  • RAINN: Rape Abuse + Incest National Network gives callers the option to enter the ZIP code of their current location to more accurately locate the nearest sexual assault service provider.

  • WEAVE Crisis Intervention For Domestic Violence and Sex Trafficking/Sexual Assault can be accessed by calling the Support and Information Line. WEAVE’s 24-Hour Support and Information Line offers immediate intervention and support by trained peer counselours. Help is available in over 23 languages.

  • "Friends for Survival" Suicide Loss Helpline are a national non-profit bereavement outreach organisation available to those who are grieving a suicide death of family or friends. We also assist professionals who work with those who are grieving a suicide tragedy. Friends For Survival, organised by and for survivors, has been offering suicide bereavement support services since 1983.  All staff and volunteers have been directly impacted by a suicide death. 


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