LGBTIQA+ Mental Health Stigma – Challenges and Treatments

What is Mental Health Stigma?

Mental health stigma refers to the negative attitudes, beliefs, and prejudices surrounding mental illness or mental health challenges. It involves societal perceptions that can lead to discrimination, stereotyping, or marginalization of individuals experiencing mental health issues.

Mental health stigma often arises due to misconceptions, fear, lack of understanding, and cultural beliefs. It can hinder individuals from seeking help, lead to delays in treatment, and affect their overall well-being and quality of life.

Explanation of Each Term in the Acronym LGBTIQA+

LGBTIQA+ Explanation of Each Term in the Acronymx - DifferentApproachTheraphy

L – Lesbian: A term used to describe women who are romantically and emotionally attracted to other women.

G – Gay: Refers to men who are romantically and emotionally attracted to other men.

B – Bisexual: An orientation characterized by attraction to individuals of both genders or all genders.

T – Transgender: A broad term encompassing individuals whose gender identity doesn’t align with the sex they were assigned at birth.

Q – Queer or Questioning: An umbrella term for people who identify with a sexual orientation or gender identity that is not defined by traditional categories.

I – Intersex: A person born with physical characteristics that do not fit neatly into the categories of “male” or “female.” Intersex variations can include chromosomal variations, hormonal imbalances, and anatomical variations.

A – Asexual: Asexual individuals don’t experience sexual attraction toward others. While they might feel romantic connections, they don’t possess the inclination to engage in sexual actions based on those feelings.

+ – Plus: The “+” sign is used to represent the diversity of sexual orientations and gender identities that exist beyond the acronym LGBTIQA+. This includes identities such as asexual, demi-sexual, pansexual, Two-Spirit, and many others.

LGBTIQA+ Identity and Mental Health

The LGBTIQA+ community often faces unique identity struggles, as societal prejudices label their very essence as “wrong” or “abnormal.” This constant barrage of negativity deeply impacts mental health, exacerbating the already challenging landscape.

Picture this: starting each day feeling like you’re putting on an invisible mask. It’s not for fun or a game—it’s hiding the real you. You’ve been wearing this mask for a long time, not because you like it, but because showing who you are might make family and friends stop accepting you or lead to unfair treatment or danger.

Now, imagine waking up with this heavy, invisible mask and also carrying a weight on your shoulders—mental health struggles. You feel the weight of anxiety, depression, or confusion. You want help, but you’re scared to seek it because you’ve heard stories of people like you being mistreated or misunderstood when they’ve asked for support.

You carry two heavy things daily: who you are and how you feel inside. Imagine people not liking who you are and saying mean things about it. It makes you feel sad or scared inside. But when you feel this way and need help, you’re afraid to ask because you might be judged or mistreated for it. This makes you feel very alone and left out like nobody understands what you’re going through. All this is because of the stigma attached to being yourself.

This is what many in the LGBTIQA+ community face—the struggle of not feeling safe or accepted enough to be their true selves or seek the support they desperately need for their mental well-being.

Here, we’ve mentioned LGBTIQA+, but we understand that this doesn’t include everyone’s unique way of describing their gender or who they’re attracted to. Check here to know more information about the LGBTIQA+ terms.

Specific Mental Health Challenges of the LGBTIQA+ Community

The mental health challenges faced by the LGBTIQA+ community are multifaceted and can significantly impact individuals within this community.

Specific Mental Health Challenges of the LGBTIQA+ Community - DifferentApproachTheraphy


LGBTIQA+ individuals are more likely to be diagnosed with ADHD than their heterosexual counterparts. This may be due to a combination of genetic factors and environmental stressors.

Real-time example: A Meta-Analysis of Attention Deficit Hyperactivity Disorder in Sexual Minority Youth” (2018) by Stephen P. Hinshaw found that LGBTIQA+ youth were three times more likely to be diagnosed with ADHD than heterosexual youth.

Trauma and Violence

LGBTIQA+ individuals are at increased risk of experiencing physical and sexual violence, both in their personal lives and in society at large. This trauma can have a devastating impact on mental health.

Real-time example: According to the Human Rights Campaign’s 2022 Transgender Survey Report, 44% of transgender adults reported experiencing physical violence at some point in their lives.

Depression and Anxiety

LGBTIQA+ individuals are more likely to experience depression and anxiety than heterosexual individuals. This may be due to the stress of dealing with prejudice and discrimination.

Real-time example: In a study published in the Journal of Epidemiology and Community Health, researchers found that LGBTIQA+ adults were twice as likely to experience depression as heterosexual adults.

Suicidal Ideation and Attempts

LGBTIQA+ youth are at increased risk of suicidal ideation and attempts. This is especially true for transgender youth, who are four times more likely to attempt suicide than non-transgender youth.

Real-time example: The Trevor Project’s 2022 National Survey on LGBTIQA+ Youth Mental Health revealed that 45% of transgender and nonbinary youth seriously considered suicide in the past year.

Substance Abuse

LGBTIQA+ individuals are more likely to misuse substances, such as alcohol and drugs. This may be a way of coping with the stress of discrimination and marginalization.

Real-time example: A study published in the American Journal of Public Health found that LGBTIQA+ adults were twice as likely to use illicit drugs as heterosexual adults.

Minority Stress

LGBTIQA+ individuals experience minority stress, which is the chronic stress of being a member of a marginalized group. 

Real-time example: In a study published in the Journal of Personality and Social Psychology, researchers found that LGBTIQA+ adults who reported higher levels of minority stress also reported higher levels of depression and anxiety.

Intersecting Identities

LGBTIQA+ individuals who also identify with other marginalized groups, such as racial or ethnic minorities, may experience even greater mental health challenges.

Real-time example: According to a study published in the Journal of Counseling and Development, Black LGBTIQA+ youth were more likely to experience depression and anxiety than white LGBTIQA+ youth.

Lack of Accessible Support

LGBTIQA+ individuals often face barriers to accessing mental health care, such as discrimination from providers and a lack of culturally competent services.

Real-time example: In a study published in the Journal of LGBTIQA+ Health Research, only 16% of LGBTIQA+ adults reported having a primary care provider who is affirming of their sexual orientation and gender identity.

Gender Dysphoria

Gender dysphoria is a term used in psychology and medicine to describe the distress or discomfort that arises when an individual’s gender identity doesn’t align with the sex they were assigned at birth. It’s important to note that not all transgender or gender-diverse individuals experience gender dysphoria, but for those who do, it can significantly impact their mental health and well-being.

LGBTQI young people are much more likely to be without a home, about 120% more, compared to others their age. This often happens because their families don’t accept them or because they face unfair treatment due to who they are attracted to or how they see themselves. This problem is even more serious for Black and Native American/Alaska Native LGBTQ+ young individuals.

Effective Treatments That Can Help Your LGBTIQA+ Friends and Family Overcome Mental Health Stigma

Therapy and Counseling: Encourage seeking therapy or counseling from professionals trained in LGBTIQA+ issues. 

Affirmative Therapy: This approach focuses on affirming and validating an individual’s gender identity or sexual orientation. Affirmative therapists create a safe space to explore concerns and navigate challenges.

Cognitive-Behavioral Therapy (CBT): Effective in addressing anxiety, depression, or trauma commonly experienced by LGBTIQA+ individuals. CBT helps in identifying and changing negative thought patterns and behaviors.

Medical Interventions: For some individuals, medical interventions like hormone therapy or gender-affirming surgeries might be part of their mental health care plan. These treatments can alleviate dysphoria and improve well-being.

Family Therapy: Support families in understanding and accepting LGBTIQA+ members by engaging in family therapy. It fosters better communication, empathy, and a supportive environment.

Mindfulness and Stress Reduction: Practices such as mindfulness meditation, yoga, or stress-reduction techniques can help manage stress and improve overall mental well-being.

Trauma-Informed Therapy: For those who have experienced discrimination, violence, or trauma due to their identity, trauma-informed therapy helps process and heal from these experiences.

Self-Care Strategies: Encourage healthy coping mechanisms like exercise, creative outlets, or journaling to manage stress and enhance mental resilience.
Community Support and Resources: Access to LGBTIQA+ organizations, helplines, or online communities can provide understanding, shared experiences, and a sense of belonging, which can positively impact mental health.

Here are Some Additional Tips for Supporting LGBTIQA+ Individuals

  • Be an open and accepting listener
  • Validate their feelings
  • Respect their identity and pronouns
  • Promote a supportive and affirming environment


These are just a few of the specific mental health challenges faced by the LGBTIQA+ community. It is important to remember that every individual is unique, and the experiences of LGBTIQA+ individuals will vary. 

Stigma against LGBTIQA+ mental health can make it hard for people to get help and can lead to more anxiety, sadness, and thoughts of hurting oneself. However, it is clear that there is a need for greater awareness, understanding, and support for the mental health needs of this community. We need to fight this stigma by teaching others about LGBTIQA+ mental health, making rules that include and support LGBTIQA+ people, and helping those who need support with their mental health.

Let’s extend our hands and hearts to one another, making a profound difference in the world, one empathetic gesture at a time. Are you in search of a non-judgemental companion who can also help you to get out of the scariest war in your mind? At Different Approach Therapy, we will guide you in recovering from your difficulties. Just drop us a message or give us a call at 917-688-2446 anytime to mark your appointment.

We are also experts at psychotherapy services, telepsychiatry services, couples therapy as well as LGBT Affirming. You can approach us for any of these services.