Understanding the Mental Health Struggles of LGBTQIA+ Individuals & Ways to Find Help

Mental health struggles are common, but research shows that LGBTQIA+ individuals are at an even higher risk of experiencing anxiety, depression, and suicidal thoughts. In fact, 40% of transgender adults have attempted suicide, compared to less than 5% of the general U.S. population, according to the National Center for Transgender Equality.

But being LGBTQIA+ is not a mental illness. Instead, the higher prevalence of mental health challenges in this community is linked to social stressors, discrimination, and a lack of affirming support. Let’s explore the reasons behind these disparities and ways to access the help you deserve.

Why Mental Illness Is More Common in the LGBTQIA+ Community

1. Minority Stress Increases Mental Health Challenges

LGBTQIA+ individuals often experience higher levels of stress due to societal discrimination, prejudice, and lack of resources. The Minority Stress Model, developed by psychologist Ilan Meyer, suggests that these stressors contribute to higher rates of anxiety, depression, and suicidal ideation.

According to a 2015 study in BMC Public Health, access to gender-affirming care, supportive families, and inclusive communities significantly reduces mental distress. However, when these supports are lacking, mental health struggles often increase.

2. More LGBTQIA+ People Seek Mental Health Services

Studies show that LGBTQIA+ individuals are 2.5 times more likely to seek mental health support than their heterosexual peers, according to the Journal of Homosexuality (2017). This could partly explain why mental health diagnoses appear higher within this community.

However, many LGBTQIA+ individuals still face barriers to affirming mental health care, including cost, lack of providers with LGBTQIA+ experience, and fear of discrimination.

3. Past Stigmatization Still Affects Mental Health Today

Until 1973, homosexuality was classified as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM). It wasn’t until 2013 that being transgender was no longer considered a disorder by the American Psychiatric Association.

Despite these changes, stigma persists, and LGBTQIA+ individuals still face discrimination in healthcare, workplaces, and society factors that can contribute to mental health challenges.

4. Coming Out Is an Ongoing Process

Many people assume that coming out is a one-time event, but in reality, LGBTQIA+ individuals must navigate this process repeatedly in different areas of life.

"Many clients share that they have four to five different coming-out stories, each with unique stressors," says therapist Kiana Shelton, LCSW. The fear of rejection, workplace discrimination, or family estrangement can create ongoing mental distress.

5. Misinformation and Conversion Therapy Harm Mental Health

Lack of education fuels harmful myths, including the false belief that being LGBTQIA+ is a choice. This has led to practices like conversion therapy, which attempts to change a person’s sexual orientation or gender identity.

Research from the American Journal of Public Health (2020) confirms that conversion therapy is not only ineffective, but it also significantly increases the risk of depression, anxiety, and suicide.

How to Find Mental Health Support

1. Seek Out Affirming Therapy

Having an LGBTQIA+-friendly therapist can make a huge difference in mental health outcomes. Look for mental health professionals who:

• Specialize in LGBTQIA+ mental health

• Use inclusive and affirming language

• Understand the unique challenges faced by the community

2. Explore Low-Cost and Free Resources

Traditional therapy can be expensive, but there are affordable mental health resources available:

• LGBTQIA+ community centers often offer low-cost or free therapy.

• Nonprofit organizations like The Trevor Project and Trans Lifeline provide free crisis counseling.

• University clinics sometimes offer sliding-scale therapy.

3. Find Community Support

Connecting with other LGBTQIA+ individuals can be just as beneficial as therapy. Support groups, online forums, and LGBTQIA+ organizations provide safe spaces to share experiences, build friendships, and find encouragement.

“Having at least one safe space with like-minded individuals can make a significant difference in your mental health,” Shelton says.

The Bottom Line

Mental illness is not inherent to being LGBTQIA+, but discrimination, stigma, and lack of support can contribute to higher rates of mental health challenges. Finding an affirming therapist, seeking supportive communities, and accessing reliable mental health resources can help.

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