In an ongoing pursuit of a more inclusive and empathetic society, we need to shed light on the specific mental health issues faced by the LGBTQIA+ community. Yes, progress has been made in terms of acceptance and equal rights, but a glance at the news will tell you that that progress is under constant threat. As always, queer people are fighting for their right to show up in the world, pushing back against an onslaught of dehumanizing dialogue and policy. So in honor of this Pride month, let’s look at the specific challenges that significantly impact the well-being of LGBTQIA+ folks. We must understand these unique struggles and actively work to address them to create a more accepting, supportive society.

1. Internalized Stigma and Shame:

   One of the most pervasive issues affecting LGBTQIA+ individuals is internalized stigma and shame. The internalized homophobia, transphobia, etc. obviously comes from external prejudice and discriminations, meaning they are having to face these issues on multiple levels. Negative societal attitudes, discriminatory practices, and societal rejection can lead to self-doubt, low self-esteem, and a struggle to accept one's identity. Fighting to accept oneself can clearly contribute to depression, anxiety, and trauma symptoms manifesting. Overcoming internalized stigma requires self-compassion, education, and building a strong support network, as well as seeing accurate representations of oneself in the media.

2. Coming Out and Familial Rejection:

   Coming out is a deeply personal and courageous process, but it can also be fraught with fear and uncertainty. The possibility of familial rejection, loss of relationships, and social isolation can lead to anxiety, depression, and a sense of alienation. Cultivating a network of understanding and supportive individuals, including chosen family, can provide vital emotional support during this challenging period.

3. Discrimination and Minority Stress:

   The LGBTQIA+ community continues to face discrimination and prejudice in various aspects of life, including healthcare, education, and employment. This chronic exposure to minority stress contributes to higher rates of anxiety, depression, substance abuse, and suicidal ideation. Advocacy for equal rights, anti-discrimination policies, and creating safe spaces are essential steps towards alleviating these stressors. One simple way you can help create more safety is to make sure you are using someone’s correct pronouns, therefore affirming who they are and demonstrating that you see and accept them.

4. Mental Health Disparities and Access to Care:

   Accessing mental health care remains a significant barrier for many LGBTQIA+ individuals. Limited culturally competent providers, policies decrying gender-affirming care, financial constraints, and fear of discrimination in healthcare settings can prevent people from seeking help. Initiatives focusing on LGBTQIA+-affirming therapy, community-based mental health resources, and tele-therapy options can enhance accessibility and bridge this gap. Gender-affirming care saves lives and is critical to mental and emotional health, which is why it is so important we continue to advocate for it and push back against current discriminatory policies.

5. Intersectionality and Multiple Identities:

   Recognizing the intersectionality of identities within the LGBTQIA+ community is crucial. Individuals may face overlapping forms of discrimination based on race, ethnicity, religion, disability, or socioeconomic status, amplifying mental health challenges. Cultivating inclusive spaces, intersectional advocacy, and promoting diverse representation can address these complex issues. As humans, we need to see ourselves in others and represented in the larger culture. Representation validates our identities and reminds us that we are not alone.

6. Higher Rates of Suicide and Homelessness:

   The LGBTQIA+ community faces higher rates of suicidal thoughts and suicide attempts when compared to the heterosexual, cisgender population. High school students who identify as lesbian, gay, or bisexual are at least four times more likely to have tried to commit suicide than their heterosexual peers. Meanwhile, 40% of transgender adults have made suicide attempts in their lifetime, which is in stark contrast to the less than 5% among the US population.
   
   Another issue plaguing the LGBTQIA+ community is the higher risk of homelessness, with estimates suggesting that youth and young adults have a 120% higher risk of experiencing it. This risk is particularly salient among Black and Native American/Alaska Native LGBTQ+ youth, often triggered by rejection from their family or discrimination based on gender identity or sexual orientation. Unfortunately, these youth also find it challenging to find homeless shelters that will accept them, resulting in elevated rates of harassment and abuse in these spaces.

By challenging stigma, promoting acceptance, and advocating for equal rights, we can create a supportive environment that nurtures the mental well-being of all individuals. It is through education, empathy, and compassionate action that we can build a future where everyone can thrive and embrace their authentic selves without fear of retribution.

Remember, if you or someone you know is struggling with mental health issues, reach out to qualified mental health professionals or LGBTQIA+ support organizations in your area. You are not alone, and help is available.

Trevor Project Hotline: https://www.thetrevorproject.org/get-help/

LGBT Hotline: https://www.lgbthotline.org/

Trans Lifeline: https://translifeline.org/