LGBTQ - Talkspace https://www.talkspace.com/blog/category/lgbtq/ Therapy For How We Live Today Tue, 03 Jun 2025 16:56:04 +0000 en-US hourly 1 https://www.talkspace.com/blog/wp-content/uploads/2021/10/favicon.png LGBTQ - Talkspace https://www.talkspace.com/blog/category/lgbtq/ 32 32 Relationship Advice for Lesbian Couples​ https://www.talkspace.com/blog/lesbian-relationship-advice/ Tue, 03 Jun 2025 16:56:03 +0000 https://www.talkspace.com/blog/?p=36040 Like any romantic partnership, lesbian relationship issues can be complex. While every relationship faces difficulties, lesbian couples often…

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Like any romantic partnership, lesbian relationship issues can be complex. While every relationship faces difficulties, lesbian couples often encounter additional hurdles that are specific to our community. From dealing with societal stigma and harmful stereotypes to navigating internalized homophobia and even rejection from family or friends, these challenges can have a lasting impact on the emotional and psychological well-being of the relationship.

Any lesbian relationship problems discussed here remind us how important it is to build a strong partnership with a deep emotional connection and solid foundation. Your relationship should be grounded in open communication, trust, and mutual respect. Equally important is finding a community — whether through chosen family, other queer couples, supportive friends, or online spaces — where you can share experiences and feel seen and heard.

Let’s explore lesbian relationship advice from experts, so you can strengthen your bond and create a loving, resilient relationship.

Common Lesbian Relationship Challenges

The types of relationship challenges many lesbian couples face can parallel their identities and life experiences. Societal prejudices, internalized homophobia, and a lack of family acceptance can weigh heavily on relationships. Understanding the root of the stress you and your partner are experiencing is the first step in addressing and overcoming it. 

Societal prejudice and discrimination

Experiencing prejudice and discrimination can hurt your relationship on several levels. It can harm your sense of self and cause you to shut yourself off from others. Over time, societal adversity can cause emotional strain and chronic relationship stress that feels impossible to recover from. 

Known as “minority stress,” prejudices against minority groups (like same-sex couples) may range from blatant, overt discrimination to subtle biases that are embedded in everyday social systems and practices. Research shows how damaging this form of stress can be, on an individual level and for couples.

For example, many laws today fail to protect LGBTQIA+ rights. Societal attitudes that devalue same-sex relationships can cause some queer couples to feel unsupported at best, and unsafe in the most extreme cases. There’s also the pain that stems from ingrained beliefs learned in childhood, like the idea that a particular lifestyle is “wrong,” “immoral,” or “unnatural.” The issues can become even more intense when lesbian couples raise children together. Families today might be denied memberships to institutions, and parental rights can be challenged or go unrecognized. 

Experiences like these serve as a stark reminder that there’s a desperate need for systemic change. Protection helps ensure acceptance and equality for any relationship, including lesbian couples.  

Internalized homophobia

Internalized homophobia is based on the idea that harmful societal attitudes can be internalized and negatively impact or cause damage to same-sex partnerships. According to studies, high levels of internalized homophobia make it less likely for people to be in intimate, secure relationships at all. 

Internalized homophobia is something many of us in the lesbian community may struggle with, even if we don’t always realize it. It’s the result of harmful societal attitudes about same-sex relationships that we’ve unknowingly internalized, and it can negatively affect our relationships in ways we might not fully understand. For lesbian couples, this challenge can create a silent rift that impacts intimacy, security, and trust. According to studies, high levels of internalized homophobia make it less likely for people to be in intimate, secure relationships at all. 

When internalized homophobia takes root, it can show up in many forms, including:

  • Self-doubt about your worthiness of love or happiness
  • Fear of being open about your relationship with others
  • Hesitance or anxiety about showing affection in public
  • Confusion around what “being out” really means for you and your relationship
  • The constant worry of being rejected by others or even by each other

If not addressed, internalized homophobia can cause tension and misunderstandings that might destroy what could have otherwise been a loving, committed relationship.

Family and social acceptance

Family dynamics play a critical role in most adult relationships, but this is especially true for queer couples. Partners might face rejection by family members with conservative belief systems or from those who buy into cultural norms that reject same-sex lifestyles. This kind of rejection can create deep emotional challenges and stress within the relationship.


Interestingly, studies show that lesbian and gay relationships can be more stable than heterosexual ones. In fact, 1% of lesbian couples call it quits each year, compared to 2% of heterosexual couples.

However, even when family members don’t outright reject the relationship, conditional acceptance can still create tension. This is when the relationship is tolerated under certain circumstances but isn’t fully embraced or supported. The lack of full familial support can feel isolating and especially stressful for couples who are trying to blend their lives and families. It’s important to recognize how much this can affect both individuals in the relationship.

12 Relationship Tips for Lesbian Couples

While societal pressures and unique challenges may add complexity to a relationship, the good news is that building a strong, healthy, mutually supportive relationship is possible as long as you’re both willing to do the work.

The following lesbian relationship tips will help you and your partner strengthen your bond, find mutual growth, and celebrate the love you share. 

1. Embrace each other’s uniqueness

Both partners in a relationship bring individual qualities. Ideally, each is willing to celebrate those strengths and differences. Lesbian couples who focus on understanding one another develop respect and appreciation for what each brings to the relationship table. 

2. Find community and allies together

Having a community to rely on is crucial for emotional support. Early on, you should build a network of friends, allies, and other LGBTQIA+ couples who can all offer you support. Use online forums, local organizations, and community events to find comfort, camaraderie, and a safety net of support.  

3. You don’t have to fit a mold (but it’s okay if you do)

Some people find strength and community in labels or identities that resonate deeply with who they are. Others may feel boxed in by expectations or stereotypes that don’t reflect their lived experience. Both are valid.

What matters most is how your identity and relationship feel to you. If a label or role feels empowering, great. If it feels limiting, you’re allowed to let it go. The goal isn’t to reject identity altogether, but to untangle yourself from harmful or rigid expectations that create pressure, tension, or disconnection.

Ultimately, it’s about honoring what feels natural, healthy, and affirming for you and your partner.

“Lesbian stereotypes are common. They can influence how individuals see themselves and how they relate to partners. Through self-reflection, people can better understand which aspects of identity feel authentic and which may come from outside expectations. Joining a support group can provide a caring space to challenge stereotypes that don’t resonate with you, while also helping individuals embrace their uniqueness and learn how to advocate for themselves.”

Talkspace therapist Dr. Olga Molina, D.S.W., LCSW

4. Understand each other’s queer history

Everyone’s journey with their sexual identity is different. That’s why it can be so helpful to have open conversations about each other’s pasts. Understanding one another’s background and experience with coming out, previous relationships, or struggles with finding acceptance can strengthen your emotional connection.

“Communication among couples is one of the most important things to do in order to understand each other’s past experiences and be able to empathize more effectively. This helps couples to embrace their commonalities as well as their differences.”

Talkspace therapist Dr. Olga Molina, D.S.W., LCSW

5. Be respectful of family dynamics

Dealing with family dynamics can be challenging for any relationship. You might need to come to terms with rejection or learn to cope with conditional acceptance from relatives. 

Setting family boundaries and prioritizing open communication can create an unbreakable bond that helps you rely on and trust each other, even if the family support is lacking. It also ensures there’s compassion that might be lacking in traditional familial connections. 

6. Embrace the fluidity of gender roles

Some lesbian relationship problems result from couples challenging traditional gender roles. In reality, though, embracing the idea that gender roles can be fluid might actually create opportunities for a more equitable partnership. When you’re both able and willing to openly embrace fluidity, your relationship becomes one that’s based on mutual strength and trust, not societal norms. 

“Therapy can help couples redefine traditional gender roles by increasing self-reflection and communication to better understand the complexities of lesbian identities and unique couple relationships.”

Talkspace therapist Dr. Olga Molina, D.S.W., LCSW

7. Communicate your needs

Research suggests that lesbian couples may be more content in their relationship compared to heterosexual couples simply because they have more emotional support from their partner. A key part of this relies on healthy, effective communication, which is the cornerstone of a successful relationship. 

Being transparent with your partner means trusting them enough to openly discuss your desires and life goals. By sharing emotional, physical, sexual, and logistical needs, you’ll prevent many misunderstandings and reach a deeper level of intimacy.  

8. Be each other’s best friend

In a perfect world, your partner is your best friend. A relationship based on true friendship is powerful. When partners are best friends, they can create a bond that means they’re more likely to survive challenging times. 

9. Make space for unconventional relationship milestones

Lesbian couples can have milestones that differ from heterosexual couples, influenced by societal expectations or family dynamics.

It’s important to find special ways to celebrate the traditional (and unconventional) milestones in your relationship. You should be able to feel the same sense of accomplishment and joy that any other couple might. 

10. Prioritize personal and shared growth

All couples grow and change over time. It’s a natural (and healthy) part of life. Personal growth means you can thrive as individuals, bringing new perspectives and energy to the relationship. 

Setting shared goals to grow as a couple is essential. Whether related to careers, hobbies, your future, or financial status, wanting to grow together creates a sense of unity. When you find ways to balance aspirations with shared ambitions, your partnership will evolve over time. 

11. Don’t treat each other like roommates

When couples have been dating for a long time, it can become easy to fall into a rut where you feel more like roommates than romantic partners. Being aware of your relationship dynamics helps you see patterns early on, before you turn into people who cohabitate rather than genuinely enjoy being together. 

It takes work, but putting in the time pays off. Going on date nights and spending time together doing things you enjoy are healthy ways to keep the spark alive. 

12. Nurture your relationship with couples therapy

Couples therapy tailored to LGBTQIA+ relationships can provide you with valuable tools. It helps you navigate common relationship challenges, like dealing with conflict, tackling relationship insecurity, or correcting poor communication habits. 

Finding an LGBTQIA+ friendly therapist who’s experienced and trained in helping members of the LGBTQIA+ community is worth it. These mental health professionals are equipped to understand the pressures unique to lesbian relationships. They can offer inclusive support to help you overcome any obstacles in your relationship. 

Strengthening Your Relationship with Support

A healthy relationship takes effort, open communication, and respect. For lesbian couples, it means having the right tools and support so you can overcome things like societal prejudice, internalized homophobia, and family dynamics. While these difficulties aren’t totally unique to lesbian couples, they’re often more pronounced than what couples in a heterosexual relationship might face. Yes, it might feel overwhelming, but overcoming your challenges isn’t an insurmountable feat. 

Getting solid relationship advice and the right​ mental health support is critical to maintaining a healthy, loving partnership. Therapy can be a safe space for you and your partner to work on improving communication, deepening emotional intimacy, and learning how to resolve conflicts in a relationship. Working with a Talkspace therapist who’s skilled in offering LGBTQIA+ therapy can make all the difference in the world. 

If you’re trying to navigate your relationship or looking for positive ways to grow together, explore individual or couples therapy options from Talkspace. Online therapy can help you resolve lesbian relationship issues​ and work through personal mental health concerns, so you can create a relationship that will survive the test of time. 

Learn more about online couples therapy and LGBTQIA+ affirming therapy with Talkspace today.

Sources: 

  1. Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin. 2003;129(5):674-697. doi:10.1037/0033-2909.129.5.674. https://pmc.ncbi.nlm.nih.gov/articles/PMC2072932/
  2. Frost DM, Meyer IH. Internalized homophobia and relationship quality among lesbians, gay men, and bisexuals. Journal of Counseling Psychology. 2009;56(1):97-109. doi:10.1037/a0012844. https://pmc.ncbi.nlm.nih.gov/articles/PMC2678796/
  3. Miller A. Same-sex couples: A model for straight pairs? Monitor on Psychology. 2013;44(4):45. https://www.apa.org/monitor/2013/04/same-sex
  4. U.S. Census Bureau. Larger share of people in Same-Sex couples have graduate or professional degrees than people in Opposite-Sex couples. Census.gov. February 25, 2025. https://www.census.gov/library/stories/2021/04/how-people-in-same-sex-couples-compare-to-opposite-sex-couples.html
  5. Shenkman G. The association between basic need satisfaction in relationship and personal growth among lesbian and heterosexual mothers. Journal of Social and Personal Relationships. 2016;35(2):246-262. doi:10.1177/0265407516681192. https://journals.sagepub.com/doi/full/10.1177/0265407516681192. Accessed April 3, 2025.

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How To Deal With Internalized Homophobia https://www.talkspace.com/blog/internalized-homophobia/ Tue, 03 Jun 2025 16:49:32 +0000 https://www.talkspace.com/blog/?p=36074 Internalized homophobia happens when a person absorbs society’s negative attitudes toward LGBTQIA+ identities and unintentionally applies them to…

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Internalized homophobia happens when a person absorbs society’s negative attitudes toward LGBTQIA+ identities and unintentionally applies them to their own self-image. Over time, this can lead to self-doubt, sexual shame, and discomfort with your own sexuality or gender identity. 

These feelings aren’t a reflection of your self-worth. They’re a natural reaction to living in a world that, for far too long, has told LGBTQIA+ identifying people that they don’t belong. Learning how to overcome internalized homophobia is a powerful act of healing, self-acceptance, and unlearning harmful beliefs. In this article, we’ll explore how to recognize internalized homophobia, understand its roots, and develop the tools to combat it. 

Recognizing the Signs of Internalized Homophobia

Internalized homophobia can be sneaky. It doesn’t always announce itself loudly. Sometimes, it slips quietly into your thoughts, your relationships, and even the way you see yourself. Learning how to deal with internalized homophobia starts with recognizing how it might show up and cause problems in your daily life.

Negative self-talk and shame

Have you ever caught yourself thinking, “I shouldn’t talk about this part of myself,” or “ Things would be easier if I were different”? Feelings of guilt, embarrassment, or discomfort related to your sexuality or gender are hallmarks of internalized homophobia. These patterns don’t just appear out of nowhere. They’re learned over time, often from growing up in environments where identifying with the LGBTQIA+ community wasn’t seen as fully valid or acceptable. 

Research shows that over time, internalized homophobia can affect self-esteem and contribute to mental health challenges like anxiety or depression. However, once you start noticing that voice, you can start challenging it and offering yourself more kindness instead.

Fear of coming out or being openly LGBTQIA+

Coming out is a deeply personal choice, and there’s no “right way” to do it. If fear is the only thing holding you back, especially in safe spaces, it might be a sign that internalized homophobia is still at work.

You might dodge conversations about your identity, avoid LBGTQIA+ spaces, or feel anxious about being “too obvious” when it comes to your sexual orientation. These feelings are completely understandable, especially when you’ve spent years consuming messages that being yourself is wrong.

It’s not about forcing yourself to come out if you’re not ready. It’s about being honest with yourself about what’s driving the fear and knowing you deserve to live openly in your own time and on your own terms.

Judgment of other LGBTQIA+ individuals

This one can be tough to notice and even tougher to admit. If you find yourself judging other LGBTQIA+ people for being “too much” or “too loud,” it might actually say more about how you’re feeling toward your own homosexuality.

Society teaches us a lot of subtle (or not-so-subtle) lessons about what’s considered “acceptable.” Judging others can sometimes be an unintentional way of protecting yourself from those same homophobic judgments. In a way, it’s like saying, “I’m not like them, so maybe I’m better.”

It’s okay if you notice this happening. Staying curious about where those feelings and thoughts are coming from can be a powerful first step toward greater self-acceptance.

Difficulty in relationships and intimacy

When you’re carrying around deep-rooted beliefs that you’re not good enough or lovable, those feelings can make relationships complicated. You might struggle with emotional closeness, feel anxious about being seen for who you really are, or even push people away before they get too close. 

Studies show that internalized homophobia can make it harder to build satisfying and trusting relationships. Learning to recognize these patterns gives you the opportunity to work through them and open yourself up to the kinds of connections you truly deserve.

The Impact of Society and Culture on Internalized Homophobia

So much of our worldview is shaped by the ideas and media we’ve been exposed to throughout our lives, and the same goes for internalized homophobia. It’s often the result of growing up in a world where being queer wasn’t fully accepted, or worse — where it’s treated as something to hide, fear, or change.

“Societal and cultural attitudes impact how people see themselves by setting expectations about what is considered “normal” or “acceptable”. This is especially true when it comes to identity and sexuality. This can lead to shame, confusion, or low self-esteem. I often see this in people I work with who struggle to fully accept themselves because of fear of judgment or rejection.”

– Talkspace therapist Bisma Anwar, LPC, LMHC

Early messages that stick

Children are highly impressionable, and the messaging we receive at a young age can stick with us for life. Some common examples include:

  • Movies that only showcase straight love stories
  • TV shows where queer characters are the punchline
  • News headlines that paint LGBTQIA+ rights as “controversial”

Although representation has improved in recent years, negative stereotypes surrounding homosexuality and limited portrayals of queer individuals and relationships still have an ongoing impact.

The role of culture and religion

Cultural and religious values undoubtedly play a role, too. If you grew up hearing that homosexuality was “wrong,” “unnatural,” or “a phase,” those ideas can linger, even if you no longer subscribe to them. Family expectations, community pressures, and broader societal norms all make it that much harder to fully accept and find peace with who you are.

Recognizing where these harmful homophobic messages come from is part of the healing process. It’s not that there’s anything wrong with you, but that you’ve been taught to question yourself. Once you can see that clearly, you can start to unlearn it. 

Strategies for Overcoming Internalized Homophobia

Learning to overcome internalized homophobia is a process. Challenging long-held negative beliefs takes time, self-reflection, and a lot of patience with yourself. Thankfully, there are practical, evidence-based strategies to help you move toward greater self-acceptance and healing.

Educating yourself about LGBTQIA+ history and experiences

When societal messaging only tells part of the story, it’s easy to internalize limiting beliefs about what it means to be LGBTQIA+. Learning about the full richness of LGBTQ+ history, including the activism, resilience, and culture, can help rewrite those narratives.

Educating yourself about historical figures like Harvey Milk or Marsha P. Johnson or learning about milestone events like Stonewall can remind you that you’re part of a long and powerful history of strength and pride. Studies show that feeling connected to LGBTQIA+ history and queer communities can increase self-esteem and reduce feelings of isolation.

Whether through books, documentaries, podcasts, or community events, seeking out sources that celebrate LGBTQIA+ identities can help you unlearn internalized homophobia and see yourself in a new light.

Challenging negative thoughts and replacing them with affirmations

Internalized homophobia often shows up in how we talk to ourselves. It can present as inner thoughts like, “I don’t belong,” or “I’ll never be fully accepted.” The best place to start is by paying attention when these thoughts pop up and gently questioning them. Ask yourself: Is this thought based on facts or fears? What would I tell a friend who felt this way?

Replacing critical thoughts with affirmations like “my identity is valid” or “I deserve to be loved exactly as I am” can go a long way in helping rewire how you see yourself over time.

Seeking community and connection

Healing doesn’t happen in isolation. Being around people who affirm and celebrate your true self can accelerate progress. Whether it’s joining a local LGBTQ+ group, attending Pride events, or finding safe spaces online, connection matters. Research consistently shows that social support is a protective factor for LGBTQIA+ mental health, helping to buffer against the harmful effects of stigma.

Practicing self-acceptance and self-love

Self-acceptance isn’t about pretending everything is perfect. It’s about making space for all parts of yourself, even the ones society may have taught you to hide. Prioritize self-care by surrounding yourself with affirming allies and setting boundaries with unsupportive people. Even small habits like journaling or mindfulness can help reinforce your sense of self-worth. 

Engaging with role models and positive representation

Representation matters — not just in the media but also in the stories you surround yourself with. Seeking out role models who live openly and authentically can help you expand your vision of what’s possible for your own life. Whether it’s reading memoirs, watching interviews, or following activists or creators on social media who inspire you, filling your world with affirming voices can help counteract old narratives of shame, fear, and homophobia.

“Unlearning ingrained homophobia can bring up feelings of guilt, shame, and confusion. This process can be emotional and intense but ultimately leads to self-acceptance. Therapy helps by providing a safe space to explore these feelings, unpack harmful messages, and build a more compassionate mindset.”

Talkspace therapist Bisma Anwar, LPC, LMHC

The Role of Therapy in Addressing Internalized Homophobia

Learning how to overcome internalized homophobia can be challenging, especially when you’ve carried those feelings for a long time. Therapy can be a powerful support system during this process, offering a space where you’re fully seen, accepted, and encouraged to grow.

A LGBTQIA+ affirming therapist can help you explore your identity without fear of judgment or rejection. These specialized therapists create an environment where you can talk openly about your individual experiences, challenge harmful beliefs, and build healthier ways of thinking about yourself.

Therapeutic approaches that support healing

Cognitive behavioral therapy (CBT) is a form of talk therapy that focuses on identifying and reframing negative thought patterns — a skill that can be particularly helpful when unlearning internalized stigma or bias. Research shows that CBT tailored for LGBTQIA+ individuals can significantly reduce depression, anxiety, and substance abuse.

Affirmative therapy is another option worth exploring. It’s designed specifically to support LGBTQIA+ individuals and those questioning sexuality by creating a safe, nonjudgmental space to explore identity, challenge deep-seated fears of family or social rejection, and build self-acceptance. Therapists trained in affirmative therapy can offer tools to help you reconnect with yourself and remind you that there’s absolutely nothing wrong with being exactly who you are.

Moving Forward With Pride and Confidence

Healing from internalized homophobia is a journey no one has asked to embark on. Some days will feel easier than others, but every step toward self-acceptance is a small win that deserves celebrating. Embracing your full identity means allowing space for growth, joy, and community. You deserve to live with pride and confidence, surrounded by people who value and appreciate you no matter your sexual orientation. 

If you need support along the way, Talkspace offers flexible and affordable online LGBTQIA+ therapy that can connect you with affirming therapists who are ready to help you move forward with strength, guidance, and self-love. 

Sources:

  1. Puckett JA, Levitt HM, Horne, S. G., & Hayes-Skelton, S. A. Internalized heterosexism and psychological distress: The mediating roles of self-criticism and community connectedness. Psychol Sex Orientat Gend Divers. 2015;2(4):426-435. doi:10.1037/sgd0000123
    https://psycnet.apa.org/doi/10.1037/sgd0000123
  2. Zeynep, S, Ahmet A. In lesbian, gay and bisexual individuals: Attachment, self-compassion and internalized homophobia: A theoretical study. J Cogn Behav Psychother Res. 2016;3:135-144. doi:10.5455/JCBPR.239260
    https://jcbpr.org/storage/upload/pdfs/1708340521-en.pdf
  3. Frost DM, Meyer IH. Internalized homophobia and relationship quality among lesbians, gay men, and bisexuals. J Couns Psychol. 2009;56(1):97-109. doi:10.1037/a0012844 https://pmc.ncbi.nlm.nih.gov/articles/PMC2678796/
  4. Tinlin-Dixon R, Bechlem B, Stevenson-Young L, Hunter R, Falcon-Legaz P. Community, belonging and acceptance; is this the antidote to shame and societal discrimination? An exploration of LGBTQ+ individuals’ attendance at pride and their mental health. Psychol Sex. 2024;16(1):206-219. doi: 10.1080/19419899.2024.2372047 https://www.tandfonline.com/doi/full/10.1080/19419899.2024.2372047#abstract
  5. Robinson BA, Mu F, Webb JM,  Stone AL. Intersectional social support: Gender, race, and LGBTQ youth friendships. Soc Ment Health. 2024;0(0). doi: 10.1177/21568693241266960 https://journals.sagepub.com/doi/10.1177/21568693241266960?icid=int.sj-full-text.citing-articles.7
  6. Pachankis JE, Soulliard ZA, Seager van Dyk I, et al. Training in LGBTQ-affirmative cognitive behavioral therapy: A randomized controlled trial across LGBTQ community centers. J Consult Clin Psychol. 2022;90(7):582-599. doi:10.1037/ccp0000745 https://pmc.ncbi.nlm.nih.gov/articles/PMC9434976/

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How to Overcome Sexual Shame https://www.talkspace.com/blog/sexual-shame/ Tue, 03 Jun 2025 16:48:51 +0000 https://www.talkspace.com/blog/?p=36058 If you’ve ever felt embarrassed, broken, or afraid because of your sexuality, you’re not alone. Sexual shame runs…

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If you’ve ever felt embarrassed, broken, or afraid because of your sexuality, you’re not alone. Sexual shame runs deep, often stemming from the messages we absorbed growing up, from our culture, religion, families, or past experiences. It can show up as guilt after intimacy, fear of being judged, or even a sense that something is fundamentally wrong with you. These feelings can have a dark, negative impact on everything from self-esteem to relationships to your ability to feel safe and connected in your body. However, sexual shame doesn’t have to be permanent. 

Whether you’re coping with the effects of sexual assault or trying to shake off years of silence and stigma, you can learn how to overcome sexual shame. It won’t happen overnight, but it is possible, especially when you have the right tools.

In this guide, we’ll explore how to overcome sexual shame through education, support, and self-compassion — so you can move toward the kind of intimacy and connection you deserve. If you’re struggling with shame and sexuality, read on to find self-acceptance and undo harmful beliefs.

Recognizing the Signs of Sexual Shame

If you want to learn how to overcome sexual shame, you must first understand how it affects your thoughts, behaviors, and relationships. You need to identify and address any unhealthy thought and behavior patterns surrounding sex. There are several harmful ways that feelings of shame around sex can manifest in your life. 

Negative self-talk and body image issues

Sexual shame can cause feelings of embarrassment and unworthiness during sexual activity and other intimate encounters. It might include things like: 

  • Avoiding nudity (even in non-sexual situations) 
  • Having an unhealthy body image — feeling shame or discomfort about your body 
  • Hesitating to initiate sex, even with a trusted partner, out of fear of being judged
  • Feeling guilt during or after you’re intimate
  • Having intrusive thoughts before, during, or after sexual encounters
  • Avoiding self-pleasure because of guilt or cultural or religious taboos
  • Being unable to accept compliments 
  • Suppressing your sexual desires

Difficulty discussing sex or intimacy

It’s not uncommon for people with sexual shame to find discussions about sex or intimacy difficult, even if they’re in a safe space with someone they trust. This can be true for rape victims, someone who identifies as LGBTQIA+ or is questioning their sexuality, or anyone dealing with shame and sexuality in general​. 

It might be difficult to use sexual terms, hear others talk about sex, or see erotic or sexual scenes in movies or other media. Ultimately, though, the discomfort, fear, and feeling “wrong” for sexual desires could prevent you from developing intimate relationships.

Guilt or anxiety around pleasure 

Studies show our brains are wired to seek pleasure. We want rewards, and we like being satisfied. However, sexual shame can cause distress and self-judgment when exploring sexuality. For example, someone might not masturbate because of the guilt they experience — they might believe that some or all sexual activity is inherently “wrong.”

Struggles with intimacy and relationships

Sexual shame can cause some people to avoid intimacy or disconnect from their partner. They might have an intense fear of rejection due to a perceived (often false) flaw that prevents them from connecting with their partner on a deep emotional or sexual level. 

Over time, that lack of closeness and satisfaction in their relationship can be harmful. It can lead to depression, loneliness, or being unable to get aroused or have an orgasm. 

Steps to Overcome Sexual Shame

Healing sexual shame takes work, but you can do it. Through self-reflection and proactive tools, it’s possible to overcome your fears and cultivate healthy, intimate, sexual relationships.

Identifying the root of shame

The most important part of overcoming sexual shame is knowing where your attitude about sex originated from. Many people find it’s rooted in cultural conditioning or past experiences that caused sexual shame and trauma​. 

As you reflect on the origins of your shame, you’ll likely realize your belief system doesn’t serve you. Then, you can start changing how your attitude toward sex influences your life, sense of self, and relationships.

Challenging negative beliefs and replacing them with self-acceptance

Reframing your thoughts is a powerful technique. It’s an effective way to regain control and overcome the shame you feel about sex. Replacing shame-based thinking with self-compassion will reaffirm that sexuality is a natural and healthy part of your life. 

To accomplish this, you should:

  • Identify the negative core beliefs you hold about sex
  • Challenge those unhealthy thoughts
  • Learn about cognitive restructuring — where you replace distorted thoughts with balanced, kind, and realistic ones
  • Use daily affirmations
  • Practice mindfulness and self-compassion so you’re aware of your thought processes without judgment

Educating yourself about sexuality and body positivity

Look for sex-positive resources that foster body positivity and help you build confidence about your sexuality. The following resources will educate you and replace misinformation with knowledge: 

  • Read books and articles on sex-positivity 
  • Follow reputable influencers, educators, and advocates on social media
  • Take an online class 
  • Attend a sexual health workshop
  • Listen to podcasts
  • Explore diverse sexual identities and experiences
  • Find educational resources on self-love and body positivity

Practicing open and shame-free communication

Practicing proper communication exercises for couples is essential in any healthy relationship. Discussing your emotions and sexual desires with a trusted partner can normalize the topic of sex and intimacy, helping you overcome shame over sexuality​. 

Topics to discuss while practicing open, shame-free communication include: 

  • Boundaries
  • Pleasures
  • Desires
  • Past experiences that contribute to your shame
  • The importance of using clear, respectful language
  • Your true feelings or fears about intimacy 

Engaging in self-exploration without judgment

Connecting with your body through mindfulness exercises, movement, or self-touch will help you embrace your own sexuality without fear of judgment. It’s imperative that you feel safe when exploring your feelings. 

Accomplish this by:

  • Meditating
  • Keeping a no-judgment journal
  • Exploring your body
  • Seeking out and joining inclusive communities
  • Using expressive art
  • Trying not to compare yourself to others
  • Seeing a therapist 

Working through shame with a therapist

There’s a lot you can do to overcome sexual shame on your own, but therapy adds a layer of safety that promotes even more growth. Sex-positive counseling is based on research that supports the idea that sexuality is linked to mental health. It focuses on achieving or maintaining positive sexual health to improve relationships and deepen connections. Think of it as a safe space where you can address deep-seated shame and get the tools you need to heal, especially if you’re dealing with sexual shame trauma​. 

Cognitive behavioral therapy (CBT) and mindfulness techniques are therapeutic and known for their ability to reframe negative beliefs about sex. Studies show that CBT for PTSD and trauma-related depression from sexual abuse can be effective after just 6 – 12 sessions. Trauma-informed therapists are trained to help you process past events that might be contributing to sexual shame.

“Sexual shame can be such an untapped undercurrent to stress in a relationship. Much like finances, we can assume a lot of things about our partners and sometimes that can trap one into unnecessary fear of exploration, learning, asserting and most importantly communicating. Releasing shame, allows for more growth, maturity and also enjoyment. Get some help deconstructing assumed ideas, in order to grow as a partner. Sometimes perspective is all we need in order to understand how much we stand in our own way!”

Talkspace therapist Elizabeth Keohan, LCSW-C

Moving Forward with Self-Acceptance and Confidence

Overcoming sexual shame isn’t something that happens overnight. It’s a journey that relies on self-compassion. Healing from sexual shame is an intensive process that relies on self-acceptance, education, and unlearning harmful beliefs. It can be difficult to embrace the idea that sexuality is a natural and healthy part of the human experience. With help, though, you can work toward greater self-confidence, self-worth, and fulfillment. 

If you’re looking for professional guidance, Talkspace is an online therapy platform that offers convenient, affordable access to trained, licensed mental health professionals who specialize in unpacking shame and recovering from trauma. Finding the right support will be an invaluable part of your healing journey. 

If you’re ready to heal from sexual trauma or reframe your shame into positive attitudes about sex, reach out today. Explore online therapy options, including LGBTQIA+ therapy resources, and tools for survivors of sexual trauma. No matter your need, Talkspace is there to help.

Sources: 

  1. Berridge KC, Kringelbach ML. Pleasure systems in the brain. Neuron. 2015;86(3):646-664. doi:10.1016/j.neuron.2015.02.018. https://pmc.ncbi.nlm.nih.gov/articles/PMC4425246/. Accessed March 30, 2025.
  2. Litam SDA, Speciale M. Deconstructing Sexual Shame: Implications for clinical counselors and counselor educators. Journal of Counseling Sexology and Sexual Wellness. Published online July 12, 2021:14-24. doi:10.34296/03011045. https://digitalcommons.unf.edu/cgi/viewcontent.cgi?article=1045&context=jcssw. Accessed March 30, 2025.
  3. Resick PA, Nishith P, Griffin MG. How well does Cognitive-Behavioral therapy treat symptoms of complex PTSD? An examination of child sexual abuse survivors within a clinical trial. CNS Spectrums. 2003;8(5):340-355. doi:10.1017/s1092852900018605. https://pmc.ncbi.nlm.nih.gov/articles/PMC2970926/. Accessed March 30, 2025. 

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What to Do if You’re Questioning Your Sexuality https://www.talkspace.com/blog/questioning-sexuality/ Fri, 08 Sep 2023 19:26:00 +0000 https://www.talkspace.com/blog/?p=31655 The process of questioning sexuality is a profoundly personal experience that many people find themselves trying to navigate…

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The process of questioning sexuality is a profoundly personal experience that many people find themselves trying to navigate throughout life. It’s also (perhaps surprisingly) common — a recent Gallup poll found that more than 7% of the adult U.S. population identifies as lesbian, gay, bisexual, transgender, queer, or something else other than heterosexual (commonly referred to as LGBTQ). That’s more than double the number in 2012 when Gallup first began measuring it. 

The journey of self-exploration can be fraught with mixed emotions. People can feel anything from hesitation, to inquisitiveness, to trepidation, to fear — and many people even experience delight. 

For anyone trying to understand who they are in terms of their sexual orientation, the process can be a long road. If you or someone you care about has ever felt confused about sexuality, first and foremost, know that you’re not alone. 

Learning more can offer insight, resources, and support. Patience, education, honesty, and professional help with an LGBTQIA+ therapist are helpful to go through the process in a healthy way. In the end, keeping an open mind is crucial, and self-discovery is a journey that’s well worth exploring. 

Take Time to Understand & Explore Your Feelings

If you’re questioning your sexuality, making time for introspection and exploration is important. Your personal journey will be most successful if you take the time to understand your feelings and thoughts on a deeper level. Rest assured, this range of emotions you’re feeling is normal. You might feel excitement one moment and frightened the next — these feelings are all part of the process.

Things to ask yourself

Asking yourself a few questions might help if you’re struggling or confused about your sexuality. Talkspace therapist Reshawna Chapple suggests doing some self-reflection by exploring the following:

  • Who do you see when you close your eyes and imagine yourself with a partner in a romantic relationship?
  • Imagine photos you see of couples and families — are you drawn toward a specific type of couple? 
  • Being told your feelings are inadequate, wrong, or unworthy can cause significant internal turmoil — if you could set that aside, would it change how you feel? 
  • Are you conflicted due to your upbringing? 

Educate Yourself on Different Sexual Orientations

If you’ve ever felt confused about sexuality, understanding the broad sexuality spectrum of sexual orientation is important. It may involve familiarizing yourself with various terms and concepts that define human sexuality.

The term sexual orientation isn’t confined to heterosexuality or homosexuality. It’s far more complex than this. Some are attracted to the opposite sex. Some people identify as bisexual, and bisexuality means they are drawn to both men and women. Others might recognize themselves as pansexual or queer, indicating they may be attracted to someone regardless of gender identity, or that they simply don’t identify with the “traditional” notation of sexual orientation, gender expression, or gender identity. You may also identify somewhere along the asexuality spectrum, meaning there is a certain lack of sexual attraction.

Pivotal research was done decades ago by the Kinsey Institute. One study where thousands were interviewed shed light on the complexities of sexuality, illustrating how it exists along a continuum rather than in binary form.

A note about fluidity

Beyond understanding the labels and categories, we must also acknowledge the concept of fluidity — which is simply recognizing that sexuality isn’t fixed. 

Sexual fluidity accepts that attraction can change over time. It’s not unnatural for feelings toward specific genders to evolve throughout personal journeys — attractions can shift, whether due to environmental factors or internal growth. Learning about the diversity of sexual orientation can help create a safe space for exploration.

Seek Support 

Anyone who’s exploring their sexuality or questioning their gender should find support. Often, the quickest and most accessible road to a support system can be through organizations dedicated to promoting LGBTQIA+ mental health — online communities and outreach programs are great options. Many organizations are committed to supporting people exploring their sexuality.

  • The Trevor Project: The Trevor Project provides crisis intervention services for young people in the LGBTQIA+ community. 
  • GLSEN: The Gay Lesbian Straight Education Network (GLSEN) works tirelessly to create resources to help students grasp diverse identities while promoting acceptance across schools throughout America. 
  • Kinsey Institute: Kinsey Institute’s Kinsey scale, developed by Alfred Kinsey, offers insightful exploration into behaviors related to sexuality. While somewhat controversial today, Kinsey’s research into human sexuality opened the door to discussions that still prove immensely beneficial. 

Explore Relationships & Experiences at Your Own Pace

When questioning sexuality, giving yourself the time and space to explore relationships and experiences at your own pace is important. This journey is unique to you, and there’s no right or wrong way to walk through it. Grant yourself the time, space, and permission to uncover what speaks to you and discover what you need to feel comfortable living your authentic truth.

Other tips to keep in mind while on this journey:

  • Experience sexual attraction authentically: As you come to terms with your sexuality, focus on accepting your attraction toward others. Be true to your authentic self, embrace your desires, and do so without judgment or shame. Remember — your feelings are valid.
  • Create safe spaces for exploration: Exploring in a safe space means surrounding yourself with supportive, understanding people who respect your journey and offer a non-judgmental environment. This might be a close friend, a family member, or an LGBTQIA+ support group. Find places where you feel confident being yourself and don’t fear being mistreated or disrespected.
  • Navigate same-gender relationships healthily: Navigating early same-gender relationships can be overwhelming. It’s important to remember that you’re not alone in this experience — seek out resources and support networks that provide guidance and are understanding. Connecting with others who’ve gone through similar experiences can help you find a sense of belonging.

“It’s okay to take time to get to know someone and even date someone without coming out or declaring yourself LGBTQIA. Be patient with yourself and try to remember that it’s your identity, and there is nothing wrong with you.”

Talkspace therapist Reshawna Chapple

Be Honest with What You Like & Don’t Like

Think of honesty as an emotional exercise. You can’t be honest with anyone until you’re comfortable being true to yourself. The process can be slow, but the results are worth the wait. Self-validation is instrumental in being able to live your life authentically.

Don’t Feel Pressured into Labeling Yourself

Avoid rushing to assign labels during your journey of self-discovery and exploration of sexuality. This process doesn’t require immediate labeling or definition, and you can choose when and how to come out (if you want to).

Look for Professional Counseling

Therapy can play a prominent role in coming to terms with your sexuality. The key to using the therapy process successfully involves several components, including: 

  • Seeking professional help: A licensed therapist specializing in LGBTQIA+ issues can offer a safe space that’s less daunting. Learn how to find an LGBTQIA+ therapist in our guide.
  • Finding the right therapist: Selecting a mental health professional who respects and supports your process is crucial. This could mean seeking someone who’s experienced in working with those exploring gender identities and their sexuality. Online therapy platforms like Talkspace match clients with therapists who are versed in sexual identity exploration. As an added bonus, online therapy offers flexibility, convenience, and affordability.
  • Finding acceptance within yourself: The most essential part of your journey is understanding that your sexual orientation doesn’t define you. It’s just one part of what makes you unique. Embracing your identity means acknowledging all aspects of yourself without shame. You can practice emotional exercises such as mindfulness meditation and self-compassion techniques to cultivate self-acceptance. These practices can help alleviate anxiety and stress if you’re questioning your sexuality.

“Questioning your sexuality is a normal part of maturing and understanding or defining your identity. Unfortunately, the media, and even friends and family, can provide incorrect information or information that tells an individual how to feel but does not help them understand or process these feelings. It’s important to seek professional help from someone who understands and can safely explain the process and provide guidance.”

Talkspace therapist Reshawna Chapple

Embrace Your Identity & Find Self-Acceptance

Questioning sexuality is a self-discovery journey full of extreme emotions and experiences. Understanding your feelings takes time, patience, and honesty. It begins with embracing your identity so you can learn to accept yourself. 

Finding support from friends, family, or a licensed therapist is crucial. If questioning your sexuality feels overwhelming, remember it’s OK not to have all the answers right now. The important thing is that you’re working toward being true to yourself. 

If you’re questioning your sexuality and looking for support, Talkspace is here for you. Questioning your sexuality is normal. In fact, it can lead to personal growth and increased self-awareness, allowing you to live the best, most authentic, happiest life you’ve ever imagined.  Getting there isn’t something you have to do alone. Reach out to Talkspace today to learn more.  

Sources:

  1. Jones JM. LGBT identification in U.S. ticks up to 7.1%. Gallup.com. June 5, 2023. Accessed July 20, 2023. https://news.gallup.com/poll/389792/lgbt-identification-ticks-up.aspx.
  2. Exploring sexuality, relationships, and well-being. kinseyinstitute.org. Accessed July 20, 2023. https://kinseyinstitute.org/
  3. For young LGBTQ LIVES. The Trevor Project. June 1, 2023. Accessed July 20, 2023. https://www.thetrevorproject.org/
  4. Homepage. GLSEN. Accessed July 20, 2023. https://www.glsen.org/. 
  5. The Kinsey Scale. Prevalence of Homosexuality study. Accessed July 20, 2023. https://kinseyinstitute.org/research/publications/kinsey-scale.php
  6. Zietsch BP, Sidari MJ. The Kinsey Scale is ill-suited to most sexuality research because it does not measure a single construct. Proceedings of the National Academy of Sciences. 2020;117(44):27080-27080. doi:10.1073/pnas.2015820117. https://www.pnas.org/doi/10.1073/pnas.2015820117

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What is Gender Blindness? https://www.talkspace.com/blog/gender-blindness/ Fri, 08 Sep 2023 19:20:00 +0000 https://www.talkspace.com/blog/?p=31643 Gender blindness, a term that might be unfamiliar and is often misunderstood, has multiple meanings and significant implications…

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Gender blindness, a term that might be unfamiliar and is often misunderstood, has multiple meanings and significant implications — both for society and in interpersonal relationships. 

The concept can refer to the disregard or ignorance of gender being a factor in decision-making behind policies or practices. For example, we see this in “gender-blind hiring” processes, where in an effort to reduce gender bias, gender isn’t considered as applications and resumes are being reviewed. The practice sounds excellent on paper, but as we’ll discuss here, the outcome isn’t always as beneficial as expected.  

Gender blindness can also be a term used when discussing sexuality. Someone who’s gender blind might not view gender as a factor in attraction. They might identify as either bisexual (attracted to multiple genders) or pansexual (attracted to all genders). 

A common misconception is that gender blindness implies an absence of gender. Rather, it signifies a failure to consider the influence and importance of gender. It’s crucial to understand what gender blindness truly means to avoid the pitfalls of the practice. A genuine understanding can pave the way toward more inclusive societies where equality thrives beyond traditional gender roles and gender stereotypes. 

Keep reading to explore the concept of gender blindness.

Understanding Gender Blindness

The term gender blindness refers to ignoring or overlooking the significance of gender as a factor in life. It’s not a denial of gender itself. Regardless of intent, we must be aware of gender blindness. It can be incredibly harmful and actually work to further gender inequality since it blatantly overlooks the differences between different gender identities

Research suggests gender blindness can sabotage a social-ecological system’s resilience by fostering attitudes that encourage the ignoring of ongoing issues related to gender, like unconscious bias and gender discrimination. It can also considerably downplay the need to embrace gender diversity.

The roots of gender blindness

In many cultures, positions traditionally associated with masculine names have created male-dominated environments. The result is a culture that disregards individuality, with perceived notions about masculinity and femininity becoming commonplace, leading to gender-blind behavior.

The perspective ignores ongoing issues related to biases against those who don’t fit neatly into preconceived categories. Further, it promotes discriminatory actions that can negatively impact gender equity.  

Stereotypes contributing to gender blindness

A key contributor to gender blindness is the stereotypical role that revolves around deeply entrenched beliefs about “appropriate” behaviors for men versus women — from occupational choices to personal interests to hobbies and more.

Culturally ingrained differences also play a role. They might encourage biased thinking that exacerbates situations. Mainstream expectations can result in some people conforming to societal norms rather than expressing themselves freely and without fear.

Gender Blindness vs. Gender Neutrality

The discourse around gender often includes the terms gender blindness and gender neutrality. Though these terms seem similar on the surface, they have unique meanings.

Gender blindness

Gender blindness is a perspective that disregards sex or identified gender. For some, the approach has good intentions, aiming to promote equality by treating everyone uniformly regardless of gender.

Some argue the mindset can be beneficial — like an effort to thwart traditional masculinity that’s attached to roles and leads to bias. For instance, male-dominated environments, like tech companies, might benefit from adopting gender-blind practices during hiring processes.

That said, critics of gender blindness note that completely overlooking differences between sexes and genders can perpetuate harmful stereotypes and biases, not address them directly.

Gender neutrality

The expression “gender-neutral” considers existing different genders while striving to not assign roles based on sex or identified gender.  

The ideology promotes acceptance without enforcing norms primarily rooted in binary thinking. Gender neutrality can permit and encourage embracing differences among nonbinary people and cisgender and transgender identities. 

A simple example is children’s toys — instead of labeling for boys or for girls, manufacturers who adopt a gender-neutral strategy can produce and promote products as suitable for all children, irrespective of perceived gender. Another example is not assigning bathrooms to “Men” or “Women.” 

Differentiating between gender blindness and gender neutrality

Both approaches promote equity by recognizing unique needs rather than using uniform treatment. However, an altogether “blind” approach can unintentionally perpetuate systemic inequalities by ignoring inherent societal disparities between sexes and genders.

Achieving equal opportunities requires taking active measures instead of ignoring individual characteristics that are tied to identity.

The Impacts of Gender Blindness

Gender blindness has both positive and negative aspects. While on the one hand, it can promote equality by not considering someone’s identified sex, ignoring gender differences often overlooks or blatantly ignores ongoing gender-related issues.

The positive sides

When applied appropriately within context, a gender-blind approach can have some positive effects, including: 

  • Starting to dismantle stereotypes associated with specific genders, for example, the proven gender bias in the science, technology, engineering, and math (STEM) fields.
  • Helping society judge people based on aptitudes instead of preconceived notions.
  • Expanding opportunity for all.
  • Improving workplace confidence, especially for women.
  • Eliminating sexual and domestic violence laws written under the assumption that only women can be victimized.  

The methodology also opens the door to recognizing that titles driven by masculine names — such as “fireman” or “mailman” — can make some roles less accessible for those identifying as cisgender or transgender.

The negative effects

Despite potential benefits, significant drawbacks can be tied to taking an utterly blind approach toward gender. Some major concerns include:

  • Being blind to all gender-related issues might result in ignoring or missing discrimination. 
  • Potential for overcorrecting that results in (perceived or actual) special treatment.

“While gender blindness can have a positive impact, some disadvantages to this approach exist. It significantly downplays the struggles and discriminations that have occurred for various genders historically and currently. It negates the need for reasonable accommodations as egregious. For instance, the need for parental leave can differ based on gender. However, it does not take into account a single parent of any gender.”

Talkspace therapist Minkyung Chung, MS, LMHC

Why We Should Promote Gender Neutrality

The concept of gender neutrality embraces a broad spectrum, including nonbinary and transgender identities. It encourages an environment where people are treated equally, regardless of gender identity.

Achieving true gender neutrality demands that we recognize and address culturally ingrained gender differences to foster a more equitable atmosphere and create opportunities where everyone can flourish.

Promoting equality through gender neutrality

Gender neutrality is fundamentally about promoting equality. It aims to eliminate biases based on traditional masculinity or other stereotypical indicators we associate with sex or a perceived role in society.

The practice discourages discrimination against cisgender women in male-dominated environments. It also supports those who identify outside the conventional male-female dichotomy by focusing on individual capabilities rather than the preconceived notions tied to biological sex or identity.

Fostering inclusivity with a gender-neutral approach

Incorporating a gender-neutral approach can foster inclusivity by acknowledging diverse identities while ensuring fair treatment. Instead of ignoring the differences under the guise of being “gender blind,” the method celebrates diversity and promotes social acceptance.

In short, moving away from stereotypes linked with specific genders opens opportunities, regardless of sexual orientation or gender expression.

“Gender neutrality helps in promoting equality by removing gender-specific descriptions for roles that were traditionally gender specific. For instance, more families are deciding that a father stays home with their children rather than the mother. So reframing the term stay-at-home-mother to stay-at-home-parent promotes the acceptance that any gender parent can fulfill that role.”

Talkspace therapist Minkyung Chung, MS, LMHC

Support for the Negative Impacts of Gender Blindness

Gender blindness is a societal construct that overlooks the influence of gender in our lives. Talkspace is an online therapy platform that provides mental health support for anyone who is struggling with gender bias, exploring sexual identity, or has any other needs. Talkspace offers an inclusive environment where it’s possible to express concerns freely about any form of discrimination — including those resulting from misguided attempts at being “blind” towards gender differences. 

Talkspace therapists are trained to understand the identity-based struggles and challenges marginalized communities often face, with an emphasis on LGBTQIA+ therapy that makes adequate mental health care accessible and affordable for all individuals. A Talkspace therapist can be instrumental in countering harmful effects that result from gender blindness.

By fostering gender awareness and sensitivity, Talkspace can be a crucial resource, effectively mitigating the negative implications that stem from (often unintentional, yet still damaging) consequences of adopting overly simplistic gender-blind perspectives.

Sources:

  1. Aregu L, Darnhofer I, Tegegne A, Hoekstra D, Wurzinger M. The impact of gender-blindness on social-ecological resilience: The case of a communal pasture in the highlands of Ethiopia. Ambio. 2016;45(S3):287-296. doi:10.1007/s13280-016-0846-x. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120030/. Accessed July 22, 2023.
  2. Moss-Racusin CA, Dovidio JF, Brescoll VL, Graham MJ, Handelsman J. Science faculty’s subtle gender biases favor male students. Proceedings of the National Academy of Sciences. 2012;109(41):16474-16479. doi:10.1073/pnas.1211286109. https://www.pnas.org/doi/full/10.1073/pnas.1211286109. Accessed July 22, 2023.
  3. Martin AE, Phillips KW. What “blindness” to gender differences helps women see and do: Implications for confidence, agency, and action in male-dominated environments. Organizational Behavior and Human Decision Processes. 2017;142:28-44. doi:10.1016/j.obhdp.2017.07.004. https://www.researchgate.net/publication/318863273_What_blindness_to_gender_differences_helps_women_see_and_do_Implications_for_confidence_agency_and_action_in_male-dominated_environments. Accessed July 22, 2023.

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Misgendering: Exploring the Harmful Impact of It https://www.talkspace.com/blog/misgendering-impact/ Fri, 08 Sep 2023 18:54:00 +0000 https://www.talkspace.com/blog/?p=31626 Understanding and honoring the different gender identities is essential to living in a world that fosters and respects…

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Understanding and honoring the different gender identities is essential to living in a world that fosters and respects individuality and inclusiveness. Misgendering, when the wrong gender pronoun or name is used, can be incredibly damaging to those who identify as a transgender person or consider themselves within the transgender spectrum.

The act of misgendering, whether it’s intentional or not, can cause someone to feel fundamentally misunderstood and disrespected. Even worse, the experience can make a misgendered person feel unsafe in their environment. Being misgendered is usually a harrowing experience that does lasting damage. For marginalized communities — including people who identify as trans or gender diverse — studies show the added stress of misgendering can exacerbate existing mental health concerns, leading to a known increase in anxiety, depression, and poor self-esteem.

Keep reading to learn more about the critical importance of understanding gender identity and the need for respectful language that avoids misgendering. 

What is Misgendering?

Misgendering is an unfamiliar concept to some. In simplest terms, it means incorrectly labeling someone’s gender by using the wrong pronouns or names when addressing them. This seemingly simple action can have far-reaching implications that affect people on both an emotional and psychological level.

The concept of misgendering has come into focus recently as parts of society attempt to create a more inclusive atmosphere that honors gender diversity. Despite growing awareness, many people still unknowingly engage in misgendering due to a lack of knowledge or ingrained societal norms.

Understanding what misgendering is and knowing the potential harm it can cause is crucial to fostering respect for all genders. By educating ourselves and others about the issue, we can contribute positively toward creating inclusive environments where everyone feels acknowledged and respected.

Forms of misgendering

While several forms of misgendering can occur, they all have the same harmful impact. Some common ways people misgender others include:  

  • Incorrect pronoun use: The first form often involves the misuse of pronouns. Miscalling a female he rather than she, or using the wrong pronoun, like referring to a trans man as she instead of he, are some examples of incorrect pronoun use. It’s important to note some people prefer non-binary pronouns like they/them
  • Deadnaming: Another typical scenario is deadnaming — using the wrong name to address someone. This generally involves using the birth name rather than a chosen name. Deadnaming frequently happens to those on the transgender spectrum who’ve selected new words or names to reflect their true identities more accurately.
  • Incorrect assumptions based on appearance: One more form of misgendering includes making assumptions about gender based on appearance, voice pitch, or stereotypes — this constitutes misclassification too since these external factors cannot determine an individual’s identity. 

Whether intentional or not, the harm and pain misgendering can cause are the same. Online resources can help you understand more about diverse identities, reducing the chance of inadvertently using damaging or offensive language.

Why is Misgendering Harmful?

Even in cases where it’s an innocent mistake, misgendering can inflict profound psychological implications as harmful as harassment.

Feeling fundamentally misunderstood leads to heightened stress among those who identify as transgender or are gender-nonconforming. This has been backed by minority stress model research, which illustrates how minority groups experience unique chronic social stress due to a stigmatized societal position.

By contrast, research also shows that reaffirming gender-preferred pronouns and names can have a significantly positive and profound impact. Chosen name use is linked to lessened suicidal ideation, lower depression rates, and reduced suicidal behavior.

The psychological impact

In a study surveying 28,000 people who identify as transgender, about 32% have had negative experiences, including being attacked, denied services, or harassed due to having a gender listed on a government ID that doesn’t match their presentation. 

The psychological — and physical — harm caused by misgendering can range from feelings of humiliation and irritation to grave mental health issues and repercussions, like panic attacks, melancholy, self-harm inclinations, or even suicidal thoughts.

Impact on social relationships

Social relationships can also be impacted by misidentification based on perceived gender signifiers. Misgendering is linked to feelings of disrespect and alienation within social circles and further amplifies feelings of isolation.

Marginalization and discrimination

Categorizing everyone into stereotypical binary categories — male (cisgender man) or female (cisgender woman) — reinforces harmful assumptions around cisnormativity. It subjects those on the transgender spectrum to systemic marginalization as a result of nothing more than a rigid perception.

Discrimination worsens existing disparities — one example being access to healthcare — making those on the transgender spectrum some of the most vulnerable populations today. 

Research suggests that marginalized communities face increased stress compared with their cis counterparts, largely due to societal prejudice that we know is perpetuated through actions like misgendering.

“Being subjected to misgendering repeatedly can be exhausting and often invalidates someone, and it’s worse when someone is casual about it. Over time, grappling with the decision to correct others can feel like someone is taking away your dignity.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW

How to Deal with Misgendering

Misgendering — whether you’ve been misidentified or you’ve mistakenly used incorrect gender signifiers — requires careful, thoughtful handling. The right reaction can help create an environment where those who identify as transgender individuals feel safe and respected.

If you misgender someone

Inadvertently using the wrong pronoun or name can happen, but the response matters most. If you find you’ve made a mistake, here are some ways you can correct your mistake:

  1. Acknowledge promptly but briefly: An immediate I’m sorry, followed by correctly addressing someone helps prevent unnecessary spotlight on the error.
  2. Avoid excessive apologies: Over-apologizing can make someone uncomfortable, as they might feel obligated to comfort you instead of having the space to focus on their feelings.
  3. Correct others if needed: This step shows respect for people’s identities and encourages those around you to strive for more mindful interactions. Any action to reduce minority stress perspectives can be helpful.

If you are misgendered

You deserve to be acknowledged with respect in a way that honors your authentic self. If you’re misgendered, use the following to educate others and correct behavior or gendered language. 

  1. Safely express emotions: Directly communicating hurtful experiences generally leads to more respectful future interactions. Research supports that taking the time to learn how to avoid misusing gender terms matters so much.
  2. Educate: In cases where ignorance seems genuinely innocent rather than intentional, providing resources like articles explaining the definition of misgendering, and offering examples from personal narratives can be beneficial in preventing misunderstandings in the future.
  3. Create boundaries: If attempts at education don’t work or aren’t feasible, boundaries become necessary until someone is willing to learn and change behavior.

How to Avoid Misgendering Someone

Learning to not misgender someone takes continuous effort, understanding, and a willingness to change. Start with the following:

Tip 1: Ask for pronouns

Avoid making assumptions based on appearance or other gender signifiers — ask people about their preferred pronouns. Doing so shows respect toward identity and ensures you’re addressing someone correctly.

Tip 2: Practice using correct pronouns

If pronoun usage feels unfamiliar, practice can make it second nature over time. Remember that everyone makes mistakes — what matters most is a commitment to correcting your errors and growing from experience.

Tip 3: Educate yourself about gender identity issues

Educating yourself about topics related to gender identity will go far in preventing accidental misclassification. Several online resources are available to help you learn about different aspects of transgender experiences. You can also spend time learning about various identities within the transgender spectrum, for example, the difference between nonbinary and cisgender.

Resources:

Understanding the concept of misgendering ensures we can help people feel safe, respected, and validated in our society.

“Addressing someone, in general, is a sign of courtesy and respect, and taking a minute to pause is helpful, rather than rushing through or ignoring an appropriate acknowledgment, which can be hurtful and negatively impactful. It is always OK to take the time to understand each other and to practice the same respect you may want in mixed company. When in doubt, ask kindly what someone prefers regarding pronouns. It’s always more awkward and less kind to assume and get it wrong.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW

Education is Key to Overcoming Misgendering

Misunderstanding or miscommunication about gender identities can lead to misgendering. By cultivating an environment of learning, we can prevent these situations from arising and create a society that respects anyone on the transgender spectrum.

Education about diverse gender identities helps us understand how language and behavior can negatively impact others. This awareness can pave the way for healthy interactions that reduce cases of identity misclassification. Marginalized communities face increased stress from frequent incidents of being misgendered, so recognizing the harm caused by unintentional misgendering, ignorance or bias is critical.

If you’ve ever been on either end of misgendering or you want to learn more about respectful communication practices that contribute positively towards inclusivity, you might consider seeking help from Talkspace. This online therapy platform offers resources explicitly designed to address LGBTQIA+ challenges. Talking to an LGBTQIA+ affirming therapist can help you navigate conversations around gender identities and discuss any impact of misgendering on LGBTQIA+ mental health. Learn more about how online therapy can be a source of support for the LBGTQIA+ community and those wanting to address misgendering today.

Sources:

  1. The experience of misgendering among trans and gender diverse people. ScholarWorks at UMass Boston. Accessed July 22, 2023. https://scholarworks.umb.edu/doctoral_dissertations/600/
  2. Understanding nonbinary people: How to be respectful and supportive. National Center for Transgender Equality. January 12, 2023. Accessed July 22, 2023. https://transequality.org/issues/resources/understanding-nonbinary-people-how-to-be-respectful-and-supportive.  
  3. Minority stress model. Minority Stress Model – an overview | ScienceDirect Topics. Accessed July 22, 2023. https://www.sciencedirect.com/topics/psychology/minority-stress-model.  
  4. Russell ST, Pollitt AM, Li G, Grossman AH. Chosen name use is linked to reduced depressive symptoms, suicidal ideation, and suicidal behavior among transgender youth. Journal of Adolescent Health. 2018;63(4):503-505. doi:10.1016/j.jadohealth.2018.02.003. https://www.jahonline.org/article/S1054-139X(18)30085-5/fulltext#intraref0010a. Accessed July 22, 2023. 
  5. The report of the – U.S. Transgender Survey. National Center for Transgender Equality. December 2017. Accessed July 2, 2023. https://transequality.org/sites/default/files/docs/usts/USTS-Full-Report-Dec17.pdf.  
  6. Millar K, Brooks CV. Double jeopardy: Minority stress and the influence of transgender identity and Race/Ethnicity. International Journal of Transgender Health. Published online 2021:1-16. doi:10.1080/26895269.2021.1890660. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986215/. Accessed July 22, 2023. 
  7. Supporting the transgender people in your life: A guide to being a good ally. National Center for Transgender Equality. January 27, 2023. Accessed July 22, 2023. https://transequality.org/issues/resources/supporting-the-transgender-people-in-your-life-a-guide-to-being-a-good-ally
  8. Misgendering and respect for pronouns. GLSEN. Accessed July 22, 2023. https://www.glsen.org/activity/misgendering-and-respect-pronouns.  
  9. Gender 101: Avoiding misgendering and deadnaming – uplift philly. Uplift Center for Grieving Children. Accessed July 22, 2023. https://upliftphilly.org/wp-content/uploads/2020/11/Gender-101_-Avoiding-Misgendering-and-Deadnaming.pdf
  10. Gender Pronouns Resource. National Institutes of Health. Accessed July 22, 2023. https://dpcpsi.nih.gov/sgmro/gender-pronouns-resource.  
  11. Resources for LGBTQI+ students. Home. July 3, 2023. Accessed July 22, 2023. https://www2.ed.gov/about/offices/list/ocr/lgbt.html

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The Asexuality Spectrum: Understanding the Different Types of Asexual https://www.talkspace.com/blog/asexuality-spectrum/ Wed, 27 Jul 2022 13:06:02 +0000 https://www.talkspace.com/blog/?p=26806 Updated 03/21/24 Discussions about sexual orientation are often focused on sexual attraction toward a specific gender. However, some…

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Updated 03/21/24

Discussions about sexual orientation are often focused on sexual attraction toward a specific gender. However, some people feel little to no sexual attraction to anyone, regardless of the type of gender. This is where the discussion of the asexuality (which is its own sexual orientation) spectrum begins.

While approximately 1% of the population identifies as asexual (or as “an ace”), it’s likely that many more people have similar thoughts and feelings. It’s important to note that asexuality isn’t the same thing as abstinence or celibacy, where a conscious decision is at play. So, what does it mean to be asexual? It’s feeling no (or very little) sexual arousal or attraction to anyone at all, even if someone is or has been sexually active in the past.

If you don’t feel sexually attracted to others, you’re not alone. There’s a lot to understand about what the asexuality spectrum really means, and we’re breaking it all down here.

Defining the Asexuality Spectrum

Understanding the asexuality spectrum is crucial in recognizing the diverse experiences within the Ace (asexual) community. This spectrum encompasses various identities, including the three most commonly identified subsections: asexual, demisexual, and gray asexual. 

Not everyone on the asexuality spectrum will have the same sexual intimacy, feelings, or experiences. Just because an ace person isn’t sexually attracted to a specific gender doesn’t mean they don’t have the same wants, needs, or desires as everyone else. 

Asexuality itself is simply the absence of sexual attraction towards others, serving as a baseline within the spectrum. Demisexual individuals experience sexual attraction only after forming a deep emotional connection, whereas gray asexual (gray-A) people might only occasionally feel sexual attraction or do so under specific circumstances. Collectively, these identities highlight the spectrum’s complexity and the importance of acknowledging each person’s unique experience with sexual attraction.

Types of Asexuality

Sexual orientation describes how you experience sexual attraction. It specifically refers to feelings of sexual desire. While asexuality is a sexual orientation, different types of asexuals experience it in different ways. Asexuality is a spectrum, and there are several different types of asexual people. 

People in the ace community may fall anywhere on this asexual spectrum:

Asexual

As discussed, the term asexual describes the sexual identity of someone who doesn’t experience sexual attraction to others. Some people who are asexual may still experience sexual desire, while others may not have any sexual feelings at all. 

Greysexual

Sometimes referred to as “gray aces” or “gray-a,” people who are greysexual are primarily asexual. However, these members of the asexual community may enjoy sexual behavior under very specific circumstances, or they might experience sexual interest on rare occasions.

Demisexual

People who identify as demisexual will only feel sexual attraction once they have a strong emotional connection to someone else. Although people who are demisexual are on the asexual spectrum, they’re more likely to engage in sex than people who are asexual or greysexual.

“Asexuality is different from abstinence, where someone chooses to not have sexual contact regardless of their sexual urges. Someone with an asexual identity is not necessarily someone who has never engaged in sex. Asexual individuals don’t feel sexual attraction towards people of any gender and it is also considered a type of sexual orientation. It is important to clarify that asexuality is not a medical or mental condition or diagnosis. It is a sexual orientation in the same way that homosexuality, bisexuality, and pansexuality are.”

Talkspace therapist Bisma Anwar, LMHC

Understanding the Diverse Attitudes Toward Sex

Within the asexuality spectrum, individuals’ attitudes towards sex vary significantly, reflecting the complexity of their experiences and feelings about sexual activity. These attitudes range from sex-negative to sex-neutral, and even to sex-positive, each offering a unique perspective on how asexual (or Ace-spectrum) individuals engage with the concept of sexuality.

Sex-negative

For a sex-negative asexual person, sex seems unpalatable or even disgusting. While asexuals who are sex-repulsed might not believe sexual activity is morally wrong, they do find it to be extremely unpleasant.

Sex-neutral

A sex-neutral asexual individual can feel indifferent to sexual activity. They don’t have any strong positive or negative feelings about sex, and may not think about it much at all.

Sex-positive

While sex-positive aces don’t experience sexual attraction, the feelings they have about sex and sexual things are generally favorable. They may see sex as a normal, healthy part of life. Some sex-positive asexuals may even choose to have a sexual relationship.

Romantic Orientation

While asexuals might not experience primary sexual attraction, they may still have romantic connections with others. In fact, approximately 74% of asexuals say they experience romantic attraction. The asexuality spectrum is broad, and feelings about sex, romantic orientation, and romance can vary greatly from person to person.

Aromantic

Sometimes referred to as “aroaces” or just “aro,” aromantic describes those who don’t have any (or very little) feelings of romantic attraction. An aromantic asexual is more likely to avoid sex than some other asexual types. An aromantic person simply may not feel any need to connect on that level, either physically or emotionally.

Greyromantic

As the name implies, greyromantic asexuality falls into a grey area. While they don’t usually feel any sort of romantic interest, someone who’s greyromantic may have romantic feelings for another person at some point in their lives.

Demiromantic

People who are demiromantic can have romantic feelings towards others, but they’re not able to develop them until after they’ve become very close to someone. Some people who identify as demisexual also identify as demiromantic.

Biromantic

When people are bisexual, they experience sexual attraction to both males and females. Being biromantic is similar, but it refers to romantic feelings.

Heteroromantic

When someone only has romantic feelings for people of the opposite gender, heteroromantic attraction and heterosexuality often go hand in hand. However, people who are asexual may also identify as heteroromantic.

Homoromantic

Someone who’s homoromantic exclusively feels romantic desire for people of the same gender. Asexuals of any gender can experience homoromantic attraction.

Panromantic

Someone who is panromantic has romantic, emotional feelings and connections to all people, regardless of gender. For panromantic people, gender has no influence over romantic attraction.

Polyromantic

While there are similarities between polyromantic and panromantic attraction, people who are polyromantic can have a romantic attraction to many (though not necessarily all) genders. Their attraction doesn’t always include sexual attraction, though.

Asexuality vs. Sexual Arousal Disorder

Asexuality can often be misunderstood as sexual interest/arousal disorder. The difference between the two is that asexuality is the lack of sexual attraction, and sexual interest/arousal disorder is the lack of sexual desire.

The Bottom Line

When discussing asexuality, it’s important to remember that not all asexual people have the same experiences with sex and romance. Some may choose to have sex even though they don’t feel sexual attraction. Others may have no interest in sex or any romantic relationship at all.

There are many asexual types, and not everyone who identifies as asexual experiences their sexuality in the same way.

People who feel little to no sexual attraction don’t have to follow any specific rules or meet any specific criteria about the emotional, sexual, or spiritual connections and relationships they have in life. Asexuality is both a spectrum and a sexual orientation and identifying as asexual may help some people form a healthier view of themselves.

Asexuality is not a condition, and there’s no “treatment” you need if you’re questioning your sexuality or how you identify. However, heteronormative views are common in the United States. They can be a contributing factor to the discrimination and abuse felt by so many people who don’t express “traditional” (as established by our society) sexual orientation, sexual identity, and/or gender roles.

“Asexuality is not something that needs treatment or intervention. If a person is looking for support and affirmation in regards to their sexuality and/or sexual orientation, then therapy can be really helpful.”

Talkspace therapist Bisma Anwar, LMHC

For anyone who doesn’t align with society’s expectations of things like gender identity and sexual orientation, the rates of mental health conditions like anxiety, depression, and self-harm are staggering. Specifically regarding ace-spectrum people, the little research that has been done shows that ace-spectrum youth are likely to experience higher rates of anxiety and depression than even the LGBTQIA+ community (which is already drastically higher than the cisgender population).

If you’re sexuality or gender questioning and you need help, it’s available. Talkspace offers online therapy and has therapists who are skilled, trained, and experienced in affirmative therapy, which was designed specifically to treat the mental health needs of minority populations. Find a LGBTQIA+ therapist today.

Sources:

1. Bogaert A. Asexuality: Prevalence and associated factors in a national probability sample. The Journal of Sex Research. 2004;41(3):279-287. doi:10.1080/00224490409552235. https://pubmed.ncbi.nlm.nih.gov/15497056/. Accessed June 9, 2022.

2. Yule M, Brotto L, Gorzalka B. Sexual Fantasy and Masturbation Among Asexual Individuals: An In-Depth Exploration. Arch Sex Behav. 2016;46(1):311-328. doi:10.1007/s10508-016-0870-8. https://link.springer.com/article/10.1007/s10508-016-0870-8. Accessed June 9, 2022.

3. Copulsky D, Hammack P. Asexuality, Graysexuality, and Demisexuality: Distinctions in Desire, Behavior, and Identity. The Journal of Sex Research. 2021:1-10. doi:10.1080/00224499.2021.2012113. https://www.tandfonline.com/doi/abs/10.1080/00224499.2021.2012113?journalCode=hjsr20. Accessed June 9, 2022.

4. Antonsen A, Zdaniuk B, Yule M, Brotto L. Ace and Aro: Understanding Differences in Romantic Attractions Among Persons Identifying as Asexual. Arch Sex Behav. 2020;49(5):1615-1630. doi:10.1007/s10508-019-01600-1. https://pubmed.ncbi.nlm.nih.gov/32095971. Accessed June 9, 2022.

5. Asexual and Ace Spectrum Youth. The Trevor Project. https://www.thetrevorproject.org/research-briefs/asexual-and-ace-spectrum-youth/. Published 2020. Accessed June 9, 2022.

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Gender Questioning: Working Through Uncertainty in Your Gender https://www.talkspace.com/blog/gender-questioning/ Fri, 08 Jul 2022 18:55:09 +0000 https://www.talkspace.com/blog/?p=26665 Gender can be a complicated topic. Not everyone feels confident or comfortable when thinking about or discussing their…

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Gender can be a complicated topic. Not everyone feels confident or comfortable when thinking about or discussing their ideas about gender or gender expression. If you’re gender questioning, you should know that it’s perfectly normal to have these feelings, especially if you’re a young adult. 

While it can be stressful to have questions about gender, it can also be exciting to explore your identity. In time, and with the right support system, you can grow to feel more self-assured and assertive about your gender identity and how you express yourself. Talking to a LGBT therapist can help you work through gender questioning.

Learn more about the concept of gender here as we look at things like the notion of gender fluidity and how you can find your identity in a safe, supported way. 

What is Gender?

The term “gender” really just describes our societal and cultural views associated with sex — that is, the gender norms that accompany being a woman, girl, man, or boy. It often refers to behavioral expectations (gender role) related to someone’s assigned sex at birth (assigned gender), but gender also affects  how we feel about ourselves. Thus, it’s our feelings about our gender that really make up our gender identity. 

Simply put, gender identity is just how you feel internally about which gender you identify with. In the most basic of terms, it’s how you see yourself. 

While many people know that they’re the male or female they were born as, you’re free to choose any identity that feels right, comfortable, and natural to you. Some people may identify as masculine or feminine, while others may identify as gender-fluid — more on gender fluidity in a bit. 

Gender can be expressed in many ways, including through: 

  • Clothing
  • Hairstyles
  • Names
  • Speech
  • Pronouns 

Though many people identify with a gender that aligns with the sex they were assigned at birth (meaning someone born with male sex parts identifies as male), others may identify differently than what their anatomy suggests, or they may feel confused and unsure about their gender. 

No one else can see your inner gender identity, and how you choose to identify or express yourself is entirely up to you. It’s crucial to acknowledge (and respect) that gender identity is independent of sexual orientation, sexual attraction or sexual identity. 

Gender fluidity

Gender identity is personal and not necessarily set in stone. How someone identifies can change over time. Thus, some people identify as gender-fluid, meaning they don’t feel as if they have a specific, standing, or binding gender. A nonbinary person can also be gender-fluid or gender diverse, meaning that they don’t identify with one gender in particular.

The concept of gender fluidity is the formal recognition that gender is on a spectrum. How we experience gender can change at different times throughout our lives or when we find ourselves in various situations. 

“It’s important to respect an individual’s matter of expression when it comes to gender fluidity and how one might wish to express themselves to the world, as it can often relate to how one might identify internally rather than subscribing to societal norms. Practicing respect through this exploration can be enormously validating, especially if there may be fear of judgment.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW

Steps to Take to Find Your Identity

There are no set rules about gender identity, but if you’re currently in a state of gender questioning, there are steps you can take to help you explore your feelings about yourself and your gender. 

You should never feel pressured to choose a label. Instead, give yourself a chance to consider your identity and accept it within yourself so you can feel confident as you begin to outwardly express your gender.

“Just as you would for a friend, it’s important to have some self-compassion in the process. It can be a place of ambivalence and confusion in understanding your own terms, but considering that you deserve self-respect, advocacy, and support might be some first steps towards clarity for yourself, your identity, and what you want to present and express to the world.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW.

Pay attention to the images you connect with

When you look at pictures of others, what kind of images resonate with you? Are you drawn to certain things where people express themselves in a specific way? Pay close attention to any positive or negative feelings you experience as you come across visual images throughout your day. 

Imagine your ideal self

If you had the power to transform yourself, how would you want to look? Use your imagination and try to envision an ideal version of yourself. What would this identity wear? How would their hair be styled? What would people call them?

No matter what you picture, this fictional version of yourself doesn’t have to be a fantasy. If an imagined self-identity doesn’t match up with how you currently express yourself, you can begin to reinvent your image however you’re comfortable. 

Let yourself experiment 

Gender questioning is normal, and it’s okay if you don’t figure out your gender identity right away. Give yourself a chance to experiment and try expressing your gender in different ways. 

You can try out a new style of clothing, start or stop wearing makeup, or ask your friends, family members, and teachers to refer to you with a different pronoun. Gender identity isn’t static, and it’s okay to change your mind as you try different things. 

Seek out supportive environments

Having support while you’re questioning your identity is essential. It can help you feel safe and more confident as you begin to express yourself in new and different ways. 

Many people find they’re very anxious when unsure of and exploring their gender identity. When you surround yourself with people who accept you, questioning your gender is less likely to become a source of anxiety. You’ll feel more comfortable trying out new things. Eventually, you’ll figure out how you really want to express yourself in a way that makes you feel like, well, you

When to Seek Help

Questioning gender identity isn’t something to ever be ashamed of. That said, if your current gender expression is causing you psychological distress, it might be time to seek professional help and treatment. 

Some people experience what’s known as gender dysphoria, a marked and upsetting disconnect between biological sex and gender identity. People with gender dysphoria may feel uncomfortable in their bodies and strongly desire to be another gender. 

Although gender dysphoria isn’t a diagnosable mental health condition, people may experience mental health symptoms if they don’t receive treatment. These symptoms may include: 

  • Depression
  • Anxiety
  • Self-harm
  • Substance abuse
  • Suicide ideation (research shows a clear link between gender dysphoria and a higher risk of suicide)

This makes it all the more important for people with gender dysphoria to get help and guidance in managing their symptoms.

Gender-affirming therapy with support from a gender therapist can significantly reduce feelings of depression and anxiety in people struggling with gender identity. It can allow them to figure out how to express their gender in a way they feel comfortable. 

Overwhelmingly, when people feel supported as they begin questioning gender identity, it’s possible to dramatically decrease some or all of the mental and emotional distress that’s often associated with the process.  

Gender identity can be complex, and you shouldn’t feel worried if you’ve been questioning how you identify. At the same time, you also shouldn’t hesitate to seek help if your current gender expression is causing you any form of anguish or distress. A professional can talk to you about your gender identity and help you decide if gender-affirmative therapy and treatment might be right for you. Seeking in-person or online therapy can help you explore your identity in a safe space.

Sources:

1. Roselli C. Neurobiology of gender identity and sexual orientation. J Neuroendocrinol. 2018;30(7):e12562. doi:10.1111/jne.12562. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6677266/. Accessed June 7, 2022. 

2. Olson S. Challenging Gender Identity: Biologists Say Gender Expands Across A Spectrum, Rather Than Simply Boy And Girl. UCLA Institute for Society and Genetics. https://socgen.ucla.edu/2015/03/01/challenging-gender-identity-biologists-say-gender-expands-across-a-spectrum-rather-than-simply-boy-and-girl/. Published 2015. Accessed June 7, 2022.

3. Garg G, Elshimy G, Marwaha R. Gender Dysphoria. Ncbi.nlm.nih.gov. https://www.ncbi.nlm.nih.gov/books/NBK532313/. Published 2022. Accessed June 7, 2022.

4. García-Vega E, Camero A, Fernández M, Villaverde A. Suicidal ideation and suicide attempts in persons with gender dysphoria. Psicothema. 2018;30(3):283-288. doi: 10.7334/psicothema2017.438. https://doi.org/10.7334/psicothema2017.438. https://www.psicothema.com/pi?pii=4483. Accessed June 7, 2022.

5. Olson K, Durwood L, DeMeules M, McLaughlin K. Mental Health of Transgender Children Who Are Supported in Their Identities. Pediatrics. 2016;137(3). doi:10.1542/peds.2015-3223. https://publications.aap.org/pediatrics/article-abstract/137/3/e20153223/81409/Mental-Health-of-Transgender-Children-Who-Are?redirectedFrom=fulltext?autologincheck=redirected. Accessed June 7, 2022.

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Affirmative Therapy: Caring for the LGBTQIA+ Community https://www.talkspace.com/blog/affirmative-therapy/ Thu, 16 Jun 2022 20:06:52 +0000 https://www.talkspace.com/blog/?p=26522 One-size-fits-all doesn’t apply to therapy. No two sessions are the same, no two people’s needs are the same,…

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One-size-fits-all doesn’t apply to therapy. No two sessions are the same, no two people’s needs are the same, and no treatment plans will work in the same way. Add into the mix the barriers and prejudices faced by members of the LGBTQIA+ community, and things become even more challenging.

The fact that there’s been blatant bias against people who identify LGBTQIA+ is undeniable. We see it every day in the real world, and it’s glaringly obvious in the world of mental health. Much research has been done on the topic of LGBTQIA+ mental health, and studies offer some striking, disturbing findings. Some of the most notable stats include:

  • Compared to heterosexual counterparts, LGBTQIA+ people are at least 1.5 times more likely to receive a mental health diagnosis for anxiety, depression, or substance abuse.
  • Those who identify as LGBT have a higher rate of suicidal ideations and are about 2 times more likely to attempt suicide. 
  • The transgender population (who identify, behave, or express differently than the sex they were assigned at birth) has some of the highest risk for mental health challenges throughout life, including:
    • More than 33% will be diagnosed with an anxiety disorder
    • Over 41% will be diagnosed with depression
  • Another study found that within the last 3 years, 57.4% of females and 55.3% of males who identify as transgender were either diagnosed with or treated for a mental health condition.
  • Finally, people who identify as transgender overwhelmingly have higher rates of suicide attempts. 

The need for a new approach is clear, and affirmative therapy — therapy that seeks to inclusively meet the needs of any minority group, including and perhaps especially, those who identify as part of the LGBTQIA+ community — might be part of the solution. 

Exactly what is gender-affirming therapy? How does it work? Who can it help? We’re answering all of that and more here. 

What Is Affirmative Therapy?

Affirmative therapy, or gender-affirming therapy, is one of many types of therapy (also known as talk therapy). It’s used in LGBQTIA+ therapy to effectively validate the needs of minority populations, like those who identify as lesbian, gay, bisexual, transgender, queer, intersex, or asexual (LGBTQIA+). 

Therapists who are trained in affirmative therapy learn to use both nonverbal and verbal tactics to establish a positive, affirming position toward clients who identify other than cisgender (people who identify with the gender they were assigned at birth). 

Though the reasons for attending therapy don’t vary much (if at all) from any other population, the life experiences of someone who identifies LGBTQIA+ are often largely shaped by their gender identities.  

At a high level, gender affirmative therapy can work to:

  • Help therapists address their own internalized transphobia or homophobia (even if they’re unaware they have these)
  • Acknowledge the many challenges members of the LGBTQIA+ community face
  • Offer resources and support
  • Help people resist judging nontraditional identities
  • Allow people to resolve beliefs or needs contradictory to how they identify

How Does Affirmative Therapy Work?

LGBTQIA+ affirmative therapy works by training therapists to effectively treat minority populations, like LGBTQIA+, who’ve historically had to deal with higher rates of mental health conditions than the cisgender population has. 

Research shows that most therapists who’ve been trained in affirmative therapy believe they’re well-prepared to treat and work with people who identify LGBTQIA+. They also feel less likely to exhibit trans-negativity and/or homo-negativity attitudes. Overwhelmingly, most therapists feel that they benefit from the training and are better equipped to help their LGBTQIA+ clients and patients.  

“Affirmative therapy is a type of therapy that focuses on the needs of individuals from sexual and gender minority groups. This kind of therapy intends to meet the clients where they are. The idea is to create a safe space for the client to share their thoughts and feelings around sexuality and gender free from judgment and bias.”

Talkspace therapist Reshawna Chapple, PhD, LCSW

Members of the LGBTQIA+ community face many obstacles and challenges throughout life. For example, they might regularly need to navigate things like: 

Not only does affirmative therapy help them learn to deal with injustices, but it can also work to raise awareness. It can ensure people avoid loneliness, thoughts of self-harm or suicide, depression, anxiety, and a general sense of hopelessness that might develop as a result of not feeling accepted and supported. 

Who Benefits from Affirmative Therapy?

By focusing on enhancing awareness and inclusion, LGBTQIA+ affirmative therapy can benefit more than just the person in treatment. It’s a proven modality that can be exceptionally beneficial for both the LGBTQIA+ community and those around them.  

The minority stress theory recognizes that an overwhelmingly homophobic culture has resulted in sometimes life-long discrimination and harassment for members of the LGBTQIA+ community. The mental health discrepancies we see throughout the population can largely be explained through this theory. 

In addition to helping minority groups themselves, affirmative therapy can also be an effective approach that benefits families and couples, too. 

LGBTQIA+ community

Gender affirming therapy offers us a way to rethink how as a society, we approach an entire community. It reinforces the idea that we should all strive to want to better understand sexuality and gender. We can begin to normalize that these concepts don’t necessarily fit into a box. In the broadest sense, affirmative therapy can help us begin to accept one another.  

Families

Particularly in the early stages after someone comes out, affirmative therapy can help all family members. Coming to terms with new roles and letting go of pre-existing ideas for someone’s future can be tough. Learning to accept and honor a loved one’s identity can be easier with the use of affirmative therapy.   

Couples

It makes sense that therapy can be most effective when it’s structured to directly deal with issues and concerns specific to a couple’s relationship. Affirmative therapy can help by providing a therapist who understands the dynamics of what LGBTQIA+ couples might face. 

Additionally, couples might find they’re able to relax, trust the process, and open up a bit more when they’re working with someone who’s trained in this specialized modality. Because it’s specifically designed to treat couples who identify LGBTQIA+ without bias, the entire process might feel more comfortable. 

“Affirming therapy is not only beneficial for the LGBTQIA+ client, it can also help friends and family members understand how to relate to the individual. In couples therapy it can be used to target interpersonal issues that can come up related to gender and sexuality.”

Talkspace therapist Reshawna Chapple, PhD, LCSW

Seeking Help with Affirmative Therapy

If you’re struggling with your identity, or you know someone else who might need help, reach out. You can find the support and care you deserve. Working with a therapist who’s skilled and trained in LGBTQIA+ affirmative therapy can change your life. You’ll get gentle, understanding care and guidance from someone who knows what you’re experiencing. They can help you learn to accept your identity, or show you how to work towards more positive, healthy relationships with friends and family members.

The most important thing for you to understand is that you’re not alone. So many people in the world accept you and love you, exactly as you are. Affirmative therapy might just help you realize that. Learn how to find an LGBTQIA+ therapist with Talkspace today.  

Sources:

1. King M, Semlyen J, Tai S et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008;8(1). doi:10.1186/1471-244x-8-70. https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-8-70. Accessed June 2, 2022.

2. Bockting W, Miner M, Swinburne Romine R, Hamilton A, Coleman E. Stigma, Mental Health, and Resilience in an Online Sample of the US Transgender Population. Am J Public Health. 2013;103(5):943-951. doi:10.2105/ajph.2013.301241. https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301241?journalCode=ajph. Accessed June 2, 2022.

3. Leonard W, Lyons A, Bariola E. A closer look at private lives 2. Apo.org.au. https://apo.org.au/node/53996. Published 2015. Accessed June 2, 2022.

4. Grossman A, D’Augelli A. Transgender Youth and Life-Threatening Behaviors. Suicide and Life-Threatening Behavior. 2007;37(5):527-537. doi:10.1521/suli.2007.37.5.527. https://onlinelibrary.wiley.com/doi/abs/10.1521/suli.2007.37.5.527. Accessed June 2, 2022.

5. Pepping C, Lyons A, Morris E. Affirmative LGBT psychotherapy: Outcomes of a therapist training protocol. Psychotherapy. 2018;55(1):52-62. doi:10.1037/pst0000149. https://psycnet.apa.org/fulltext/2018-11631-007.html. Accessed June 2, 2022.

6. King M, Semlyen J, Tai S et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008;8(1). doi:10.1186/1471-244x-8-70. https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-8-70. Accessed June 2, 2022.

7. Dentato, PhD, MSW M. The minority stress perspective. https://www.apa.org. https://www.apa.org/pi/aids/resources/exchange/2012/04/minority-stress. Published 2012. Accessed June 2, 2022.

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Supporting a Child With Gender Dysphoria: Tips for Parents https://www.talkspace.com/blog/gender-dysphoria-support-for-parents/ Wed, 05 Jan 2022 22:13:31 +0000 https://www.talkspace.com/blog/?p=24783 Gender dysphoria support for parents can be difficult to find when you’re first starting your journey. Regardless of…

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Gender dysphoria support for parents can be difficult to find when you’re first starting your journey. Regardless of how overwhelmed you might feel right now, it’s worth taking the time and energy to get the help you need. The truth is, if your child needs it, knowing how to help a child with gender identity might be the most important thing you’ll ever do for them.

Gender dysphoria is the distress that can be caused when your biological sex (the assigned gender at birth) doesn’t match the gender you identify with. Children who experience gender dysphoria are more likely to deal with depression, anxiety, and self-harm than their cisgender peers might. They’re also more likely to have suicidal thoughts. All of these can be exasperated if they’re bullied about their gender or if they have other negative experiences as a result of their type of gender identity.

Research shows that gender dysphoria might affect 3.2% of people assigned female and 4.6% of people who are assigned male at birth. Understanding more about gender dysphoria and how to help adolescents  with gender identity issues is crucial. If you’re looking for help, you’re in the right place. Keep reading for gender dysphoria support for parents who want to help their children with their gender identity and how an LGBTQIA+ therapist can help. 

Understanding gender dysphoria and mental health

Trying to learn how to help children with gender identity issues can seem daunting, but there are a few things to note. The first is understanding that gender dysphoria can cause mental health complications for children, including extreme pain, disconnect, and unsettled feelings about their place in the world. 

Sometimes children will act out. They might refuse to go to school, social events, or even play in sports or go to extracurricular activities they once enjoyed. It’s common for children with gender dysphoria to stop participating in activities or sports that require physical contact. They may also begin avoiding social settings and circumstances where their bodies would be exposed — think: pool parties or going to the beach.

Signs of gender dysphoria in children and teens

Children and teens who are experiencing gender dysphoria are likely to express or feel:

  • An extreme and intense desire to be a different sex than their assigned gender at birth
  • Angry about the gender binary (female vs. male) 
  • An intense and long term ongoing discomfort with biological sex
  • Difficulty getting through their day
  • Seeming emotionally disconnected from life 
  • Being unable or finding it difficult to communicate their needs and feelings
  • Feeling like there’s no purpose to life
  • Feeling like they’re different from others and can’t relate to anyone else
  • Developing unhealthy coping skills — for example, turning to alcohol or drugs

There are several ways you can actively help your child if they’re experiencing gender dysphoria. That help can be critical, too. Gender diverse children can have self-worth levels similar to their cisgender peers when they get the support they need and are able to find a place where they can affirm their gender.

“This can be a scary, unsure time. It’s vital to provide an opportunity for kids who are experiencing gender dysphoria to have a safe space to process their thoughts and feelings. It can be difficult for any adolescent to understand and embrace their unique identity. For those individuals who are also navigating gender diversity it can feel extra lonely and scary. Finding connection and guidance is crucial to maintaining mental wellness.

Talkspace Therapist Amy Cirbus PhD, LMHC, LPC

How Can I Help My Child with Gender Dysphoria?

As we’ve lightly touched on, the single best thing you can do to help your child on how to deal with gender dysphoria or how to help teenagers with gender identity is simply be there for them. Being supportive includes valuing who they are and loving them wholeheartedly. Talking openly with your child about what they’re experiencing and what they need from you is key. Understanding how you can help them will be instrumental.

If your child decides they’re ready to tell others about their gender identity, you can be there as a support system. By helping your child affirm their gender, you’re helping them discover how to come out and to be their authentic self.

Offer support

The simplest and most effective thing you can do to help your child with gender dysphoria is: love them, acknowledge them, and let them know you’re there for them. Oftentimes, children who struggle with gender dysphoria feel very alone. Knowing that their parents are there and want to help them can make all the difference in the world.

“Check in often, with yourself and with your child. Make sure you have someone to process and debrief with, so that your mental health is taken care of in order to be the best you can for your child. And check in with them. Invite conversation, ask questions. Make sure you take your understanding of their experience directly from them.”

Talkspace Therapist Amy Cirbus PhD, LMHC, LPC

Educate yourself

Educating yourself as a parent is an amazing way for you to help your child. Take the time to learn about the types of LGBTQIA+ mental health issues in teens. Make sure you dive into everything you can about gender dysphoria. The more you understand what your child’s going through, the more you’ll be able to connect with them. When your gender non conforming youth feels that they can relate to you, they’re more likely to be open and honest.   

Get them in gender-affirming therapy

Gender-affirming therapy focuses on helping children affirm their gender identity rather than trying to “fix” them. There are several core themes of gender-affirming therapy, including addressing: 

  • Trauma
  • Depression
  • Shame
  • Self-harm
  • Violence
  • Medical treatment
  • Sexuality
  • Stigma

Some of the work that’ll be done in therapy can include:

  • Affirming gender
  • Offering space for children and families to process and understand their experience
  • Giving support through legal services and healthcare providers

Therapy also creates a safe zone and allows for diversity to be something that’s accepted, encouraged, and respected.

Ask questions

Taking the time to ask your child questions about what they’re experiencing or feeling lets them know you’re willing (and want) to hear them. Communicating that you have an interest in them helps them understand that you truly and genuinely care. Your gender diverse child deserves and needs to feel safe, and engaging them in conversation is one way to do that.

Allow for (and encourage) exploration

Social exploration is one of the first ways young people or a child can begin exploring their gender identity. Gender expression might include your child trying new styles of clothing, hairstyles, names, and makeup that align with the gender spectrum they identify with. 

Social expression is known to help people who have gender dysphoria develop their sense of self. It’s a great way to encourage your child to accept their gender identity.  

Help them with a medical transition

Sometimes medical treatment can help children if that’s a route they are interested in exploring. Medical transition is a step that can be considered in an effort to help align gender and physical characteristics. Some medical treatments can include:

  • Hormone therapy: Hormones are given to force physical changes that’ll help align gender identity with sex parts.
  • Puberty blockers: If your child hasn’t decided on hormone therapy yet, puberty blockers can help by preventing the developmental changes that are common during puberty.
  • Gender confirmation surgery: Surgery can be completed to allow the physical body to completely align with the gender. Some people decide to only do certain types of surgery.

Advocate for your child

We all want to be a great advocate for our kids. Advocating for a child who’s struggling with gender dysphoria reassures them that you’re on their team. Speak up when you hear or see transphobic comments. Let your child know that you’re there for them and that you’ll always fight to protect them.

“The most important thing you can do for your child is to consistently send the message that you are with them, they are not alone in this experience. If a child knows they are unconditionally loved and supported, it provides the solid foundation needed to share fully, ask questions, and feel all of their feelings. It also builds trust. As they encounter various situations and different experiences, they’ll rely on you for guidance, just as they would rely on you with other social and developmental phases of their lives, and they need to trust you for this.”

Talkspace Therapist Amy Cirbus PhD, LMHC, LPC

If your child or teenager has recently come to you and discussed their gender dysphoria, it’s essential that you help them find the support they need as soon as possible. Your child might be experiencing extreme mental health distress that could quickly manifest into more. Gender dysphoria support for parents can be found through support groups, online, or from your doctor or therapist. 

Sources:

1. Garg G, Elshimy G, Marwaha R. Gender Dysphoria. Ncbi.nlm.nih.gov. https://www.ncbi.nlm.nih.gov/books/NBK532313/. Published 2021. Accessed December 11, 2021.

2. Walter Pierre Bouman, Annelou LC de Vries & Guy T’Sjoen (2016) Gender Dysphoria and Gender Incongruence: An evolving inter-disciplinary field, International Review of Psychiatry, 28:1, 1-4, DOI: 10.3109/09540261.2016.1125740

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