Lesbian, Gay, Bisexual, Transgender, and Queer People

Although discussion of sexual orientation and gender identity is more prevalent in the media now than ever before, the lesbian, gay, bisexual, transgender, and queer (LGBTQ) population continues to encounter stigma, disproportionately high rates of trauma, and a resulting increased risk for developing mental illness. These factors, together with a conflicted history with the field of psychiatry, can create barriers to treatment that require practitioners to be active in their approach to providing LGBTQ-inclusive care. This chapter uses case examples to illustrate the range of psychosocial and clinical issues experienced by this population and suggests approaches for improving clinical care. It also discusses strategies for creating safe and LGBTQ-affirming environments.