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LGBTQ Counseling for Teens

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Clinically Reviewed by:
Lindsey Rae Ackerman, LMFT

Written by:
Alex Salman, MPH on May 31, 2024

Adolescence is a pivotal stage marked by profound changes in emotional well-being, behavioral patterns, development, and overall mental health.[1] Those in the LGBTQIA+ community, in particular, encompasses a spectrum of challenges, from mood disorders to potential behavioral issues, that can significantly impact their lives and may benefit from LGBTQ Counseling for teens.

Factors such as academic stress, social dynamics, family dynamics, and peer relationships all contribute to the mental well-being of teenagers, and it’s crucial to recognize that mental health concerns during adolescence can have long-lasting effects—highlighting the importance of early support and sometimes intervention.[2]

In this context, addressing teenage mental health requires understanding their unique experiences and needs. LGBTQ+ teenagers, in particular, face distinct challenges related to their sexual orientation, gender identity, and public opinion. Navigating issues such as coming out, acceptance within family and community, and discrimination can significantly impact their overall health and well-being.

What Unique Challenges Do LGBTQIA+ Teenagers Face?

LGBTQIA+ teenagers face a range of unique challenges, often stemming from public opinions, lack of education, and discrimination:[3]

Identity Exploration

Adolescence is a time of self-discovery for everyone, but for LGBTQIA+ teens, this can be particularly challenging as they navigate their sexual orientation or gender identity in a society that may not fully accept or understand them.

Social Stigma and Discrimination

LGBTQIA+ teens often face prejudice, discrimination, and bullying from peers, family members, or even authority figures. This can lead to feelings of isolation, low self-esteem, and mental health issues.

Family Rejection

Many teenagers in the LGBTQIA+ community experience rejection or lack of acceptance from their families when they come out, which can lead to homelessness, mental health struggles, and a lack of support networks.

Safety Concerns

LGBTQIA+ teens face physical threats or violence because of their sexual orientation or gender identity, both within their communities and at school.

Access to Healthcare

LGBTQIA+ youth encounter barriers to accessing inclusive and affirming healthcare, including challenges in finding healthcare providers who are knowledgeable about LGBTQIA+ issues and can experience discrimination in healthcare environments.

Educational Challenges

Bullying, discrimination, and lack of support can impact LGBTQIA+ teens’ academic performance and attendance. They may also face challenges in accessing comprehensive sex education that is inclusive.


Unfortunately, LGBTQIA+ youth are overrepresented among homeless youth populations, often as a result of family rejection or unsafe home environments due to their sexuality.

Legal and Policy Challenges

In some areas, LGBTQIA+ teens face legal and policy challenges related to discrimination in employment, housing, and public accommodations. Additionally, access to legal protections such as marriage equality and anti-discrimination laws vary depending on location.


LGBTQIA+ teens who belong to marginalized communities, such as people of color or those with disabilities, may face compounded discrimination and unique challenges at the intersection of their identities.

How Can These Challenges Impact Mental Health?

The unique challenges faced by teenagers in the LGBTQIA+ community can have profound effects on their overall mental health:[4]

Stress and Anxiety

Constantly navigating discrimination, stigma, and fear of rejection can lead to chronic stress and heightened anxiety levels. Fear of being outed or experiencing violence can intensify these feelings.


Young adults in the LGBTQIA+ community are at higher risk for depression due to factors such as social isolation, internalized homophobia or transphobia, and lack of support. Rejection from family members or peers can also contribute to feelings of sadness and hopelessness.

Substance Abuse

LGBTQIA+ teenagers may turn to substance abuse as a way to cope with the stress, discrimination, and trauma they experience. Substance abuse can worsen mental health conditions and lead to a cycle of dependency.

Suicidal Ideation

LGBTQIA+ youth are disproportionately affected by suicidal ideation and attempts compared to their heterosexual and cisgender peers. This can be a result of the cumulative impact of discrimination, rejection, and lack of support, as well as feelings of hopelessness about the future.


Some LGBTQIA+ teens may engage in self-harming behaviors as a way to cope with emotional pain or to express feelings of self-hatred. This can become a dangerous coping mechanism if not addressed immediately.

Eating Disorders

LGBTQIA+ individuals, particularly those who face pressure to conform to certain body ideals, may be at higher risk for developing eating disorders such as anorexia nervosa or bulimia nervosa. These disorders can stem from feelings of inadequacy or attempts to gain control in the face of discrimination or rejection.

Post-Traumatic Stress Disorder (PTSD)

LGBTQIA+ teenagers who have experienced trauma, such as physical or verbal abuse, hate crimes, or conversion therapy, may develop PTSD. This can manifest through symptoms such as flashbacks, hypervigilance, and avoidance behaviors.

Isolation and Loneliness

Feeling like they don’t belong or can’t be their authentic selves can lead youth in the LGBTQIA+ community to isolate themselves from others, which can worsen feelings of loneliness and magnify mental health issues.

Addressing these mental health problems requires a multifaceted approach that includes creating a safe and supportive environment, providing access to affirming mental health care, promoting acceptance and understanding, and working to dismantle systemic discrimination and stigma.

How Can Parents Support LGBTQIA+ Teens?

Supportive and accepting parents play a crucial role in the well-being and happiness of LGBTQIA+ teenagers.[5] Let your teen know that you support them fully and that their identity is both valid and valued. Create an open and nonjudgmental space for your teen to talk about mental health and express themselves, actively listening and validating their feelings and experiences, even if you may not fully understand or agree with them.

Respect and Celebrate

Respect your teen’s chosen name, pronouns, and gender identity. Using the correct name and pronouns demonstrates your acceptance and support of their identity.[6] Celebrate your teen’s LGBTQIA+ identity and milestones, whether it’s Pride Month, their first LGBTQIA+ event, or simply their coming out journey. Show them that their identity is something to be proud of.

Learn More About the LGBTQIA+ Community

Take it upon yourself to educate yourself about LGBTQIA+ issues, terminology, and experiences. Taking the initiative to learn demonstrates your commitment to understanding and supporting your teen. Respect their privacy and confidentiality regarding their identity, allow them to come out on their terms and refraining from outing them to others without their consent.

Be an Advocate

Advocating for your teen’s rights and standing up against discrimination and prejudice in all its forms can also demonstrate your care and understanding. Connect your teen with LGBTQIA+ support groups, organizations, and resources where they can find community, guidance, and affirmation. This might include LGBTQIA+ youth centers, online forums, or local support groups.

Keep an Eye on Mental Health and Wellbeing

Be attentive to your teen’s mental health and well-being. Seeking out LGBTQ counseling for teens can offer support and encouragement from a licensed mental health professional, whether it’s therapy, counseling, or support groups. Understand that your teen may face challenges, including discrimination, rejection, and bullying. Be prepared to provide emotional support and guidance through these difficult times.

Related: Teen Therapist: 10 Things Parents Should Know About Teen Mental Health

What is LGBTQ+ Counseling?

LGBTQ+ counseling is a specialized form of mental health treatment tailored to the unique needs and experiences of LGBTQIA+ individuals.[7] Counseling provides a safe and affirming space for clients to explore issues related to sexual orientation, gender identity, and the challenges they may face due to societal stigma, discrimination, or internalized shame.

In LGBTQ+ counseling, licensed mental health professionals are trained on LGBTQIA+ issues, terminology, and identities. They provide support and guidance in areas such as coming out, navigating relationships, building self-esteem, managing stress, teaching positive coping skills, and addressing mental health concerns. The goal is to empower clients to live authentically and overcome obstacles to achieve total well-being.

Teen counseling and group therapy programs that embrace LGBTQIA+ identities offer several benefits and mental health resources for adolescents facing unique challenges. These benefits include:

Validation and Support

Group therapy sessions provide a sense of validation and support by connecting LGBTQIA+ teens with peer support, who can share similar experiences.[8] Being in a group of peers who understand and accept them can reduce feelings of loneliness.

Normalizing Experiences

In a group setting, LGBTQIA+ teens can see that they are not alone in their struggles. Hearing others’ stories and perspectives helps normalize their experiences and reduces feelings of shame or self-blame.

Skill Building and Coping Strategies

Therapy programs often incorporate skill-building exercises and healthy coping strategies tailored to the needs of LGBTQIA+ teens.[9] These may include communication skills, assertiveness training, mindfulness techniques, and stress management strategies.

Peer Support and Social Connection

Group therapy provides an opportunity for LGBTQIA+ teens to connect with their community who understand their struggles firsthand. Building supportive relationships with other peers in the community can enhance their sense of belonging and self-esteem.[10]

Identity Exploration

Group therapy allows LGBTQIA+ teens to explore and affirm their identities in a safe and supportive environment. They can share their experiences, challenges, and triumphs related to their sexual orientation or gender identity without fear of judgment or rejection.

Empowerment and Advocacy

Group therapy can empower LGBTQIA+ teens to become advocates for themselves and their community. By sharing their stories and supporting each other, they can develop confidence and resilience in the face of discrimination and adversity.

Access to Resources and Referrals

LGBTQ Counseling for teens provides access to resources and referrals for additional support, such as other LGBTQIA+-friendly mental health services, support groups, and community organizations. Additionally, many programs offer parent counseling to provide more opportunities for growth and healing throughout the family unit.

Get LGBTQIA+ Support at Clear

At Clear Behavioral Health, we understand the importance of providing inclusive and affirming mental health support for all members of the LGBTQIA+ community and their families. Our dedicated team of licensed therapists and passionate clinicians are committed to offering culturally competent and compassionate counseling tailored to the unique needs of the LGBTQIA+ community. Whether you’re seeking counseling for yourself, your teen, or your family, we’re here to provide the support and resources you need to thrive.

If you or your teen is struggling with a mental health condition, LGBTQIA+ issues, or other behavioral health concerns, contact Clear Behavioral Health today to learn more about our teen mental health treatment program.

We’d love to be a part of helping you and your family find clarity, healing, and empowerment on your journey toward mental health and well-being.


  1. Christie, D., & Viner, R. (2005). Adolescent development. BMJ : British Medical Journal, 330(7486), 301–304. on May 20, 2024
  2. Deng, Y. (2022). Family and Academic Stress and Their Impact on Students’ Depression Level and Academic Performance. Frontiers in Psychiatry, 13(869337). on May 20, 2024
  3. Mental Health America. (2023). LGBTQ+ Communities and Mental Health. Mental Health America; Mental Health America. on May 20, 2024
  4. Moagi, M. M., Der Wath, A. E. van, Jiyane, P. M., & Rikhotso, R. S. (2021). Mental health challenges of lesbian, gay, bisexual and transgender people: An integrated literature review. Health SA Gesondheid, 26(1487). on May 20, 2024
  5. Behaviors of Supportive Parents and Caregivers for LGBTQ Youth. (2022, May 31). The Trevor Project. on May 20, 2024
  6. Katz-Wise, S. L., Rosario, M., & Tsappis, M. (2016). Lesbian, gay, bisexual, and transgender youth and family acceptance. Pediatric Clinics of North America, 63(6), 1011–1025. on May 20, 2024
  7. McDermott, E., Eastham, R., Hughes, E., Pattinson, E., Johnson, K., Davis, S., Pryjmachuk, S., Mateus, C., & Jenzen, O. (2021). Explaining effective mental health support for LGBTQ+ youth: A meta-narrative review. SSM – Mental Health, 1, 100004. on May 20, 2024
  8. Garcia, J., Vargas, N., Clark, J. L., Magaña Álvarez, M., Nelons, D. A., & Parker, R. G. (2019). Social isolation and connectedness as determinants of well-being: Global evidence mapping focused on LGBTQ youth. Global Public Health, 15(4), 1–23. on May 20, 2024
  9. Lucassen, M. F. G., Núñez-García, A., Rimes, K. A., Wallace, L. M., Brown, K. E., & Samra, R. (2022). Coping Strategies to Enhance the Mental Wellbeing of Sexual and Gender Minority Youths: A Scoping Review. International Journal of Environmental Research and Public Health, 19(14), 8738. on May 20, 2024
  10. Craig, S. L., Iacono, G., McInroy, L., Kirkland, A., Pascoe, R., & Kourgiantakis, T. (2022). Demonstrating LGBTQ+ affirmative practice in groups:: Developing competence through simulation-based learning. Clinical Social Work Journal, 50(3). on May 20, 2024

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