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Finding suitable healthcare can be difficult for everyone, but those in the LGBTQ+ community have an extra hurdle to contend with: finding a healthcare practitioner who is not only supportive of LGBTQ+ folk but also experienced in treatments that are more likely to be required by members of the community.
Everyone deserves to be able to access healthcare that suits them, so why is this often so hard for LGBTQ+ people to find?
Seven out of ten LGBTQ patients report having negative experiences while accessing healthcare, and this is completely unsurprising when you consider the shortage of healthcare practitioners who are well-versed in issues that are overrepresented in, or even exclusive to, the LGBTQ+ community.
Hormone replacement therapy, experience treating intersex patients, gender affirmation surgery, and HIV treatment and prevention are only a handful of things that a professional working closely with members of the LGBTQ+community should be experienced in and comfortable with, but how many are?
Unless your healthcare practitioner takes a particular interest in these areas or has significant experience in dealing with them, it’s likely that they have only spent a measly five hours studying LGBTQ+ issues as part of their medical training. This can create an unfortunate catch-22 situation where doctors do not feel comfortable treating these conditions, leading to avoidance and lack of opportunity to build up their knowledge and real-world experience.
Under-representation Of LGBTQ People In The Medical Community
While more comprehensive training would go some way to increasing access to high-quality healthcare for LGBTQ people, studying can only go so far; those with lived experience of the issues facing the LGBTQ+ community can offer insights and empathy that those outside the community cannot, despite their best efforts.
Stanford University conducted a study that found that 30 percent of medical students who were part of the LGBTQ+ community hid their sexual or gender identity. In addition, around 40 percent of medical students who self-identified as “not heterosexual” said that they were wary of facing discrimination. If we extrapolate this to healthcare professionals in the workplace, it’s not surprising that it can be hard for LGBTQ patients to find a practitioner who is also openly part of the community.
Encouraging more LGBTQ people to enter healthcare professions, and ensuring that those who are already working in healthcare feel able to embrace their sexuality or gender identity, are key to helping LGBTQ patients find healthcare that meets their needs.
Bias And Stereotypes
Whether intentional or subconscious, bias and harmful stereotypes are endemic throughout the medical community. “For example, from the moment you enter the waiting room and are handed paperwork asking your gender, with only male and female boxes available to tick, you can be made to feel unwelcome, misunderstood, and alienated,” explains Benita Martines, a journalist at OXEssays and Paperfellows.
Due to previous negative experiences, LGBTQ people can feel reluctant to offer information about their sexual orientation or gender to a healthcare provider. Equally, professionals can be wary of asking for this information in case it offends the patient. As this information can have a very real impact on medical decisions, it’s crucial that the medical community get comfortable with discussing these issues in a way that includes and empowers LGBTQ folk.
Lack of Transgender Care
“The National Center for Transgender Equality and the National Gay and Lesbian Task Force recently conducted a survey which revealed that a shocking 19 percent of trans and gender non-conforming people have been refused medical care,” explains Mark Dobbins, writer at Boomessays and UKWritings.
In addition, transphobic terminology is rife in the medical community and is often used without consideration of how unwelcome it can make trans patients feel. Worryingly, the same survey found that half of the respondents have had to explain some transgender-specific medical terms to healthcare professionals.
Although the healthcare industry has a long way to go in becoming inclusive, accessible, and supportive to members of the LGBTQ+ community, progress is being made. For example, John Hopkins University School of Medicine has updated its curriculum to help its graduates care for a more diverse range of patients.
In the meantime, finding a healthcare provider who is understanding and supportive of your needs can feel like an impossible task, but don’t give up; everyone deserves good healthcare, and there are some excellent LGBTQ+-friendly practitioners out there.
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Therapy has so many benefits and the key to getting the most out of your therapy sessions is finding a queer-friendly therapist that works for you. Opening up about your deepest thoughts and feelings puts you in a vulnerable position, so you need to feel comfortable.
Therefore, a lot of queer people find it helpful to have a therapist that’s either queer themselves or is well versed on issues that the LGBTQ+ community can face. Let’s face it, it’s nerve-wracking enough to attend therapy, never mind wondering if they’re going to understand your identity and give you the respect you deserve.
There are lots of reasons you might feel more comfortable with a queer-friendly therapist, but how do you go about finding one? It’s not as hard as you might think, so let’s take a look.
Do Some Research
LGBTQ+ heart in open hands.
The first step is to do some research and think about what sort of therapy will be suitable for you. There are lots of different therapy types, such as cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and psychodynamic therapy, just to name a few.
Think about what issues you want to address specifically. Doing a bit of reading on different therapy types will give you a clearer understanding of what might work best for your needs.
Each therapist will offer different approaches, so this helps to narrow the search down right away. If you aren’t sure what’s best for you, don’t worry you can still use the rest of the advice here!
Utilize Online Resources
One of the best ways to find a therapist that is LGBTQ+ friendly is to use online resources. There are some great websites that can help you find therapists near you (or an online therapist if you prefer).
The list below includes websites that allow you to filter by therapy type; the issue you want to address; gender (you might feel more comfortable with someone who shares the same gender identity as you), and whether the therapist is LGBTQ+ friendly.
- Psychology Today
- Health Professionals Advancing LGBTQ Equality (their search feature allows you to search for all types of LGBTQ+ friendly medical professionals but you can narrow it down to psychological therapy)
- Online Therapy
- The National Queer and Trans Therapists of Color Network (NQTTCN)
- Lighthouse LGBT
These are just a few options, there are lots more on offer. You may be able to find a local mental health center that can provide a list of local queer-friendly therapists. It’s also worth checking out mental health charity websites, as they tend to have a lot of relevant information.
Talk to Your Doctor
Sometimes talking to your regular doctor can feel a bit overwhelming, especially if you have had bad experiences with doctors (a lot of us have). But it’s worth speaking up about what you’re going through if you can, as they might be able to refer you to a suitable therapist. They may even be able to give you a list of local resources that could work for you.
If you are already under the care of a mental health professional but aren’t currently receiving therapy, don’t be afraid to advocate for yourself and ask for what you need. Sometimes word of mouth can be best, so if you have a friend or family member who knows a good therapist that helped them, it’s worth checking out their recommendation.
Check Their Credentials
Of course, you want to ensure that any therapist you choose is appropriately qualified, so always check their credentials. You can also check their website or online listings to see if they have experience dealing with the specific issue you want to address. They’ll often list conditions they have experience treating and therapy types they’re qualified in.
Their listing may specifically state that they’re queer-friendly or have experience dealing with LGBTQ+ issues, which is always a ‘green flag’. If you want to talk about gender-related topics, check to see if this is something they mention.
Woman on phone making notes.
Once you have a shortlist of therapists that seem like they might work for you, you can start reaching out to ask questions. You can email or call them, and they’ll typically arrange an initial phone call or in-person session. This is usually a shorter session and is typically free, to help you both figure out whether you’re a good fit.
Make sure you speak up as this is your time to figure out whether this person can really help you. It’s helpful to prepare a list of questions you want to ask, in case you get flustered (it’s totally normal to feel a bit overwhelmed and nervous).
We've included a few example questions you might want to ask to help you get started if you’re feeling a bit lost:
- I’m part of the LGBTQ+ community, do you have experience working with people in my community?
- How do you make your sessions a safe, inclusive space?
- Do you have training that involves LGBTQ+/gender issues?
- Do you have experience treating ‘your mental illness’?
- What sort of approach would you take towards ‘a problem you want to address’?
Consider Other Factors
Although for many people finding an LGBTQ+ affirming therapist is crucial, for some people other factors might be more important. For example, if you have a complex mental illness, it might be more important for you to find someone highly qualified in this area even if they aren’t trained in queer issues.
Some people might prefer someone of a specific gender or someone who shares the same religion, background, or race as them. This is all completely valid – you need to figure out what is going to make you feel most at ease.
Unfortunately, costs and availability where you live can also play a part in choosing your therapist. Therapy can be pricey and tricky to access, but if you are in a position to attend therapy, it’s a fantastic investment for your mental health.
Remember You Can Keep Looking
Young woman with pride flag.
At the end of the day, therapy is all about you. It’s about you finding a professional that will support you and guide you in a way that allows you to flourish and grow as a person. Keep in mind that you are the priority here.
Even if you spend a lot of time doing research and choose a therapist that seems perfect for you, but after a few sessions you feel you aren’t clicking with them, you don’t have to continue. You can keep looking and try again.
Keep pushing and advocating for yourself until you find what works for you because you’re worth it. You deserve the right help to be the best version of yourself.
Rees SN, Crowe M, Harris S., (2021), The lesbian, gay, bisexual and transgender communities' mental health care needs and experiences of mental health services: An integrative review of qualitative studies. J Psychiatr Ment Health Nurs. 2021 Aug;28(4):578-589.
Healthcare is a hot topic for many Americans. No matter your stance on it, most of us can agree that it’s not easy for everyone to access affordable medical care. If you’re in the LGBTQ+ community, you might face another obstacle – discrimination.
It can be hard to believe you would be discriminated against or even turned away based on your sexual identity, but it does happen like so many other injustices in this world. If you already have a healthcare provider you like and trust, you might be worried about coming out to them.
Will they treat you differently? Will your care be compromised?
Let’s cover some of the common barriers people within the community can face in the healthcare industry, why your doctor should know if you’re LGBTQ+, and what to look for in a provider that won’t discriminate.
What Challenges Do LGBTQ+ People Face in Healthcare?
There are a variety of underserved populations in healthcare, including minorities and those in traditionally underserved or poverty-stricken communities. Those in the LGBTQ+ population are often underserved because of discrimination. Think it doesn’t exist? Consider some of these staggering statistics from a 2017 national survey:
- 8% of respondents said a healthcare provider refused to see them because of their sexual orientation.
- 6% said a doctor refused to provide them with care.
- 9% said a healthcare provider used abusive or harsh language while treating them.
- 7% said they received unwanted physical contact from their healthcare provider.
It should come as no surprise, then, that fewer LGBTQ+ are getting the healthcare they deserve. These statistics are more than numbers. They are people. They are stories. If someone you know had a negative experience with their doctor and told you about it, you’d be less likely to go. Maybe you even had a bad experience yourself, and have never trusted the medical industry again.
Several things need to be done to serve the LGBTQ+ community better, including:
- Federal initiatives
- Smart devices that make it easier to access public health care
- Education on inclusivity within the medical field
Unfortunately, it will take time for this kind of reform and restructuring to happen within the healthcare industry. In the meantime, what can you do to get the care you deserve, whether it's from your current doctor or someone new?
Why You Should Talk to Your Doctor
Building up a trusting relationship with a healthcare provider can take some time. Maybe you’ve been working with your doctor for years, and you trust their medical knowledge and like their personality.
However, maybe they don’t know your gender identity or sexual orientation. Maybe you’ve thought about telling them in the past but have been worried about discrimination.
While it’s always a risk, it’s important to come out to your doctor for medical purposes, if nothing else. Certain health issues affect higher proportions of the LGBTQ+ community, including:
- Mental health issues
- Sexual assault
HIV is still a problem among members of the community, too. According to a 2010 study by the CDC, 63% of new HIV infections impacted men who had sex with other men.From a mental health standpoint, telling your doctor can be both freeing and can get you the help you need. It’s not uncommon for those in the community to experience extra stress, anxiety, and depression due to discrimination and constant worry. Because LGBTQ+ people are also at a greater risk of sexual violence, finding the right mental health treatment for the aftermath is crucial. Medical attention is needed to document evidence and identify any injuries or long-term risks, as well as to set up a mental health treatment plan that will help you process what happened.
Finding the Right Healthcare Provider
Whether you’ve experienced discrimination from your doctor or you want a clean slate in a place that will give you the care you deserve, there are a few things to look for in an LGBTQ+-friendly healthcare environment.
- First, don’t be afraid to ask questions. Shop around, and set up consultations with providers you’re interested in. Ask them about their experience with the LGBTQ+ community. You’ll get a lot of information from that answer, and can probably trust your “gut” with whether they’re comfortable or not.
- You should also do your research. Seek both online and offline resources for LGBTQ+-friendly physicians in your area. Read reviews, look for doctors who offer a safe and inclusive practice for everyone, and consider asking your friends about their personal experiences and where they go. Thankfully, despite the obstacles you might face in finding a doctor, it’s not impossible. Even if you live in a rural area or far away from a doctor who is willing to give you proper care, nowadays, it’s easier than ever to connect with the right provider.
- If you can’t find someone nearby, consider choosing telehealth services for your general well-being and for regular checkups. While they can’t cover everything, it can help to have a physician in your corner who you trust, even if they’re hundreds of miles away. Don’t let discrimination in the healthcare industry get you down. With a little bit of time, research, and doctor-shopping, you can find a provider who will give you care without judgment.