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on 4 March 2015

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Transcript of LGBTQ

Rene Barrios Laura-Candice Plottier
Jessica Duncan Bryan Nguyen
Kim Hoang
Historical Events
Coming Out Video
Coming Out Continuum
LGBTQ Youth & Substance Abuse
1) Need for substance abuse treatments to become culturally competent in treating LGBTQ individuals
2) Laws & policies discriminating against LGBTQ individuals have to be reviewed and dismantled
3) Educating and training parents & teachers
4) Raising awareness within communities & schools
5) Create safer meeting places for LGBTQ youths:
To form friendships and meet other teens from LGBTQ community
Safer environment to form their sexual identity and ease the "coming out" process

Alfred Kinsey
Sexual Behavior in the Human Male
10% of adult male are homosexual
Open doors for open discussion (Time, Life)

The Kinsey Scale
Scale 0 - 6
0 = exclusively heterosexual
6 = exclusively homosexual
Transgender Identity
Alcoholism & Drug Dependence
Approximately 18 millions Americans abuse alcohol : 9%-15% of general population
In LGBTQ population, rates are 3 times higher: 45% of population suffers from alcohol abuse & dependence.
Drug Abuse:
More likely to use drugs
Higher rates of substance abuse
More likely to keep using over lifespan

Why Higher Rates of
Substance Use?
1) Daily battle with discrimination & prejudice:
Health Care
Relationship Recognition
2) Very few culturally competent health care services (especially for transgender individuals)
3) Rely on bars for socialization
Experiment for same reasons as heterosexual peers:
Assert independence
Relieve tension
Increase self-esteem
More likely to turn to drugs & alcohol to self-medicate
Correlation between suicidal ideations & drug use
Parents & community involvement have shown to decrease drug use
5 Substance Abuse Risk Factors
for LGBTQ Youths
1) Sense of self as worthless/bad
2) Lack of meaningful relationships to supporting peers/adults
3) Lack of alternative ways to view "differentness"
4) Lack of access to role models
5) Lack of opportunities to socialize with other LGBTQ individuals outside of bars
What Needs to Happen?
Interventions & Treatment Programs
"The Center: The Lesbian, Gay, Bisexual & Transgender Community Center" - NY
Licensed & trained staff
Individual & group therapy, medical assessment, psychiatric evaluations, counseling for loved ones, alcohol & substance use education, community outreach & education, recovery support groups
"Pride Institute- Creating a Healthy LGBT Community" - MN
28 days
Individual, couple, family therapies, medical and psychiatric care, CBT.
Specialized groups
How to be an affirmative therapist
Increased involvement can bring understanding and recognition of privilege that heterosexuals have
Reflect on your own upbringing, attitudes, and beliefs
Recognize bias stemming from a heteronormative and gender-binaristic society
What are the benefits of coming out? Risks?
Opening Up to Yourself
Coming out
Living Openly
How is LGB different from T?
LGB are sexual orientations, while T is a gender identity
Transgender individuals use medical services much more for hormones, surgeries, voice, facial hair, therapy, etc.
Which bathroom to use?
Name changes, legal documents, titles, etc.
Historical Events
20th Century
Persecution of the LGBTQ
hidden lives/denial
1950s & 1960s
-First official organizations acknowledge gay & lesbian individuals
-Stonewall Riots
-Civil Rights Movement
-DSM (1952): Inclusion of homosexuality as a mental illness

-DSM II (1973): APA removed homosexuality

-Matthew Shepard (1998)

-FDA on Blood Donation (1983)
-Revised in 2014/15

1990s & 2000s
-Don't Ask, Don't Tell (1993)
-LGB (2011)
-Defense of Marriage Act (1996)
-Same-Sex Adoption
-Matthew Shepard and Jameds Byrd, Jr. Hate Crimes Preventions Act (2009)

How to be an affirmative therapist
Create a safe space:
Display LGBT symbols
Provide LGBT-friendly reading material
Include affirming language on all paperwork
Address client by preferred name
Ask about a client's

How to be an
affirmative therapist
Get involved!
Participate in support networks or safe space programs
Participate in LGBT affirmative programming or training
Know the LGBT resources in your community

Helpful therapy experiences of LGBT clients

Positive therapeutic alliance
Diversity stickers in the office
Validation and normalization
Knowledgeable about LGBT issues
Family-based treatment model
Structured approach: homework, goal setting, and CBT
True or False?
Attraction is a choice
Behavior defines attraction
Cisgender is a description for a person whose gender identity, gender expression, and biological sex all align
The existence of transsexuals has only occurred in the last century with medical advances
Transgender is a blanket term used to describe all people who are not cisgender
4x more likely to live in poverty.
Experience unemployment 2x the rate of the general population with rates for people of color up to 4x the national unemployment rate.
90% report experiencing harassment, mistreatment or discrimination on the job.
22% of respondents who have interacted with police reported harassment by police, with much higher rates reported by people of color. Almost 1/2 of the respondents (46%) reported being uncomfortable seeking police assistance.
41% of respondents reported attempting suicide, compared to 1.6% of the general population.
Transgender people still cannot serve in the US Military.
What does it mean to be transgender?
Drug Abuse Rates
Most "popular" drugs:
Gay men vs. Heterosexual men:
Amphetamines: 12.2 X more
Heroin: 9.5 X more
Marijuana: 3.5 X more
"Party Drugs" (Ecstasy,Ketamine,GHB)
Lesbians use drugs more than heterosexual women & equal to gay men
Crystal meth is on the rise for gay and bisexual men
Affirmative Therapy
Embraces a positive view of Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) identities and relationships
Addresses the negative influences that homophobia, transphobia, and heterosexism have on the lives of LGBTQ clients
Lesbian: describes a woman who is attracted to women
Gay: describes a man who is attracted to men or by women to describe their same-sex relationships as well
Bisexual: a person who experiences sexual, romantic, physical, and/or spiritual attraction to people of their own gender as well as another gender
Transsexual: a person whose gender identity is the binary opposite of their biological sex, who may undergo medical treatments to change their biological sex, often times to align it with their gender identity, or they may live their lives as the opposite sex;
Queer: (1) historically, this was a derogatory slang term used to identify LGBTQ+ people; (2) a term that has been embraced and reclaimed by the LGBTQ+ community as a symbol of pride, representing all individuals who fall out of the gender and sexuality “norms”
Questioning: the process of exploring one’s own sexual orientation, investigating influences that may come from their family, religious upbringing, and internal motivations
Intersex: a person with a set of sexual anatomy that doesn’t fit within the labels of female or male (e.g., 47,XXY phenotype, uterus, and penis)
Ally: a straight person who supports queer people
Gender Identity: One’s innermost concept of self as male, female, a blend of both or neither — how individuals perceive themselves and what they call themselves.
Gender Expression: Refers to the ways in which people externally communicate their gender identity to others through behavior, clothing, haircut, voice and other forms of presentation.
Biological Sex: The designation made at birth as “male” or “female” based on an individual’s genitalia. Frequently assumed to be the same as gender, a person’s sex is only one of the dimensions that constitute an individual’s gender.
Attraction: Desire of sexual, romantic, physical, and/or spiritual nature
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