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Trauma-informed and affirmative mental health practices with LGBTQ+ clients.
Abstract
People with diverse sexual orientations, gender identities, and gender expression are at greater risk for trauma, discrimination, and victimization than heterosexual and cisgender populations. Trauma-informed care (TIC) provides a framework for providing lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ +) mental health services. Substance Abuse and Mental Health Services Administration (SAMHSA)'s principles of TIC guide practitioners to create safety, trust, transparency, collaboration, and empowerment in helping relationships, and to ensure that services have cultural and gender relevance. This article first explores the role of trauma in contributing to behavioral health concerns presented by LGBTQ + clients. The application of TIC to mental health counseling and social services for LGBTQ + clients will then be described, with specific suggestions for translating TIC principles into affirmative practice. Through the lens of trauma, clinicians can improve clinical case conceptualization and effective treatment strategies for LGBTQ + clients. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affirmative practice, which can also integrate trauma-informed approaches, necessitates that social work clinicians be aware of their own assumptions and experiences and reactions to clients' identities and link their responses to their clients' lives.
“Affirmative practice, which can also integrate trauma-informed approaches, necessitates that social work clinicians be aware of their own assumptions and experiences and reactions to clients’ identities and link their responses to their clients’ lives (Alessi et al., 2019; Levenson et al., 2021).”
From Demonstrating LGBTQ+ Affirmative Practice in Groups:: Developing Competence through Simulation-Based Learning (2022) · cites this paper as Levenson et al., 2021
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Self-citationMuroff, J. R. (2026) · Oxford University Press eBooks · doi:10.1093/9780197778654.002.0005
Core Affirmative CBT Content and Clinical Strategies
Pascoe, R. V., Hui, D. J., & Craig, S. L. (2026) · Oxford University Press eBooks · doi:10.1093/9780197778654.003.0003
Self-citationCraig, D. S. L. (2026) · Oxford University Press eBooks · doi:10.1093/9780197778654.002.0007
Craig, D. S. L. (2026) · Oxford University Press eBooks · doi:10.1093/9780197778654.003.0002
The Nuts and Bolts of Affirmative CBT with Sexual and Gender Diverse Populations
Craig, S. L. (2026) · doi:10.1093/9780197778654.001.0001
Self-citationEinaudi, G., Dibennardo, F., Finzi, S., Polloni, G., Ratti, F., Tienforti, D., Baiardini, I., Iuliano, C., Amato, L., Stringo, J., et al. (2026) · The Journal of Sexual Medicine · doi:10.1093/jsxmed/qdag316
Metadata
- Authors
- Levenson, J. S., Craig, S. L., & Austin, A.
- Venue
- Psychological Services
- Published
- 2023
- Volume
- 20
- Issue
- Suppl 1
- Pages
- 134-144
- ISSN
- 1541-1559 (ISSN-L)
- 1939-148X
- OpenAlex
- W3152820030
- Cited by
- 98
- References
- 0
- Citations by year
- 2026: 31 · 2025: 26 · 2024: 22 · 2023: 12
- FWCI
- 10.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- trauma-informed care, affirmative practice, LGBTQ clients, sexual orientation, gender identity, gender expression, trauma, discrimination, victimization, mental health counseling, social services, case formulation, treatment options
- MeSH terms
- Sexual and Gender Minorities, Female, Gender Identity, Humans, Male, Mental Health, Sexual Behavior, Transgender Persons
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