LGBTQIA+ Relationship Advice

Episode Summary

Many people judge and hate on bisexuality, claiming that bisexual people just can’t make up their mind or that maybe they’re just too scared to fully come out. Queer people often judge the bisexual person and their sexual orientation, disregarding the complexity of the spectrum that we laud and celebrate as LGBTQIA+ people. Learn more about faith counseling

 Today’s guest clearly articulates, with her many examples and questions, the plight many bisexual people encounter. 

She tells a story of being married to a man and after her former husband’s addictions and trauma settled in, she decided to move on only to find that she was challenged by queer women. 

Underneath her tales of marriage, dating, and trauma, you can hear a subtle yearning to trust herself and, oddly enough, a yearning to trust love, even if the data for what is trustworthy was with her the entire time.

TRIGGER WARNING: Trauma is talked about during this episode. At the end of the episode, Isaac give some helpful remarks when dealing with and/or recovering from trauma.

Navigating the Spectrum: Embracing Bisexuality and Queer Identity

In the LGBTQ+ community, embracing one’s identity and navigating relationships can be both liberating and challenging. For individuals who identify as bisexual or pansexual, the journey to self-discovery and acceptance can be particularly complex. In this blog, we delve into the experiences of a person who identifies as bi and explore the unique struggles and joys they encountered while coming to terms with their sexuality. We also discuss the importance of belonging to oneself and the broader queer community, as well as the need to break free from societal norms that stifle authentic self-expression.

Growing Up in a Conservative Household

Our guest’s story starts in a conservative household, where the messages about the body and sexuality were fraught with shame and judgment. Being raised with the idea that one’s body should conform to certain standards to be considered %22good%22 or %22pure%22 left deep scars and hindered their ability to explore and understand their own desires. The shame surrounding their body and desires masked their true identity for many years, making it difficult to embrace their bisexuality.

Discovering Bisexuality within a Heterosexual Marriage

It was only after being married to a man that our guest discovered their bisexuality. A simple conversation revealed that they had feelings for both men and women, a realization that surprised them both. This internal struggle to accept their own sexuality within the confines of a heterosexual marriage exemplifies the confusion and complexity many bisexual individuals face in a world that often insists on binary identities.

Challenging Bisexual Stereotypes

Society has long perpetuated stereotypes about bisexuality, often branding bisexual individuals as indecisive or afraid to fully come out. These harmful misconceptions have led to judgment and prejudice within the LGBTQ+ community itself. Our guest shares their experiences of encountering distrust and skepticism from queer women because of their bisexuality. They discuss the importance of understanding the full spectrum of LGBTQ+ identities and rejecting judgments based on rigid notions of sexuality.

Religion and Sexuality: The Internal Struggle

Religion can play a significant role in shaping an individual’s view of their sexuality, often causing confusion and internal conflict. Our guest opens up about growing up in a conservative religious environment that portrayed desires as sinful and shamed them for their own bodily experiences. The struggle to reconcile their faith with their bisexuality became a significant source of inner turmoil and delayed their journey of self-discovery.

Belonging to Oneself: The Journey to Self-Acceptance

Through self-reflection and inner work, our guest began to dismantle the harmful messages about their body and desires. They learned the importance of belonging to oneself first and foremost, embracing their true identity regardless of external expectations. The journey to self-acceptance has been a challenging one, but it allowed them to take the courageous step of coming out to their family.

Challenges of Dating and Belonging to the LGBTQ+ Community

Navigating relationships within the LGBTQ+ community can bring its own set of challenges, especially when one identifies as bi or pansexual. Our guest shares their experiences of feeling judged and pressured within the lesbian community, as they were seen as %22not gay enough%22 due to their past heterosexual relationships. They discuss the need to redefine cultural norms within the queer community, highlighting the importance of emotional bonding and acceptance rather than just sexual orientation.

Conclusion: Embracing the Spectrum of Queer Identity

The journey of embracing bisexuality and queer identity is filled with introspection, acceptance, and self-discovery. Breaking free from societal norms and stereotypes is essential for fostering a sense of belonging within oneself and the LGBTQ+ community. As we strive to create an inclusive and supportive environment, we must celebrate and honor the diverse identities and experiences that make up the vibrant tapestry of queer life.

In conclusion, let us remember that each person’s journey is unique and valid. By understanding and supporting one another, we can create a world where everyone feels seen, heard, and loved for who they truly are. As we continue to explore and celebrate the richness of queer identities, let us also pave the way for future generations to embrace their true selves without fear or judgment. Together, we can build a more compassionate and accepting world for all members of the LGBTQ+ community.

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Navigating the Spectrum: Embracing Bisexuality and Queer Identity

In the LGBTQ+ community, embracing one’s identity and navigating relationships can be both liberating and challenging. For individuals who identify as bisexual or pansexual, the journey to self-discovery and acceptance can be particularly complex. In this blog, we delve into the experiences of a person who identifies as bi and explore the unique struggles and joys they encountered while coming to terms with their sexuality. We also discuss the importance of belonging to oneself and the broader queer community, as well as the need to break free from societal norms that stifle authentic self-expression.

Growing Up in a Conservative Household

Our guest’s story starts in a conservative household, where the messages about the body and sexuality were fraught with shame and judgment. Being raised with the idea that one’s body should conform to certain standards to be considered %22good%22 or %22pure%22 left deep scars and hindered their ability to explore and understand their own desires. The shame surrounding their body and desires masked their true identity for many years, making it difficult to embrace their bisexuality.

Discovering Bisexuality within a Heterosexual Marriage

It was only after being married to a man that our guest discovered their bisexuality. A simple conversation revealed that they had feelings for both men and women, a realization that surprised them both. This internal struggle to accept their own sexuality within the confines of a heterosexual marriage exemplifies the confusion and complexity many bisexual individuals face in a world that often insists on binary identities.

Challenging Bisexual Stereotypes

Society has long perpetuated stereotypes about bisexuality, often branding bisexual individuals as indecisive or afraid to fully come out. These harmful misconceptions have led to judgment and prejudice within the LGBTQ+ community itself. Our guest shares their experiences of encountering distrust and skepticism from queer women because of their bisexuality. They discuss the importance of understanding the full spectrum of LGBTQ+ identities and rejecting judgments based on rigid notions of sexuality.

Religion and Sexuality: The Internal Struggle

Religion can play a significant role in shaping an individual’s view of their sexuality, often causing confusion and internal conflict. Our guest opens up about growing up in a conservative religious environment that portrayed desires as sinful and shamed them for their own bodily experiences. The struggle to reconcile their faith with their bisexuality became a significant source of inner turmoil and delayed their journey of self-discovery.

Belonging to Oneself: The Journey to Self-Acceptance

Through self-reflection and inner work, our guest began to dismantle the harmful messages about their body and desires. They learned the importance of belonging to oneself first and foremost, embracing their true identity regardless of external expectations. The journey to self-acceptance has been a challenging one, but it allowed them to take the courageous step of coming out to their family.

Challenges of Dating and Belonging to the LGBTQ+ Community

Navigating relationships within the LGBTQ+ community can bring its own set of challenges, especially when one identifies as bi or pansexual. Our guest shares their experiences of feeling judged and pressured within the lesbian community, as they were seen as %22not gay enough%22 due to their past heterosexual relationships. They discuss the need to redefine cultural norms within the queer community, highlighting the importance of emotional bonding and acceptance rather than just sexual orientation.

Conclusion: Embracing the Spectrum of Queer Identity

The journey of embracing bisexuality and queer identity is filled with introspection, acceptance, and self-discovery. Breaking free from societal norms and stereotypes is essential for fostering a sense of belonging within oneself and the LGBTQ+ community. As we strive to create an inclusive and supportive environment, we must celebrate and honor the diverse identities and experiences that make up the vibrant tapestry of queer life.

In conclusion, let us remember that each person’s journey is unique and valid. By understanding and supporting one another, we can create a world where everyone feels seen, heard, and loved for who they truly are. As we continue to explore and celebrate the richness of queer identities, let us also pave the way for future generations to embrace their true selves without fear or judgment. Together, we can build a more compassionate and accepting world for all members of the LGBTQ+ community.

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Navigating the Spectrum: Embracing Bisexuality and Queer Identity

In the LGBTQ+ community, embracing one’s identity and navigating relationships can be both liberating and challenging. For individuals who identify as bisexual or pansexual, the journey to self-discovery and acceptance can be particularly complex. In this blog, we delve into the experiences of a person who identifies as bi and explore the unique struggles and joys they encountered while coming to terms with their sexuality. We also discuss the importance of belonging to oneself and the broader queer community, as well as the need to break free from societal norms that stifle authentic self-expression.

Growing Up in a Conservative Household

Our guest’s story starts in a conservative household, where the messages about the body and sexuality were fraught with shame and judgment. Being raised with the idea that one’s body should conform to certain standards to be considered “good” or “pure” left deep scars and hindered their ability to explore and understand their own desires. The shame surrounding their body and desires masked their true identity for many years, making it difficult to embrace their bisexuality.

Discovering Bisexuality within a Heterosexual Marriage

It was only after being married to a man that our guest discovered their bisexuality. A simple conversation revealed that they had feelings for both men and women, a realization that surprised them both. This internal struggle to accept their own sexuality within the confines of a heterosexual marriage exemplifies the confusion and complexity many bisexual individuals face in a world that often insists on binary identities.

Challenging Bisexual Stereotypes

Society has long perpetuated stereotypes about bisexuality, often branding bisexual individuals as indecisive or afraid to fully come out. These harmful misconceptions have led to judgment and prejudice within the LGBTQ+ community itself. Our guest shares their experiences of encountering distrust and skepticism from queer women because of their bisexuality. They discuss the importance of understanding the full spectrum of LGBTQ+ identities and rejecting judgments based on rigid notions of sexuality.

Religion and Sexuality: The Internal Struggle

Religion can play a significant role in shaping an individual’s view of their sexuality, often causing confusion and internal conflict. Our guest opens up about growing up in a conservative religious environment that portrayed desires as sinful and shamed them for their own bodily experiences. The struggle to reconcile their faith with their bisexuality became a significant source of inner turmoil and delayed their journey of self-discovery.

Belonging to Oneself: The Journey to Self-Acceptance

Through self-reflection and inner work, our guest began to dismantle the harmful messages about their body and desires. They learned the importance of belonging to oneself first and foremost, embracing their true identity regardless of external expectations. The journey to self-acceptance has been a challenging one, but it allowed them to take the courageous step of coming out to their family.

Challenges of Dating and Belonging to the LGBTQ+ Community

Navigating relationships within the LGBTQ+ community can bring its own set of challenges, especially when one identifies as bi or pansexual. Our guest shares their experiences of feeling judged and pressured within the lesbian community, as they were seen as “not gay enough” due to their past heterosexual relationships. They discuss the need to redefine cultural norms within the queer community, highlighting the importance of emotional bonding and acceptance rather than just sexual orientation.

Conclusion: Embracing the Spectrum of Queer Identity

The journey of embracing bisexuality and queer identity is filled with introspection, acceptance, and self-discovery. Breaking free from societal norms and stereotypes is essential for fostering a sense of belonging within oneself and the LGBTQ+ community. As we strive to create an inclusive and supportive environment, we must celebrate and honor the diverse identities and experiences that make up the vibrant tapestry of queer life.

In conclusion, let us remember that each person’s journey is unique and valid. By understanding and supporting one another, we can create a world where everyone feels seen, heard, and loved for who they truly are. As we continue to explore and celebrate the richness of queer identities, let us also pave the way for future generations to embrace their true selves without fear or judgment. Together, we can build a more compassionate and accepting world for all members of the LGBTQ+ community.

Episode Debrief

Listen y’all. The unfolding of our sexual orientation is a blossoming. 

The fabulous research by Lisa Diamond, noted in her book Sexual Fluidity, lays out what many experience…sexual fluidity. My coming out and the trajectory of my sexual orientation will be dramatically different than yours and that’s wonderful! But sometimes those of us in the queer community start to project our fluidity and our limitations onto others, leaving many people sequestered from belonging. 

Rejection in any form is harmful and sometimes rejection is flat-out traumatic, especially if it is violent or violates our boundaries. Trauma often comes with some sneaky and very unfortunate side-effects including shame and self-blame. Carried feelings are the feelings we experience and take responsibility for when, in fact, they belong to a perpetrator. Let me throw out an example. Roll with me here:

Let’s say my partner explodes in anger after hearing that I spent too much money on clothes. His violent and immature demonstration of anger is thrust on me as though I deserve the inappropriate lashing. In my mind and heart, I might feel as though my actions “made him” do what he did. As a result, I might feel that my immaturity elicited such violence. 

Instead of holding an appropriate boundary between his behavior and mine, I carry his immaturity by assuming his anger was my fault. Even though he did something inappropriate and immature, I carry the feelings for him as though I am the immature and inappropriate one. In other words, our perpetrators do something shameful and something for which they should take the blame but, instead, trauma helps us carry those feelings for them. 

Carried feelings are prevalent when we come out and listen to the immature beliefs and prejudiced reactions of others. Something like, “my sister thinks my lifestyle is wrong, and maybe it is.” We take their inappropriate rejections and hold them towards ourselves. Furthermore, carried feelings will help us feel as though our body isn’t ours. As though we are safer following the guidelines and meeting others’ expectations. Carried feelings lead us to believe we are damaged, flooded with a sense of self-mistrust. Carried feelings are powerful yet sneaky! When we combine the powerful forces of shame we get a dynamic duo with carried feelings. 

After we participate in the behaviors that leave us feeling shame, we tell ourselves that we will never do it again: never drink that much, never eat that much, or never sleep with that person again. But because shaming behaviors often come with pleasure, and because shame is a medication for our misery, we find ourselves doing the behavior one more time. After a couple of cycles, we begin to realize that we can’t even trust ourselves, like a monster who is totally against us living at our core. 

When we have tried to love and loved with all of every fiber in our being, and it STILL fails, we will hear the message of self-mistrust playing its unstoppable tune. Can I trust myself to know love and can I even trust love. We will question with great uncertainty. 

There are so many facets to love and earning our own trust back. I could talk about this for days, but I will say, we know how to love. It is hardwired into our brain, but to find our way back to the sustainable and trustworthy versions of love, we first have to address our shame, call out our carried feelings, and find trustworthy people with whom we can practice trusting again. When we find them, we have to be open to letting their sincere love soak into our core. We have to be brave enough to let it be true, not just as cognitive thought, but as an emotional, felt-sense truth. 

To my bi people out there: we walk a thin line. Sometimes we’re too gay for straight partners and our dating history is confusing and scary for them, but we also face queer gatekeepers who are threatened by our straight dating history as well. To this I say, find your language. Get to know your attractions, your tale of sexual orientation as it unfolded throughout your life. Find the language that will clearly help you articulate how your emotional desires drive you towards emotional intimacy because that truly is the mortar of any relationship, way more than sexual intimacy! As you feel your true knowing stabilize your confidence in your truth––sexually and romantically––you’ll develop the language to assuage the fears of those who might also have been burned by love.

I say this a lot, but it bears repeating: the primary function of sexual orientation is not to tell you whose body you’ll enjoy. It is to guide you toward the life-changing love you most deeply crave. 

So, if when we came out, we came out as an emotional being rather than a sexual being, we might better understand and trust the nature of emotionality that leads to sexuality, even with all of its complexities and idiosyncrasies. We might be more primed to fall for and trust more readily the person who will create emotional intimacy WITH us, rather than PRIORITIZING someone who does something sexually FOR us. 

Thank you to this episode’s guest! I thoroughly enjoyed my time with her. Her energy was like sitting with a great friend! Vulnerability breeds vulnerability, and I want to thank the guest for creating a wonderful space, a sample of what emotional intimacy feels like.

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Episode Introduction

Y’all know that life can be rough. Grief and death. Marriage and divorce. Relationships, love, belonging, and breakups. Life throws us so many hurdles to jump over and challenges to crawl through. Jamie, one of iAmClinic’s Associates sits with our guest who approaches life with such humor, ease, and joy that it makes life seem a little bit easier, something not to be taken with such seriousness. They bring a lifespan of insight and challenges that I hope you enjoy listening to and learning from couples therapy. 

I’m so thankful that we have queer siblings who have gone before us to literally pave the way for our version of love, our version of sex, our social equality, and our civil rights. It is with deep gratitude that we sat with our guest because he is one who has fought so hard for what we so easily access.

Navigating Ambivalence in Relationships: A Personal Journey

Navigating relationships can be a complex and emotionally charged journey, especially when you find yourself in a state of ambivalence. In this blog post, we’ll delve into the intricate world of emotions, desires, and personal growth through the lens of one individual’s experience. Join us as we explore the challenges and insights of managing ambivalence in relationships.

Understanding Ambivalence:

Ambivalence is a state of mixed emotions and conflicting desires. It often arises when we have strong feelings for someone but are uncertain about the direction of the relationship. It’s like standing at a crossroads, torn between two paths—one leading to commitment and the other to individual freedom.

The Personal Journey:

Our story begins with a gentleman in his late 60s who has experienced a lifetime of relationships, each offering unique gifts and challenges. He has been married, had children, and even become a grandparent, but his current journey revolves around the complexities of a relationship with a much younger partner.

1. Craving Emotional Monogamy:

Our protagonist yearns for emotional monogamy, a deep and exclusive connection where he can be the sole focus of his partner’s affection. It’s a desire rooted in the need for security, emotional attachment, and the joy of settling into a committed partnership.

2. Fear of Being Alone:

Despite his desire for emotional monogamy, he grapples with a deep-seated fear of being alone. After two years of closeness with his current partner, the thought of separation is daunting. This fear drives him to question whether he’s enough and whether he’ll find someone else who truly values him.

3. The Push-Pull of Ambivalence:

The relationship he’s in has evolved into a constant push-pull dynamic. Both partners have clear desires and conflicting needs. While he yearns for emotional exclusivity, his partner seeks multiple emotional connections. This tug-of-war between their desires creates an addictive cycle that’s challenging to break.

4. Open Communication:

Despite the emotional rollercoaster, the couple engages in open and honest communication. They discuss their desires, insecurities, and fears regularly, creating a space for vulnerability. Sharing their thoughts and feelings is a cornerstone of their relationship.

5. The Path Ahead:

As they stand at this crossroads, uncertain of the future, they have embarked on a week of space to reflect on their needs and desires. This pivotal moment will determine the direction of their relationship.

Conclusion:

The journey through ambivalence in relationships is a profound exploration of one’s desires, fears, and values. It’s a testament to the complexities of human connection and personal growth. This story reminds us that relationships are ever-evolving, and it’s okay to seek the emotional monogamy or the individual freedom that aligns with our personal needs.

As we navigate the intricacies of our own relationships, we can draw inspiration from this narrative of vulnerability, open communication, and the pursuit of emotional fulfillment. After all, it’s our unique journeys that shape our understanding of love, commitment, and the human experience.

Episode Links

Tale of Two Tims: Big Ol’ Baptist, Big Ol’ Gay, by Tim Seelig

The New Rules of Marriage: What You Need to Know to Make Love Work, by Terrence Real (5 Domains of Intimacy)

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I built up an incredible amount of frustration stemming from my partner’s behavior. No matter what I said to him, I could not, for the life of me, get him to hear what I was trying to communicate. In those early years, I knew I wanted him to be “the one,” but I had never felt so lonely inside a relationship!

Criticism, desperation, and anxiety flooded my body when he would detach. No matter how articulate and well-intentioned my interventions, I consistently found myself feeling alone, even if we were sitting on the same couch.

To be honest, it took us a very long time to find a good couples therapist, someone who had heard of dilemmas and challenges like ours many times before. But when we did, it was gold!

At iAmClinic, we believe that there is hope for your relationship. Here are some ways that couples therapy can improve your relationship:

  • Practice Feeling Understood

Efficient communication in stressful times is an art form. In self-defense, we want to protect ourselves and defend our perspective, and we wonder why our significant others can’t bend and flex, especially when they are wrong. Couples counseling is a great place to learn how to communicate so that your partner can hear what you’re really needing them to understand. As a third-party, objective listener, a couples counselor can help you avoid the common booby traps and get to the heart of what you need your partner to understand. When you and your partner have a new rhythm and style of communicating, you’ll experience a healthy teamwork budding between the two of you. You’ll find a rhythmic and exciting new way of connecting.

  • Tackle Scary Problems in a Safe Way

Falling in love means trusting someone with the direction, plans, and ultimate dreams you have for your life. As a couple integrates their lives, the weight of major changes can be crippling and scary! Thinking about moving in with one another, approaching marriage, or opening up your relationships can be petrifying for many. Couples counseling provides the type of safety you need to approach major challenges without furthering the damage or losing your voice in the process. It allows you to highlight the important factors that need to be considered, as well as the fluff that is just getting in the way. When approaching serious matters, couples therapy creates the safety you need to find stabilizing peace of mind and constructive ways to create your dream life together.

  • Make Big Changes in a Small Amount of Time

Sometimes differences in opinions, perceptions, or priorities leave a couple hopeless. Feeling stuck in a worn path of tracks that lead to Boringville, many partners can’t see the forest for the trees. Negotiating and coming to an agreement or creating a much needed change might require a new approach, an increase in empathy, serious creativity, inspiring awareness, or a change in behavior. Couples counseling can help you and your partner find clarity by identifying what will help create the smooth-sailing, highly functional resolution for your ever-evolving lives. Many say that change is the only constant, and if that’s true, learning how to create change, live in its flow, and stay happy are very important skills to acquire. Couples counseling can give you the tools to make big changes and find your passion in the least amount of time.

  • Learn About Your Invisible Patterns

Arguments carry a heap of data and insights, but you need objectivity to see them. A couples counselor listens not with the intention of playing referee, but to help you build life-changing, relationship-saving self-awareness that can be found tucked into the angry lines and desperate hopes of an argument. For a well-trained, seasoned couples therapist, it is easy to recognize a repeating behavioral and emotional pattern we call the Performer/Dreamer Cycle. While one tries to rescue and perform for their partner, the other demands and criticizes. The Performer may eventually tire and avoid any pain, leaving the Dreamer panicked, angry, or incredibly scared. One is checked out and the other is anxiously checked in. The couple may not recognize it, but the all-too-common Performer/Dreamer pattern is at play. Gone unchecked, it can plague the relationship for days, months, and even years. Learning to see the pattern that lives under an invisible cloak can change your life. It did mine.

Couples counseling saved my relationship. It taught me how to communicate in a way that allowed me to feel understood, but it also helped me understand my partner, his needs, and his personality. It gave me the safety to approach aspects of our life together that scared me and made me wonder if I was making the right decision to stay and if I would be safe enough with him; not just in a day-to-day kind of way, but in the existential, my-life-is-yours kind of way. But please believe me, I had to learn how to keep my sassy tongue in check, hop out of Dreamer mode, and be kind to my partner, even when I took his behavior as hurtful. All in all, couples counseling helped us improve our relationship, transforming it from the inside out. I can’t remember what it felt like to be that lonely guy, sharing the couch with an emotionally distant partner. And to be honest, I don’t want to. I love who we’ve become, thanks for couples counseling.

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Man being counseled

As a graduate student studying healthy relationships, I felt ashamed at how badly my relationships looked on paper. My friendships and love life were disintegrating like the petals of a plucked rose. I was full of shame. . . and vodka.

To figure out how I could get my wayward boat back on track, I booked a European vacation. The beach, a big journal and lots of fresh air would get me there!

As I sat on the beach in southern Spain, I realized that I had no idea who I was, what I was passionate about or what made me happy. Investing all of my energy in criticizing my partner and festering over old familial wounds had really zapped my flourishing.

I decided that if I was going to be a clinician someday, I better get my life in order. So I put down the vodka, drank my own medicine and found a reputable therapist.

During my time in therapy, I began to experience major epiphanies and changes that set my life and relationships right-side up. Over time I realized that my therapist was helping me awakened my numb, hollow body. It felt incredible to say, “I remember who I am!”

Man standing on mountain

Counseling for us in the LGBTQ+ community can be scary, but there are several benefits to counseling. My favorites are the ways it helps us connect to others and ourselves. Here are my top 4 ways:

1. Communication

Many LGBTQ people experience anger that keeps them from connecting; counseling allows you to identify the source of anger and to talk about other primary emotions like sadness, embarrassment, failure that live beneath anger. Thus, rather than exploding in anger, you can communicate your primary emotions, leading to greater trust and cohesion.

Another major communication tool that marriage therapy can offer is finding the best terms to describe yourself. My therapeutic journey led me to come out as a queer, gender non-conforming person, and without my therapist, I would not have found the words to accurately described who I was and what I needed from my loved ones.

Couple arguing

2. Ending Repeating Arguments

Let’s face it, whether two people double down on opposing positions or a back-and-forth simply cycles repeatedly in our heads, some arguments keep repeating.

Counseling gave me new remedies for recurring arguments surrounding emotions or frustrations that popped up in my day-to-day life. I realized that the context of the argument mattered less than the desire behind it.

3. Changing Unwanted Patterns

As my relationships stabilized and the arguing died down, I could finally tackle my long-standing, shaming behavioral patterns. I realized that I kept soothing my shame with tactics, food and substances that, to be honest, reinforced my shame. I was stuck in a serious loop of hurting, medicating my pain, feeling shamed for meager attempts at relief, all which landed me back at hurting again.

Instead of drinking too much, never-ending, compulsive episodes on Grindr, or sleeping with temporary hunks for a flash of acceptance, I became conscious of my patterns and found a way to break them.

My counselor allowed me to talk about the details of the embarrassing things I had done. His non-judgmental stance and caring posture allowed me to talk about and resolve my biggest hurdles. I love therapy for this very reason, among many others!

Compass

4. Clarity & Self-acceptance

Before couple’s counseling I had determined that I was dirty for being a queer, gender non-conforming person. My default setting was fixed on the belief that I was inferior to other men and a burden to my religious family and friends. But as I walked out of that room, time after time, I slowly left all of those false messages on the couch where I had just sat.

As a result, my relationships began to feel more comfortable because I could understand their internal mechanisms. I felt like I had control of my ship, something I had never experienced before.

Walking with pride as a member of the LGBTQ+ community and embracing life with a partner has helped me reach levels of life-satisfaction that only existed in my dreams.

I encourage you—if you want to experience these four benefits—to give therapy a try. It could be a life-changing process. Take the plunge! You won’t regret it!

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Exploring Attachment in Polyamorous Relationships

Introduction

Daniel Sloss, a 32-year-old comedian, provided a novel existential perspective about life, including relationships, through a thought-provoking analogy, in his 2018 Netflix special called Jigsaw. The following is paraphrased from a specific bit in the show. 

If we conceptualize every human’s life as their very own jigsaw puzzle, then we are all slowly trying to piece together experiences and memories until the full picture is achieved. However, no one has the box to the jigsaw puzzle and therefore has no idea what the final picture is meant to look like. So, everyone is attempting to make confident guesses as they go along. Starting at the edges seems like the intelligent way to put a jigsaw puzzle together, so we typically attempt to fix four standard corners; family, friends, hobbies/interests and career. These are undeniably subject to change as we ebb with the flow, so we keep redefining our four standard corners. Nevertheless, the big gaping hole in the middle of the jigsaw is what society has conditioned us to believe should be filled by “the one”. Consequently, as we get into adulthood, we have an internal narrative that makes us feel like if we are not with someone, we are not whole and we feel incomplete. Driven by fear, we may end up jamming the wrong puzzle piece in the middle so aggressively that we are forced to move other pieces around or toss them away, including other relational, occupational and personal pieces, leaving us with an unrecognizable picture at the end. Read our in-depth guide on alternative relationship structures.

It can be a challenge to find someone who loves us for who we are unconditionally. So at the earliest sign of relational validation, we may change ourselves (sometimes in extreme ways that creates an altered image), until that someone loves us. And then what? We have developed a habit, and have fallen into patterns of reacting and processing insecurities in unhealthy ways.

This is descriptive of one of four attachment styles based on attachment theory described by John Bowlby and Mary Ainsworth, which explains that there evolutionarily exists a need for children to bond with their caregivers, and the quality of those bonds influence attachment patterns, including romantic attachment, throughout their life. When needs are adequately addressed, children learn that they are cared about and consequently feel like they matter. If not, children may develop insecure attachment styles, which manifest in more complex ways if they also endured abuse, neglect, threat or other forms of trauma.

Intriguingly, monogamy constructs external forms of security with legal marriage, home ownership, etc., which does not guarantee internal emotional security. Consensual non-monogamy, on the other hand, provides the option to develop self-defined norms that can lead to fulfilling relationships of different kinds that satiates the layered and expansive needs of an individual, without having them demand it all from one person.  So as Sloss suggests, what if the gaping hole in the middle of our jigsaws was to be filled by happiness? It could be derived from a partner, but it does not have to be like we have been made to believe by the happily ever after of fairytale and the tear-jerking movie soundtrack of a great rom-com. The pressure of monogamy may force us to believe that all relational needs can (and sometimes should) be met by a single partner, and if these needs are emanating from what was lacking due to attachment trauma, we feel incomplete and broken when our partner fails to fulfill all of them. Whereas polyamory encourages each relational need to be met fully by different partners which evokes an interesting albeit self-focused thought; if this is your life, your jigsaw, then you get to decide what pieces fit best based on how you choose to grow and with whom. Be selective, be intentional.

Attachment in Polyamorous Relationships

After a recent break-up, I floated into an unfamiliar existential spiral about relationships and reached out to my mentor for some wisdom. Following a long vent session featuring the typical complaints of “how could he?”, “but he said” and “after all this time”, she asked me one question- “are people allowed to change their minds?” 

It took a couple of minutes for my wounded ego to process that question, and then a little bit of clarity sunk in. The circumstances of my break-up had more to do with what my partner was experiencing, which led him to communicate his thoughts and take a step back from the relationship because it did not fit into his reality as well as it did in mine. Although my feelings were valid, I learned that the “return on investment” expectation was a core belief that needed some challenging. Moreover, this opened up another conversation with my mentor, that shifted the way I understood consensual non-monogamy. 

If we were to broadly classify our relational needs as intellectual, emotional and sexual, our dream partner would meet all of them fully and completely, which is unrealistic and, truthfully, disappointing. So, we get to choose and sometimes prioritize our needs as non-negotiable and negotiable. This could lead to any combination of relational needs; 80% sexual, 60% emotional and 40% intellectual, or something else. We may also feel the need to demand our one partner to meet all of them, and feel unloved and unvalued if they cannot or choose not to meet them (which is understandable, let’s be real). But when compromise turns into sacrifice, it may create relational ruptures that cause conflicts and sometimes break-ups. For instance, my intellectual needs were almost 80-90% met by my former partner, but my emotional and sexual needs were dwindling. 

So what if all of these relational needs could be 100% met, just not by one partner?

That was how consensual non-monogamy was explained to me, as a non-society-endorsed choice that you make because you find that having your relational needs completely met is more important than finding “the one” that cloaks you in a security blanket to keep you cozy in capitalism. A jolt to the system, no? Same. I sat with this information and wondered if consensual non-monogamy is for me, and I learned that my needs can be met by platonic relationships in addition to my romantic one. I used to believe that finding “my person” would mean that I have won at life, but various perspectives about relationships, including the one presented by Daniel Sloss, has allowed me to reassess and lean on the many different relationships I have in my life to satiate my relational needs. I’d rather have my partner meet a little over 50% of those needs, and not a 100% because as a fully functioning human being with relational needs of their own cannot.

Have you wondered about your relationship style?

Here are a few questions that you can use to begin a thoughtful dialogue with yourself! 

  1. Have I wrestled with commitment issues? 
  2. Have I experienced falling in love with or having crushes on multiple people at the same time? 
  3. Am I okay with the idea of my partner seeing other people?
  4. Am I comfortable communicating my fears, insecurities, boundaries and limitations?
  5. Is consensual non-monogamy wrong for me or is it just hard right now? 
  6. What am I afraid of?

Curious about how attachment styles influence polyamorous relationships? Ready to explore the benefits of consensual non-monogamy? Dive deeper into your relational needs and discover new perspectives. Start your journey today by reflecting on your relationship style and finding what fits best for you

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Man is taking off the wedding ring

Jump To:

Self-Discovery

1. What language is mine?

2. My Internal Truth

3. Necessary Closets

4. Acknowledge Outdated Assumptions

Coming Out

Self-Care and Coping Strategies

Advice for Spouses and Loved Ones

Frequently Asked Questions (FAQ)

She was so sincere in wanting to help her coming out husband. Wanting nothing more than for her husband to be happy and for their children to go through any transition smoothly, she was eager to learn and love. It took her husband quite some time to make it in to our sessions because he was terrified that was would cause his family pain.   

For a variety of legitimate reasons, coming out to your spouse can be a very scary and challenging process, to say the least. You’ve built a life with someone, and the idea of unraveling and abandoning that history can leave your central nervous system paralyzed. Perhaps you are considering if the benefits of coming out really outweigh the costs.

To help create peace of mind and find resolution, let me explain a couple of moving parts to help you determine if you want to come out.

Self-discovery

1. What language is mine?

Sexual orientation describes what happens in your central and autonomic nervous systems—the various involuntary ways your body respond to visual stimuli (like another person’s body or personality), emotional intimacy and sexual pleasure. Sexual identity, however, is the name with which you label your sexual orientation. Although your sexual orientation could be, let’s say gay, you could publically claim that you are bisexual. In this scenario, your private sexual identity would be gay (because it matches your sexual orientation), but your public sexual identity would be bisexual. Your sexual orientation does not have to match your sexual identity, at least until we come out fully.  

Some sexual orientations are lesbian, bisexual, pansexual, demisexual, gay, asexual, etc. 

Gender identity is the felt sense or internal knowing of one’s gender, regardless of the physical body with which they/she/he is born.

Some gender identities are transgender, gender nonconforming, gender non-binary, trans non-binary, and trans binary, to name a few. 

Sex symbol

2. My Internal Truth

I encourage my clients to ask a very simple, yet illuminating question: What is true about my gender identity, as well as my sexual orientation, both physically and emotionally?

Asking this question as you walk down the street, see an attractive person, interact with coworkers, fall asleep at night and pleasure yourself sexually will help you make peace with the physiological and involuntary mechanisms of your sexual orientation and/or gender identity. I also strongly encourage you to discover which personality types you are drawn to and what yearnings they provoke. We are emotionally aroused when we feel seen, special, sexy and wanted.

Taking a thorough inventory of what brings you comfort and pleasure––from the inside out––will contribute to a comprehensive picture of your sexual orientation and/or gender identity and all their components. Self-understanding is the best catalyst for deeply rooted confidence. 

3. Necessary Closets

As you make peace with your sexuality, coming out may be too emotionally or relationally threatening. And for this reason, you may reach clarity and identify exactly why your closet has been necessary. Acknowledging any imminent or assumed rejection, isolation, or derogation will help you prepare for the initial jolt of coming out. Laying a stable foundation––like a trustworthy support system, for example––will give you the emotional and physical stamina to withstand challenging relational storms. 

4. Acknowledge Outdated Assumptions

“My sexual orientation was socialized, and I can change it” 

Thankfully, we now have scientific data that proves we were born with both a pre-established sexual orientation and gender identity set in place by in utero bathings during weeks 6 and twelve. 

Although there are no genes fully responsible for homosexuality or gender identity, it is easy to understand our sexual orientations and gender identities were installed by hormone bathings that wire our brains for sexual preferences and a felt sense of gender. The software, if you will, that encodes our sexuality will remain somewhat unactivated until puberty, whereas that which encodes our gender will be activated as early as 2 years old. 

“I’ll be alone forever”

Many of my clients who contemplate coming out assume their lives will completely fall apart or that they’ll be seen as the world’s biggest jerk for causing so much pain in their loved ones’ lives. 

There is a major range of reactions in those who hear the news for the first time. A significant percentage of my coming out clients face a short-term season of relational discord where time and space help everyone involved establish a new normal. 

Another noteworthy percentage of clients face the transition as a team, creating a new normal side-by-side. Families and couples who do this have well-developed abilities to communicate, to be vulnerable and to practice unconditional love. 

It is rare, but worth mentioning, that for bisexual, pan, or demi clients––who are in some capacity attracted to their opposite gendered spouse and the same gender––remaining in their marriage is possible. Again, these mixed-orientation marriages are stabilized by mature communication and thorough understanding of both their sexual orientation, sexual desires and deep emotional intimacy.  

Coming out can change your life dramatically, possibly leading to utter rejection. But with more than ten year’s worth of clinical experience working with couples and families, complete rejection is very, very rare. If being ostracized from your loved ones is possible, take every step necessary to create a safety net of trustworthy friendships before coming out.

Wife supporting husband in therapy

Coming Out

As you plan your coming out, identify the triggers your spouse might experience and how you may be prone to feel responsible for their reactions. Remember, you cannot cause another’s reaction; they do! Amidst their triggers, for which you are not responsible, implement a sophisticated boundary so that you can stay in your truth, while your spouse or loved one experiences theirs. 

One major element to a successful coming out is your story—the tale of your lived experience as you felt your sexual orientation or gender identity blossom. I have my clients complete a timeline where they list experiences of their sexual orientation/gender identity (e.g., a crush in elementary school, a self-discovery in adolescents, an epiphany in young adulthood, etc.), as well as what they thought and how they felt during those experiences. Pack out your timeline will all the details that will help them understand you, your body, your desires, and your lived experience.

Share with your loved ones when you first discovered what your sexual orientation or gender identity are and how you knew. Tell them what it felt like as you held this secret and all the assumptions (and painful realities) that made your closet so necessary. All in all, this timeline, once completed, will be a robust repository of helpful language for you to articulate your story with confidence and peace of mind. It will also help you know the answers to deep, probing questions that might come your way.  

Your coming out will be the very beginning of a long process, but with the internal inventory you’ve completed and the confidence you’ve built, hold to your inner knowing, which is where freedom lives—for both you and your loved ones. 

Self-Care and Coping Strategies

The process of coming out while married can be emotionally taxing and overwhelming. It’s crucial to prioritize self-care and implement coping strategies to manage the stress, anxiety, and emotional turmoil that may arise during this journey. Here are some suggestions:

1. Take time to understand your experience of gender and sexuality. When coming out, your spouse may have a lot of questions and you might not have the language to easily articulate your answers. Getting to know your experience and having language to describe it will help you come out in ways  your spouse will clearly understand you and your authenticity. 

2. Mindfulness and Meditation: Incorporate mindfulness practices into your daily routine. Simple techniques like deep breathing exercises, body scans, or guided meditations can help you stay grounded, reduce anxiety, and cultivate a sense of inner peace. Apps like Calm, Headspace, or Insight Timer offer a variety of guided meditations specifically designed for LGBTQIA+ individuals.

3. Journaling: Keeping a journal can be a powerful tool for self-reflection and processing emotions. Writing down your thoughts, feelings, and experiences can provide a cathartic release and help you gain clarity during this transitional period.

4. Support System: Surround yourself with a supportive network of friends, family members, or professionals who understand and validate your experiences. Joining an LGBTQIA+ support group or finding a therapist specializing in LGBTQIA+ issues can provide a safe space to share your journey and receive guidance. “Safe” and “trustworthy” are the words we use to inspire our clients to find the right support system.

5. Self-Compassion: Be kind and compassionate towards yourself. Recognize that coming out is a courageous act, and it’s okay to feel a range of emotions. Practice self-acceptance and self-love by engaging in activities that bring you joy, comfort, and a sense of inner peace.

6. Exercise and Movement: Regular physical activity can be a powerful stress-reliever. Engage in activities like yoga, hiking, dancing, or any form of exercise that resonates with you. Movement can help release pent-up emotions and boost endorphins, improving your overall mood and well-being.

7. Creative Outlets: Explore creative outlets such as art, music, writing, or any other form of creative expression that allows you to process your emotions and experiences in a constructive manner.

8. Relaxation Techniques: Incorporate relaxation techniques like progressive muscle relaxation, visualization exercises, or aromatherapy to help manage stress and anxiety.

Remember, self-care is not a luxury; it’s a necessity during this transformative period. Be gentle with yourself, and don’t hesitate to seek professional help if you need additional support.

Advice for Spouses and Loved Ones

Coming out while married can be a challenging experience not only for the individual but also for their spouse and loved ones. It’s essential to approach this transition with empathy, open communication, and a willingness to support one another. Here are some suggestions for spouses and loved ones:

1. Practice Active Listening: Make an effort to listen without judgment and create a safe space for open and honest communication. Allow your loved one to share their experiences and emotions without interruption or criticism.

2. Seek Understanding: Educate yourself about the LGBTQIA+ community and the coming out process. Read books, attend workshops, or seek counseling to better understand what your loved one is going through.

3. Respect Individual Journeys: Remember that everyone’s journey is unique, and there is no one-size-fits-all approach. Respect your loved one’s pace and decision-making process, and avoid imposing your own expectations or timelines.

4. Be Patient and Compassionate: Coming out is a deeply personal and emotional experience. Be patient and compassionate as your loved one navigates this transition. Offer support and understanding, even if you don’t fully comprehend the situation.

5. Seek Couples or Family Counseling: Consider seeking counseling or therapy together to navigate the challenges and emotions that may arise during this process. A qualified therapist can provide guidance, support, and tools for effective communication.

6. Maintain Open Communication: Encourage open and honest communication throughout the process. Address concerns, fears, or misunderstandings as they arise, and work together to find solutions that respect the needs and well-being of all parties involved.

7. Celebrate Love and Commitment: While the dynamics of your relationship may shift, remember to celebrate the love, commitment, and journey you’ve shared together. Focus on building a new foundation of understanding, acceptance, and support.

Remember, this transition is not only about the individual coming out but also about the entire family unit. By approaching the situation with empathy, understanding, and a willingness to support one another, you can navigate this journey together and emerge stronger and more connected.

Coming Out When You're Married: A Brave Journey

Frequently Asked Questions (FAQ)

Coming out while married can raise a myriad of questions, concerns, and misconceptions. Here are some frequently asked questions (FAQs) that can provide readers with quick access to essential information and address potential doubts or uncertainties:

No, medical research has found that sexual orientation and gender identity are deeply rooted aspects of a person’s identity that cannot be changed or chosen. They are an innate part of who someone is.

Not necessarily. While some relationships may not survive the transition, many couples find ways to adapt and redefine their relationship dynamic. With open communication, understanding, and a willingness to work through challenges, it is possible to maintain a loving and supportive relationship, though it may take a different form.

While change can be challenging for children, research suggests that having a parent who is open,  honest, and safe can have positive effects on children’s wellbeing and acceptance of diversity. With proper support and guidance, children can learn valuable lessons about authenticity, acceptance, and unconditional love. 

Yes, it is possible for some couples to maintain a mixed-orientation marriage, where one partner identifies as LGBTQIA+ and the other partner does not. However, this requires open communication, mutual understanding, and a willingness to navigate the unique challenges and dynamics of such a relationship.

The most important things are to listen without judgment, educate yourself, be patient and compassionate, and create a safe space for open communication. Seek counseling or join support groups to better understand the process and learn how to provide effective support.

There are numerous support groups, counseling services, and organizations dedicated to supporting LGBTQIA+ individuals and their families during the coming out process.

Depending on your location and specific circumstances, coming out may have legal or financial implications, such as divorce, child custody, or legal protections for LGBTQIA+ individuals. It’s essential to seek professional advice from a qualified attorney or financial advisor to understand your rights and obligations.

Remember, every person’s journey is unique, and there is no one-size-fits-all approach. It’s essential to approach this process with an open mind, a willingness to learn, and a commitment to supporting one another with empathy and understanding.

Ready for a change for you or a loved one? Schedule your Free 15 Minute Consultation today.

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2 girls

Contents

Jump To:

1. Intro

2. What is comprehensive sex ed?

3. The state of sex ed in America

1. Intro

Sex education can seem awkward and even intimidating as a subject to broach with your loved one, especially if they are exploring their identity within the LGBTQIA+ communities. However, comprehensive sex education can promote and facilitate safe and responsible sexual behavior in teens and adults via deconstruction of taboos and centering healthy communication habits. So, if comprehensive sex ed really is so helpful, why aren’t more American schools adopting it as a standard for their health classes?

2. What is comprehensive sex ed?

Sex education can be categorized into two schools of thought: the “comprehensive” model and the “abstinence” model. Let’s start by describing the “abstinence” model. There are actually two models of sex education that prioritize abstinence in modern sex ed: “abstinence-only” and “abstinence-plus.” These models are virtually the same in every aspect except for one: where “abstinence-only” prioritizes that abstinence is the only acceptable standard of sexual behavior for teens until they reach adulthood (sometimes even until marriage), “abstinence-plus” education also includes information on protection such as condoms and birth control. However, “abstinence-plus” education focuses on the flaws of these protection methods, yet still champions abstinence as the fool-proof way to not contract an STI or get pregnant.
On the flipside, “comprehensive” sex education provides medically accurate, appropriate information on sex to teens, as well as advice on safety beyond simply choosing not to have sex. Planned Parenthood describes several key topics discussed in comprehensive sex ed as: human development, relationships, personal skills, sexual behavior, sexual health, and society and culture. Compared to the abstinence model, comprehensive sex ed provides information on a wider variety of topics, allows for a broader dialogue on a range of issues, and even works to reduce the stigma surrounding sex by simply talking about it in an honest, mature way.

3. The state of sex ed in America

Currently, only 24 states, plus the District of Columbia, even mandate that sex education be taught in schools. 37 states require that abstinence is included in sex education, and 26 of those states require that abstinence must be prioritized above all other safety methods. Only 18 states require that information about birth control be shared with students. Only 10 states mandate discussions about LGBTQIA+ relationships and gender diversity, and 6 states outright ban the subject. Let’s move away from the dire-sounding numbers for a moment. The reality is, most sex education policies for public school systems are decided by state legislators, and vary widely depending on where you live. Often, they favor the abstinence model, and private schools favor the comprehensive model, but even then, there is no guarantee of the quality of sex education that children receive while they are in school. This is just the tip of the iceberg, given that the second most prevalent source of sex education for young people is most often found in churches, where shame and “purity” culture is enforced en masse. 

Check back in next week for part 2 of this blog, where I detail the state of queer representation in pop culture, adolescent sexuality and identity, and how this all ties together in favor of comprehensive sex education!

References: 

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Contents

This post is a continuation from a previous blog, read part 1 here!

Jump To:

1. Queer representation: the good, the bad, the ugly

2. Adolescent sexuality and empowerment

3. How can comprehensive sex ed protect and empower LGBTQIA+ youth?

1. Queer representation: the good, the bad, the ugly

So, how does queer representation factor into all of this? In recent years, television shows aimed at children, such as “Steven Universe,” “She-Ra and the Princesses of Power,” and “The Owl House,” have included more LGBTQIA+ representation. Shows and films aimed at adults, including the recent and acclaimed “Our Flag Means Death,” have followed the same trend. Though we are seeing an advent in LGBTQIA+ representation in our media, something that has proven to have positive mental health outcomes for those that identify within the population being represented, there is still a lot of space to grow.

There are several harmful stereotypes that pervade queer representation in media and pop culture. For instance, the “flamboyant gay best friend” trope was the primary form of LGBTQIA+ representation outside of cult queer films, in which the only gay character in a given piece of media would be portrayed in an exaggerated, comical fashion. Some common messaging in popular media takes a more sinister turn. Take the “bury your gays” trope- an astounding array of films featuring queer couples end with one or both of them dying. This issue has become so pervasive in media that many queer spaces have actively collected the names of films that stray away from this trend in order to promote media that centers queer joy, rather than queer trauma. Finally, there is the villanization of sexual and gender nonconformity in many popular pieces of media, from HIM of “The Powerpuff Girls” to King Xerxes of “300.”

What’s the problem with these stereotypes? Am I saying that you can’t have a cool gay villain or you can’t tell an evocative story that involves a gay couple where one of them dies? No, of course not. The issue with the trends listed above is that oftentimes they’re the only stories that get told. Often, the first words out of my mouth when someone recommends me a queer film are, “do they die in the end?” The line between tokenism and representation is defined by the sensitivity and the diversity of stories being told. For every gay villain, tell the story of two gay heroes. And when we do so, we must do the research necessary to tell the story faithfully, and to avoid falling into those harmful stereotypes. There’s more than one way to embody queerness, and representation lends depth to that reality.

2. Adolescent sexuality and empowerment

Let’s take a moment to talk about teen development. Other than the miasma of hormonal soup that most adults probably remember none-too-fondly, adolescence is often the period at which identity development really kicks off. Most teenagers acquire and explore their preferences in friends, activities, and romantic partners during this time. That exploration often includes sexuality- the average age for first sexual engagement in the US is 16.8 for male-identifying individuals and 17.2 for female-identifying individuals. Many teens even report that they first have sex before they feel ready to do so. It’s clear that teenagers are capable of making such serious decisions as choosing a sexual partner, yet they are often treated as if they’re still too young or immature. This results in important knowledge being kept from them, disempowering them to make informed decisions, which may lead to more risky behavior.

3. How can comprehensive sex ed protect and empower LGBTQIA+ youth?

At this point you may be wondering, “what does all this have to do with sex ed and queer youth?” Consider the data that states that abstinence-only sex education does extremely little to deter teenagers from actually having sex. In fact, the abstinence model has been linked to higher rates of sexual assault and risky sexual behavior in some studies. Contrast this with comprehensive sex education, which provides information not only on safe sex practices, good communication, and different relationship dynamics, but also on a wider variety of sexual and gender identities.

Given that seeing oneself represented in various facets of life, as with queer representation in media, can be tracked to better mental health outcomes, it can be assumed that acquiring information specific to queerness will not only benefit queer youth, but help reduce the stigma of their cisgender heterosexual peers by teaching that queerness is not only normal, but something to be actively integrated into social systems. Therefore, promoting comprehensive sex ed and acknowledgement of queerness in an informed and mindful way can empower LGBTQIA+ youth to seek out and acquire information that helps them stay safe.

So, if you have a loved one who identifies as LGBTQIA+ and is in that essential developmental phase, what can you do to support them? Remember that advocacy is your most powerful tool. Any individual can advocate for policy change by calling representatives, or even testifying in the state capitol. If large-scale reform seems intimidating, it’s never too late to start small. Check your own personal biases about relationships, and try diversifying your language when you talk with your loved one. Using “they” instead of “he or she” or describing someone’s marital partner as a “spouse” instead of assuming that they must have a husband or wife can go a long way. And finally, unpacking your fears about talking about sex can help you be there when your loved one needs your support and insight. Showing them that you’re not afraid to talk about it, might help them deconstruct all that stigma for themselves.

Resources

  • Planned Parenthood
  • KFF
  • Columbia University Public Health

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relatioinship with 3

Open relationships are the new sandbox where many LGBTQIA+ persons test out their relational skills. Can we explore new relationships and not violate one another’s boundaries? Will our health,our sex and our emotional intimacy thrive because of open relationships, or will they become tattered by pain and rejection over time?

Many of us wonder if we can trust our lovers to the powers and pulls of an open relationship, while others crave for another outlet for their love and experiences that keep a sense of youthful joy alive. No matter the context from which you consider the idea of opening your relationship, I recommend you take time to read through this 3-part series.

What is an Open Relationship?

An open relationship is a committed partnership in which both individuals consent to engaging in romantic or sexual relationships with people outside of the primary couple. Exploring Open Relationships vs. Monogamy! Curious about polyamory? Check out our detailed guide.

The key factors that differentiate ethical non-monogamy from cheating or infidelity are honesty, communication, and the full approval of all involved partners. Boundaries and terms of the open relationship are negotiated transparently.

There are many varieties of open relationships, with flexibility to structure agreements around each couple’s comfort level. Some common examples include:

  • Only recreational threesomes together, but no independent external partners
  • Casual dating and sexual encounters are allowed, but not ongoing secondary relationships
  • Full permission for additional long-term romantic partnerships

The exact parameters are up to each couple to decide through respectful discussion and compromise. There is no single “right” way to practice consensual or ethical non-monogamy.

female couple walking

Do you need help learning about relational esteem and inherent value? We’re here to help.

The Prevalence of Open Relationships Among Gay Men

Research indicates that open relationships are fairly common among gay male couples. Studies show that around 40-50% of gay couples engage in some form of consensual non-monogamy. This contrasts with rates of just 4-5% for heterosexual and lesbian couples.

These statistics highlight that traditional monogamy is not universally considered the ideal relationship structure among gay men. Open relationships, sometimes called “monogamish” arrangements, can take many forms based on each couple’s wishes. Understanding the range of options can help couples determine if some type of open relationship could work for them.

Facing Social Stigma Around Non-Traditional Relationships

Despite their prevalence, open relationships still face stigma and judgment, even within the LGBTQ+ community. Many gay couples report feeling pressure from family and friends to conform to traditional monogamous expectations.

This can lead to feelings of shame or guilt, and cause couples to hide their open status from unaccepting loved ones. Having to “return to the closet” and hide an important aspect of their relationship can take a psychological toll.

It’s important for couples to anticipate these potential challenges. Finding community support among other ethically non-monogamous couples can help counteract negative societal messages.

Managing Difficult Emotions in Open Relationships

Opening up a relationship often brings up difficult emotions like jealousy, insecurity, anxiety and fear of abandonment. These feelings are completely normal, but failing to address them can sabotage the open arrangement.

Partners should listen without judgment when the other(s) expresses vulnerabilities. Sharing fears and insecurities openly can help diffuse their intensity. Establishing rules and boundaries around outside sexual contacts and emotional closeness can provide reassurance.

Seeking counseling from therapists experienced with open relationships can also help couples process challenging emotions and dynamics. The key is to acknowledge and compassionately discuss these feelings before they spiral out of control.

Establishing Clear Rules and Boundaries

To maintain stability and trust, open relationships require clear ground rules about what activities are permitted or prohibited. It’s crucial for partners to explicitly communicate and negotiate guidelines around:

  • Safer sex practices
  • Level of detail to disclose about external partners
  • Overnight stays vs. only sexual meetups
  • Emotional involvement with casual partners
  • Which friends or acquaintances are off limits
  • Scheduled quality time to nurture the primary partnership

Of course, these rules can evolve over time as partners adjust to the open dynamic. But starting with clearly defined expectations can minimize hurt feelings down the road.

Prioritizing Emotional Intimacy and Quality Time

Partners should intentionally nurture closeness and affection in their relationship, despite any outside sexual connections. This requires ongoing expressions of love, appreciation and commitment.

Regular one-on-one dates, without distractions, are important. Couples need quality time to check in emotionally, cuddle, maintain physical intimacy, discuss any issues, and reinforce their primary bond.

An open relationship can thrive only when anchored by a strong foundation of intimacy, friendship and trust between partners. Frequent emotional nourishment is essential.

Key Discussion Points for Opening Up Your Relationship

If you are considering transitioning to an open partnership, here are some important topics for couples to discuss:

  • Level of disclosure about external partners and encounters
  • Guidelines around safer sex and STI prevention
  • What specific sexual acts are permitted or prohibited
  • Expectations around emotional attachment and time spent with casual partners
  • Rules about interacting with friends, coworkers, exes
  • Scheduled quality time to focus on your primary relationship
  • Managing jealousy and insecurities as they arise
  • How often to review and revise agreements as needed
  • Contingency plan if trying non-monogamy doesn’t work for the couple

Having candid conversations about needs, fears, and boundaries before opening up is key. Addressing potential issues proactively can prevent hurt feelings.

To get you started, here are three highly important questions to consider as you contemplate what will leave you truly satisfied:

1. Is your Relational Esteem High or Low?

Relational esteem is the barometer that reveals how much each of you knows, believes and trusts that nothing can deconstruct the relationship––not another person, a sexual rendezvous or a major disagreement.

High relational esteem squashes insecurities and feelings of being replaceable. It roots itself in an unshakeable confidence in the relationship’s longevity for each member of a relationship to realize their highest selves and to trust that they truly belong. High relational esteem knows––relying on every experience of affirmation and belonging––nothing can tear the relationship apart.

When we have a high level of emotional intimacy, our relational esteem will be high. And from these heights a couple’s ability to open their relationship will emerge from a sense of excitement, not dread, fear or jealousy.

When our relational esteem is low we fear rejection and breakups. We panic easily because we are accustomed to thinking our partner might fall in love with someone else or become bored with us. Low relational esteem has a scary message: I am replaceable. Low relational esteem fears the ongoing effects of an argument and will often flutter with doom that the relationship might end, even when the end isn’t realistic. Recurring thoughts of inadequacy prevent us from having high relational esteem, just as watering soil with salt water won’t allow plants to grow.

Low relational esteem is directly tied to not believing in your own inherent value, either because you cannot acknowledge that you are loveable or because your partner (among other people in your life) has failed to provide convincing evidence that you are cherished and belong in loving arms. If you are like me in my late 20’s, you may feel a little bit of both—not believing in yourself and not having the data of your worth staring you in the face.

We improve our relational esteem by learning to trust our partner with the honest reality of who we are—our insecurities, our wounds, and our success and joy. Relational esteem arises as we let another see us for who we are, and they stick around for both the good and the ugly. Sometimes we might need to ask our partner to be more intentional to affirm our role and worth. Asking is ok! Many partners are way too unaccustomed to expressing their love. In these instances, we have to prime the affirmation pump by communicating our needs.

Do you need help learning about relational esteem and inherent value? We’re here to help.

open relatinshihip couple

2. Do you frequently communicate about sex, belonging, and security?

Although many couples who think about opening their relationship communicate about logistics well—who, what, when—, I want to encourage couples to communicate about their fears, their sexual desires, and the mechanisms that stabilize their relational esteem.

Communicating about what feels good and what doesn’t, whether it be emotionally, relationally, or sexually, will help any couple navigate open relationships with more awareness. Learning about what scares or calms, excites or exhausts and fulfills or depletes your partner will help you choose actions and identify a third that improves your relational esteem, rather than diminishes it.

One of the most important things about an open relationship is that you are honest with yourself so that you can be honest with your partner(s). Know what you like, what works for you and that which doesn’t. Help your partner(s) understand who you are what you need. From this place you can confidently co-direct your relationship to a place of confidence, comfort, and peace.

When we have a peaceful and honest relationship with our own desires we will have a peaceful relationship with our behaviors. And when our behaviors are in alignment with our desires we protect ourselves from pain and our relationships from our own resentment. Talking about what you like and what you don’t goes way below the sheets and into the fabric of who you. From this place, your desire can help you create the love life and relationship you most deeply brave.

While open relationships can take a variety of shapes and sizes, remember that you are not an island functioning in isolation. Your actions will still affect your partner(s). Communication will help keep your relationship(s) on track an in line with your co-determined relational trajectory. Opening a relationship does introduce a higher level of autonomy, but it also requires working as a team, possibly even more so than before.

3. Is your boundary system sophisticated and functional?

Good communication leads to a sophisticated boundary system that allows all people involved to feel safe, seen, secure and soothed.

By boundaries, I mean not only permitted or prohibited sexual experiences but also emotional experiences.

Couples who open their relationships should clearly understand what role another partner or a third will play. Is the open relationship about exciting sexual encounters or finding love? Does it involve one partner or many? How much do each of you talk about? What details are disclosed or kept private?

Questions like this will be important to leave on the table. Answers may not be present immediately, and many couples will have to find the answers as they navigate the open world. But boundaries will help protect the relationship and will bring a sense of safety so that all partners know their place and hold realistic expectations.

Open relationships are a major topic to consider. Living in an open relationship requires a type of unconditional love that can tolerate paradox, one that loves when a partner falls in love. Relational esteem can carry an open relationship through many challenges and to places where mature love knows no limits.

Remember, an open relationship doesn’t necessarily mean more joy and more satisfaction. Know yourself and take care of yourself as you plot your steps.

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couple in kitchen

Two strapping young men sat on my couch, wet boots soaking the office carpet. The heavy rain outside was nothing compared to the ways in which they felt drenched in hopelessness. Both toiled over the consideration that an open relationship might be right for them. In their differing approaches to opening the relationship, one experienced the lack vitality and sexual freedom like a wet blanket that smothered his youthful soul, while the other felt trapped in a wetsuit he couldn’t shake off. The tension in his chest was all too consuming. He was panicked that he’d be left behind, that his partner would love a third more than him.

Maybe you see yourself in one of the young men who ran out of the storm and into my office. You, too, may be considering opening your relationship with the perception that it will liberate a long-forgotten vitality or long-gone sense of sexual thrill. Perhaps you’re scared that opening a relationship could be the beginning of the end.

As an attachment-focused clinician who has worked with individuals of open relationships, I have seen two predominant motivators for open relationships.

First, it may be that one or both of you is approaching an open relationships from a place of security, feeling profoundly steadfast and confident in the longevity of your relationship. With the test of time on your side, you or your partner may be looking to augment experiences of love, sex, and thrill. I assume that couples who want to expand their abilities to love and be loved have an earned secure attachment and deep relational esteem that can withstand the weight of an expanded emotional world. Lovers with high relational esteem are stable in their relationship and feel deeply connected, so that the love for a third or someone outside the relationship is non-threatening. Couples who know this type of steadfast love can be one another’s cheerleaders, celebrating their loved one’s love from the sidelines, like a spectator who wants their home team to win.

In such a context––with an earned secure attachment and deeply rooted relational esteem––open relationships bring new tricks to the bedroom, perspectives that deepen relational intimacy and fresh air that enlivens the otherwise mundane routines of adulting. Certain agreements, sexual expressions and relational habits that were once fixed or off the table are now up for conversation again.

One alternative to such a stable love story is when one or both partners feel as though the wells of emotional and sexual intimacy have grown thin, dried up by hollow gestures, patterned resentments and petrified disappointments. Motivated by the fear that the relationship could be more of a trap of stale love, these partners often enter an open relationship seeking remedy for their pain.

Physiologically, we know the early passion in most relationships gradually fades The dopamine and serotonin cocktails our brains create give way to partnerships and everyday routines. (Little wonder that the Greeks separated Eros, the god of passion, from his mother Aphrodite, the goddess of committed love!)

Some people in committed relationships, wanting to keep their stability in place and feel alive again, began fantasizing about romance, thrill, and enticing sexual encounters that can tickle their fancies. Striking a deal within themselves––and possibly their relationship––these partners feel as though an open relationships is just the trick. They have found a way to preserve their cake and eat it too! Although such a deal may bring some relief, if the underlying patterns that allowed the boredom to settle in are not addressed, the dryness will persist and the once-medicated pain of loneliness will turn into resentment over time, no matter who the lover(s) are.

It is very common for people who opened their relationships out of fear, loneliness or pain find themselves in one of the following three categories.

The first is the insecure and scared partner who experiences jealousy and insecurity. They are certain that their partner might love someone else more, leaving them disposable and alone. These lovers may panic and self-medicate to reduce their anxiety. They often agree to an open relationship with fear and trembling.

Do you experience anxiety because of your open relationship? We’re here to help.

feet in bed

Second, are the lovers who are too willing to detach from their primary relationship. The relational environment was too dry and empty; the compromises, too great. Opening the relationship is a fortuitous exit and they are quick to take a peaceful landing in an otherwise a turbulent relationship.

The third is the lover who cannot make up their mind because they have not acknowledged their fear, loneliness or pain. Confused by their own desires, these lovers will be present for a spell and then gone like a thief in the night. With one foot in, they may pepper you with seductive words to convince you to stay. And with the other foot out, they leave you wondering if you really ever mattered. The whiplash of their ambivalence is painfully exhausting. Ultimately, they will need to reckon with their emotions, before they can be fully present with anyone else.

Knowing the context from which you consider opening your relationship allows you to answer these deeply important questions:
Is opening my relationship about love or fear?That is, might you be making the decision to open their relationship out of the fear of emotional depletion rather than out of love for self and others?

As couples familiarize themselves with their context, one of the first things I recommend is to open up a conversation, not the relationship. Talk about emotional intimacy within the relationship. If the relational climate is dry, if vulnerability isn’t shared or passion is absent, the couple will benefit from reigniting emotional vulnerability. Feeling the relational thermometer reach warm temperatures once again may calm the lonely-forever fears and return the couple back to passion, thrill and romance. Before you enter a relational storm with torrential downpours, set your relational climate with honesty, vulnerability and the power to love yourself and others well. From such an open, honest and sturdy place, an open relationship will have the best chance for success.

Do you need help finding what’s right for you? We’re here to help.

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Open relationships require major consideration. As one member of a couple, or as a couple, there are many factors to think about when considering opening up your relationship and/or becoming polyamorous, such as attachments and emotional cravings. In part two of this blog series, we will consider life dynamics, long-term safety, and rules of engagement.

Attachment Styles & Emotional Cravings

Attachment styles are created within the first year of life, and the type we develop largely depends on the manner in which our primary care providers interact with us as infants. There are various types of attachment styles, such as secure (the one we are looking to create in adulthood), insecure, avoidant, anxious, and defensive detachment. These dynamics—or attachment styles—become our relational software. With little self-awareness, we will recreate our first attachment style over and over again.

Opening up a relationship will have the highest chance of being healthy if you have a secure attachment style. A secure attachment style is comprised of an internal knowing that does not, never-ever, waiver in security. People with a secure attachment style do not become anxious or fearful at the thought of breaking up, nor when relational challenges rock their boat. In fact, the thought of breaking up isn’t characteristic of secure attachment styles.

In the variety of attachment styles other than the secure attachment style, there is a lot of fear, doubt, mistrust, insecurity, and little faith in the stability of the relationship. These factors can plague any person who might wish to enter an open or poly relationship.

When we do not have a secure attachment style, we can feel lonely, exhausted, resentful, or relationally empty. Because we are hungry to deeply connect, we can search for someone who will make us feel seen, thrill, and passion. We can begin to imagine what it would feel like to have a refreshing, titillating sexual experience or a connection with someone new who can leave us feeling full. This can often be a motivator: opening the relationship to other emotionally satisfying resources, people who can fill our emotional reservoirs.

As a clinician, it is important to address the motivation when partners advocate for open or poly relationships solely because they are emotionally hungry. Before they open the gate to allow others in, I encourage the emotionally hungry to take a comprehensive assessment to ensure they are not seeking more people as a way of medicating a painful attachment style. Trying to achieve fulfillment by engaging new people can easily lead to jealousy, resentment, sexual challenges, and, dare I say, the end of an otherwise healthy relationship.

One client said, “If I could not make it work with one, what made me think I could make it work with multiple?” After doing some profound work on his attachments and attachment style, that client found a lot of happiness, stability, and success in his open relationship.

Attachment psychology has grown over the years, now offering an in-depth and research-based perspective that can help individuals ensure they are healthily connected, full of relational resilience, and capable of carrying the emotional weight of multiple relationships.

Can open or polyamorous relationships work? Of course. Maybe not for everyone, but for certain people, open or poly relationships are deeply satisfying. To make one work, you might need to prepare the emotional context with consideration, wisdom, and a ton of communication. Create the attachment structure you need to make your open or poly relationships work.

Talk to an open relationship therapist today.

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Life Dynamic & Long-Term Safety

As people invest in one another, they do so—in committed relationships—with the intention of building long-term relational security. Without healthy and consistent doses of thorough communication, it is easy to feel like you might be investing in a relationship that may eventually leave you high and dry. Festering on the fact that a partner may leave you, especially after investing years or a lifetime into the relationship, can be a very scary thought and bleak possibility.

Communication should be consistent enough for all people to feel included, not just with an update on the direction of the relationship, but in the codetermination of that direction. In this light, honest, transparent, and episodic discussion are vital. One should ensure that all people involved are leaders in the decision-making process. Failing to do so may leave some playing the leader and others the follower. The leader may craft a life dynamic that is comfortable for themselves, but no one else. The followers, in their fear to advocate for their needs and desires, may end up living a life they didn’t want or accumulating cancerous resentments.

Cocreating a relational home—where each individual gets to contribute to the design aesthetic, floorplan, and location—will be a stabilizing force.

Rules of Engagement

Like most busy homes, one cleans the floors and shakes the rugs, and the other empties the dishwasher and feeds the dog. We set a list of rules—who will do what and who will not do what—so that the home can function and remain comfortable.

Here are some rules to consider if you are working toward creating an open or poly relationship:

1. Talk About Talking About Sex

Often, people in open or poly relationships do not want the details of outside sexual rendezvous, but they do want to know when it happens. Desciding with your partners about how you will talk about sex is a very important rule to establish before outside sex happens.

2. Are Some People Off-Limits?

Many open and poly relationships do not permit one partner to sleep with a friend, an ex, or a previous sexual partner. Determining who you will not sleep with can protect the relationship and reinforce your earned secure attachment.

3. Is There Agreement to Cocreate a Relational Home?

Are all people in agreement that if any plans change, all involved (poly relationships) or all necessary people (open relationships) come back to the drawing board? Cocreating means pivoting as a team and allowing the relationships to evolve, bend, and flex as is comfortable for all involved.

4. Are the Relational Roles Clearly Defined?

Not all people in an open relationship (and sometimes poly relationships) will want to have sex with new people. Talking openly about who will have sex, in what seasons of life that might change, and who needs to be told about new sexual roles will keep trust in place. Another role to consider is if the people involved will serve more as friends with benefits or long-term lovers. It should be discussed if the open relationship is about having sex or about finding sex and love. Be clear about what roles you want to play and the roles others will play. Boundaries that will keep these moving pieces in their agreed-upon place should be known to everyone involved. Keeping one another consistently informed will protect everyone in the relationship(s).

5. Is There an Exit Route?

Sometimes couples realize that open or poly relationship aren’t working or are not quite the fit for which they were going. As a means of prioritizing safety and trust, predetermine what an exit route might look like, including having permission to call it quits, informing those invited in, and how that transition will be communicated.

6. Can You be Honest and Vulnerable About Insecurities?

Opening up a relationship or becoming poly can be a very complex situation. One partner might feel completely satisfied and content, while another might simply tolerate the arrangements or sexual encounters. The uncomfortable partner might not feel safe enough to be honest for fear of being erased from the new equation. To foster transparency, honesty, and safety, I would encourage that all partners involved create a safety that honors vulnerability and welcomes legitimate concerns.

Open and poly relationships take a lot of honesty. If you are facing problems inside your poly or open relationship, perhaps its time to revisit the structure, rules of engagement, and agreements you once made. Bring clarity to the relationship.

Take action to stabilize your relationship, get in touch with us today.

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Introduction

Being in a committed relationship or marriage takes work, no matter your sexual orientation. However, gay and lesbian couples often face unique challenges that heterosexual couples may not experience. From navigating societal prejudices to dealing with challenges of identity, family acceptance, and unique dynamics specific to the queer and trans communities, the LGBTQIA+ community has its own set of hurdles when it comes to nurturing healthy, long-lasting relationships.

That’s why seeking professional counseling from therapists who are part of the queer and trans communities can be invaluable. In Denver, there are LGBTQIA+ therapists who are experienced counselors providing a safe, inclusive space for same-sex couples to explore their hopes, fears, and challenges together.

Step 1: Understanding When You Need Couples Therapy

Recognizing the need for counseling is an important first step. Some signs that you and your partner could benefit from counseling include:

  • Frequent arguments or conflicts that don’t get resolved
  • Communication breakdowns or feeling disconnected
  • Loss of emotional intimacy or sexual dissatisfaction
  • Difficulty navigating major life transitions as a couple
  • Concerns about compatibility, trust, or commitment
  • Challenges that arise when considering opening a relationship or being polyamorous. Explore LGBTQIA+ Affirming Therapy Services and Medicaid.

The Importance of LGBTQIA+ Affirming Therapy

Not every counselor or therapist is equipped to understand and support the distinct experiences of the LGBTQIA+ community. Working with a provider who is affirming of diverse sexual orientations and gender identities is crucial. An LGBTQIA+ therapist creates an environment free of judgment, where you and your partner can feel truly accepted and validated.

Issues Addressed in Gay Marriage and Relationship Counseling

Some common topics that may be explored in counseling for gay couples include:

  • Communication issues and conflict resolution
  • Intimacy and sexual concerns
  • Open or Polyamorous relationships
  • The coming out process and internalized homophobia
  • Blending families and parenting challenges
  • Social discrimination and minority stress
  • Questions around marriage and commitment
  • Unidentified neurodivergence, like ADHD or anxeity

A skilled LGBTQIA+ counselor can help you navigate these complexities and find productive ways to strengthen your bond.

Benefits of Couples Counseling for Gay Relationships

By investing in professional relationship counseling, queer, gay, and lesbian couples can experience numerous benefits, such as:

Improved Communication

Develop healthier communication patterns, learn to actively listen, and find constructive ways to express needs and resolve conflicts.

Deeper Intimacy

Explore emotional, physical, and sexual intimacy in a safe space, reigniting passion and fostering a deeper connection.

Enhanced Understanding

Gain insight into your partner’s perspectives, background, and experiences, building empathy and compassion.

Stronger Foundation

Build a solid foundation for your relationship based on mutual trust, respect, and commitment, setting you up for long-term success.

Personalized Approach in Denver

In Denver, there are therapists dedicated to supporting the LGBTQIA+ community with personalized, affirming approaches to couples counseling. They understand the nuances of gay relationships and can tailor their techniques accordingly.

Step 2: Finding LGBTQIA+ Affirming Therapists

Not every counselor or therapist is equipped to understand and support the distinct experiences of the LGBTQIA+ community. Working with a provider who identifies with diverse sexual orientations and gender identities is crucial. An LGBTQIA+ therapist–who is part of your community, and not one who merely affirms your community–creates an environment free of judgment, where you and your partner can feel truly accepted and validated.

In Denver, there are several counseling practices that specialize in LGBTQIA+ services and provide affirming approaches:

  • iAmClinic is a team of queer and trans therapists offering counseling for LGBTQIA+ individuals and couples, as well as their religious loved ones. Our primary goal is to help the LGBTQIA+ community and their families establish internal solidarity, rooted identities, and long-term relational health. What sets us apart is our team of licensed therapists who are all part of the LGBTQIA+ community themselves. They deeply understand the nuances and challenges faced by our community. Whether you’re transitioning, neurodivergent, polyamorous, seeking neurofeedback, or dealing with any other situation unique to the LGBTQIA+ experience, you can find a therapist who gets your exact circumstances. Our therapists provide a safe, judgment-free space to explore your identity, find support, and cultivate hope. We’re here to help you and your loved ones build understanding, resilience, and healthy relationships.
  • Maria Droste Counseling Center offers affordable access to trained counselors, both in-person and online, to empower individuals and help them navigate challenges effectively. While they serve the LGBTQIA+ community, their practice is not exclusively LGBTQIA+ focused.
  • The Relationship Center of Colorado provides high-quality counseling services to help LGBTQIA+ couples and individuals with issues related to gender and sexuality. However, they are a general counseling practice that works with a variety of clients.
  • Glow Counseling in Denver, provide support for a range of issues including sex therapy, counseling, psychotherapy, relationship dynamics, erectile dysfunction, sexuality exploration, passion cultivation, managing sex addiction, improving communication, trauma recovery, conflict resolution, stress and anxiety management, LGBTQIA+ support, couples counseling for Gay and Lesbian partners, addressing infidelity and lack of intimacy, as well as assistance with men’s and women’s issues and anger management.
  • Colorado Counseling Center –  they are dedicated to providing inclusive, affirming, and effective couples counseling services tailored to the unique needs of LGBTQIA+ couples. We understand that relationships can be beautifully complex, and it’s our mission to support you in creating a stronger and more fulfilling partnership.

Effective Counseling Approaches for Gay Couples

While all healthy relationships require good communication, trust, and compromise, gay and lesbian couples may face unique stressors that heterosexual couples don’t experience. That’s why counseling approaches specifically tailored to LGBTQIA+ relationships can be so beneficial. Here are some of the most effective therapy models used:

Emotionally Focused Therapy (EFT) for Gay Couples

Emotionally Focused Therapy helps partners understand and reshape the powerful emotional experiences and attachment needs driving their relationship patterns. For same-sex couples, EFT provides a non-judgmental space to explore issues around intimacy, trust, and creating secure bonding. The goal is to create a more securely attached, mutually rewarding relationship.

The Gottman Method for Gay Marriage Counseling

Based on Dr. John Gottman’s decades of research, this approach teaches couples how to build and share a life together through techniques to increase respect, affection, and closeness. Gottman principles like “enhancing your love maps,” practicing intimate dialogue, and managing conflict apply just as effectively to LGBTQIA+ relationships. Gay and lesbian partners learn to navigate challenges while nurturing their friendship and intimacy.

Imago Relationship Therapy for LGBTQIA+ Couples

Imago therapy focuses on transforming couples’ struggles into opportunities for growth and deeper connection. Through re-imagining the monumental love they felt early in their relationship, gay and lesbian partners gain tools to revive their sense of connection, remove power struggles, re-romanticize their bond, and keep conflict from becoming damaging.

Online/Virtual Counseling for LGBTQIA+ Relationships

For many gay and lesbian couples, the option for online or virtual counseling sessions offers significant benefits in accessibility, privacy, and finding affirmative care that fits their needs.

Privacy and Discretion

For those not fully out about their sexual orientation, virtual therapy allows discreet access to LGBTQIA+ affirming counselors without having to go to a local office. This protects privacy.

Expanded Search for Specialized Providers

Online counseling expands the available provider pool to LGBTQIA+ specialized therapists outside one’s immediate area. This allows tailored care for specific intersectional needs.

Convenience and Flexibility

Virtual sessions are easily accessible from home or anywhere, reducing travel time. This flexibility to attend sessions from a private, comfortable environment can enhance the counseling experience.

Increased Availability

With online therapy, couples can more easily find providers with specialized LGBTQIA+ training who have openings that fit their schedules across multiple time zones.

While in-person counseling is still preferable for some, the virtual option has made it easier than ever for gay and lesbian couples anywhere to receive customized, affirmative relationship guidance.

Your Relationship Deserves Support

No matter what challenges you may be facing, your relationship deserves care, attention, and professional guidance to help it thrive. By seeking counseling from LGBTQIA+ therapists in Denver, you and your partner can build a stronger, more meaningful connection that celebrates your love and commitment to one another.

Take the first step towards a more fulfilling partnership by reaching out to an experienced counselor in the Denver area. A few counseling sessions could make all the difference in helping you and your partner better understand each other and navigate your unique experiences together.

Frequently Asked Questions

Gay marriage counseling incorporates an understanding of the unique challenges and experiences that same-sex couples face. This includes issues related to navigating societal stigma, the coming out process, family acceptance, same-gender sex, queer relational dynamics, and legalities around marriage equality. General relationship counseling may not always address these nuances.

No, absolutely not. Counseling services for gay and lesbian couples are available to anyone in a committed relationship, whether married or unmarried. The principles of healthy communication, intimacy, and conflict resolution apply to all committed partnerships.

There is no set duration for counseling, as every couple’s situation is different. Some couples may find that a few sessions are enough to get them on the right track, while others may benefit from longer-term counseling, depending on their goals and the complexity of the issues they’re facing.

The first session is typically an introductory meeting where you and your partner will have the opportunity to discuss your reasons for seeking counseling and share background information about your relationship. The therapist will explain their approach and what you can expect from the counseling process.

Not at all. While counseling can certainly help couples navigate difficult challenges, it can also be a proactive tool for building and maintaining a healthy, thriving relationship. Many couples seek counseling periodically as a way to check in, improve communication, and ensure their connection remains strong.

At iAmClinic, our entire team consists of licensed therapists who identify as part of the LGBTQIA+ community themselves. They possess a deep, lived understanding of the nuances and challenges faced by our community. With their shared experiences, they can truly empathize with your unique circumstances and provide a fully affirmative, supportive environment.

Absolutely. Intimacy and sexual concerns are common topics addressed in counseling for LGBTQIA+ couples. Your therapist will provide a safe space to explore these issues without shame or judgment.

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supporting GNC individuals

re·sil·ience

/rəˈzilyəns/

noun

  1. the capacity to recover quickly from difficulties; toughness.
  2. the ability of a substance or object to spring back into shape; elasticity.

When we think about resilience we are often put in the mindset of an individual. What challenging stories has that person made it through and how have they come out on the other side? What odds did they overcome?

Relationships are often left in the dust when it comes to the conversation around resiliency. While we may discuss how relationships can be healthy, fulfilling, and lasting – often- and unfortunately, the Western take on relationships is that they have an inevitable expiration date, that being in a relationship limits or diminishes the individual, and that love is an addiction. There are not many positive depictions of thriving relationships, let alone successful queer ones.

Why is resilience a different conversation? Resilience is not just about “making it through”. In its very definition, as stated above, it is about the speed of recovery from difficulty, the ability to bounce back, for something to reform its shape – to be tough.

That takes intention.

Making it through difficulties in life requires the practice of a fortified mind-state, emotional attunement, and the cultivation of a belief system that anchors oneself through the storm. Understanding the culture you are creating within a relationship is crucial, forming those belief systems, values, and rituals together to help build up the body of your relationship so that it can be resilient through the troubles and foibles of life. 

We spend our lives training for things – from learning how to walk, eat, dress yourself, going to school, be social, training for professional pursuits, hobbies, or life skills.  We are training for relationships as early as the time we spent in utero – and every day since. Our training begins in our earliest relationships. The ones within our family of origin, our initial caregivers, and our first friends or people in our communities. We learn about whether or not relationships are trustworthy, dependable, or beneficial. These experiences shape our expectations and behaviors for the worse or the better, and both the confidences and the wounds we gain create the bridges to connection – or the walls for self protection – we see replay throughout our lives.

This happens all the more when we are queer and closeted. We often learn so early on (whether it is overtly said or not), that relationship means some form of hiding oneself, masking, having some parts loved, but not all parts. The shame that if these truths are discovered it would result in rejection or condemnation. This shapes us. Anytime we had to learn to live this way, and expect to be “loved” in this way, created a massive shift in our ability to connect to others. In these ways, we need to relearn, and reclaim, our whole value. Turn the walls into fences with a gate, and form bridges that allow us to feel fully loved, and to love others fully as well.  

Here is the good news. You can train! You can learn and you can adapt. You can choose a different path for your relational life or your existing relationships. A path that allows for a bond that is strengthened to endure and yet flexible at the same time – allowing for the possibility to more easily bounce back throughout life.

You can co-create and design your relationship. 

And – like so many things in life – our chance for thriving increases in having support and community that nourishes our resiliency. Find your people. Be picky. Learn who in your life you can count on, be seen by, and share the pursuit of wisdom with, ultimately allowing you to experience the full spectrum of life. 

Additionally, seeking counseling or coaching for your relational life can help retrain, renew, and clearly establish the bond or bonds that allow you to invest in your future together. With help, your relationship can flourish and hold strong and within the overlapping concentric circles – the “us” space – can come a deep and overcoming strength that bears joy, abundance, health, and resilience. 

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Mixed Orientation or Queer Relationships have as much variety as the people on this planet, and every person, and every relationship will navigate this terrain differently. It’s another way in which you can design a life that is authentically representative of what you want. After being outed, our contributing writer, Kirk Barnett, chose to live his life out of the closet and reclaim the connection to himself and also expand what connection means within his family.

How old were you when you knew you were gay? 

I can remember feeling different in elementary school.  I didn’t know what I felt was called gay, but remember the first time I recognized the feeling.  I was watching the Disney animated version of Robin Hood and there was a scene when Robin Hood is flirting with Maid Marion.  When I saw that moment in the movie I remember thinking “I want a boy to talk to me that way.”  What I also remember is the shame flushing over me. 

What fears or “lessons” (from church, culture, parents) made staying in the closet feel like the best option? 

I come from a big family with lots of cousins.  I always played with the girls, barbies and playing house felt natural but it was the rebuff from the adults and older cousins that taught me that was wrong. I also never remember an explicit message of ‘don’t be gay’ but there was messages of dont be a sissy, stop standing that way, dont sound like that. [I received] LOTS of “be a man” messaging. 

What was it like to live in the closet while married? What parts of you had to die so that you could stay alive?  

Living in the closet was a constant internal battle. I wanted to marry because I desperately wanted children and to have a stable family life.  At that point, being out and having a family were not possible. While I was married and in the closet, the constant state of hypervigilance was exhausting.  Every action as a good dad or husband was internally questioned as “am I really a good person?”. The guilt and shame compounded over time to an unbearable weight and it was debilitating. It was this weight that ultimately led me to have thoughts of suicide. 

How did you find the courage to come out and what gave you confidence to step into that courage? 

I actually didn’t find the courage to come out. I was outed and it is absolutely the best thing that was ever done to me. After it happened, I started the journey to figure out who I am and try every day to Live Out Proud. 

If you feel okay sharing, what might be some of the things you would do again in terms of preserving your relationship with your ex-wife? 

Once my ex-wife found out, I made a commitment to start being honest and while that was hard, I definitely would do that again.  It makes you face things you might not like about yourself but you also grow so much from being honest. 

 My ex-wife and I were also adamant that this would not  impact our children, we would not have an ugly divorce. We wanted to maintain the life my kids had come to know as much as possible for our children, like their schedule, as well as making sure that I was a part of their daily routine.  Taking the kids to school and being with them on Saturdays never stopped.

If you feel okay sharing, what might be some things you’d do differently to make coming out easier and nurturing your relationship with your ex-wife more effectively? 

I would have worked harder to ensure that I wasn’t responding to everything out of guilt for what I had done.  I would have been more reassuring of myself that I had done everything I knew to do when I was in the closet. I was working within what I thought was best for my family therefore I didn’t need to carry guilt or shame for as long as I did. 

What have you gained, personally and relationally, now that you have come out? 

I have learned that I am enough, I am worthy to be loved and I am worthy to love a wonderful man.  I have come to understand that my gifts from being gay are God-given and that they need to be used to make the world better.

If you could speak to the version of you preparing to marry or the version of you who is married, what might you tell him? 

This is the hardest question…as I don’t regret getting married.  I have my children and my ex-wife who is one of my best friends. It sounds trite, but as I sit and think about what I would say to the version of me getting married is: “Your love for her is real, it is not quite the romantic love it should be, but it is real.  You will have a wonderful life, so know that you are worthy of the life that will unfold in front of you.” 

We can find and reshape what resiliency looks like throughout our life. Sometimes facing the most difficult choices and challenges that we will deal with in our lives can manifest a more intense security in the world. Thank you Kirk for showing us that in your story – the ability to integrate worthiness in your life after being outed and reclaiming the truth of the beautiful life that can continue to unfold is deeply inspiring. 

This article features an interview with a guest contributor, Kirk Barnett. Check out The Lighthouse to learn more about Kirk and his work. 

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For whatever reason, it is always one; one member of a couple will spend time observing the relationship and see a great need for therapy. Out of hope, they identify areas where significant changes can occur, but the idea of approaching their partner with the proposition of finding a therapist feels more like dread than hope. Often, their partners make excuses, procrastinate, or simply shut down the entire conversation. Seeking help feels like a burden to the unwilling or uninterested partner. And if this resistance is happening, I would say that therapy is more important now than it has ever been!

If you are the one thinking about therapy, I have listed some of the top reasons couples come to therapy to help you make your case.

1. Repeating Arguments

One of the most common cases we see at iAmClinic is a couple who argues over the same dilemma or pain-point repeatedly. Like a lost boat floating on the waves of emotions, the couple will feel a lull in the argument in one moment and an upsurge in another. The core issue for these partners is not feeling heard, respected, understood, or validated. In fighting to have their needs met, they often forget the original point they were trying to make because they start arguing instead about context within which their pain occurs, not the pain itself. But don’t forget, the argument has less to do with the actual circumstances (who said what and how they said it, for example) and more to do with trying to feel seen, safe, soothed, or secure.

If you find yourselves in this repeating predicament, therapy can help you identify the primary feeling you are craving from your partner (e.g., seen, safe, soothed, or secure) and give you the tools to talk about your craving in a workable way and approach resolution as a team.

Drop the repeating argument. Trust me, you’ll feel new life and passion flooding your relationship. It’s a real game changer.

2. Communication Issues

Communication is always one of the hardest mechanisms of a relationship. We can speak perfectly articulate English, and our partners will hear something entirely different than what we intended. As a result, our heads spin in frustration as we wonder how two people can interpret the same thing dramatically differently.

Efficient communication requires a mature ability to listen without taking it personally. Listening in this way allows us to use a boundary that allows us to hear what our partner is saying as though they are describing an internal experience, rather than launching a personal attack on our character. When you master your internal boundary, you possess the ability to listen with objectivity and give your partner the ability to be a human with functioning emotions.

Here’s another little tip: Never use the “When you _____ I feel _____” template. That will lead to devastating explosions of anger. A new, refreshing way to articulate your pain is to say, “I am telling myself that _____ (e.g., you don’t care about what’s important to me), and when I tell myself that I feel _____ (e.g., like you don’t love me). I don’t know if this is true or not, but I need you to know what is happening inside my mind and heart.” This allows you to own your interpretation of your partner’s behavior, rather than telling them what they are “doing to you.”

3. The Needy vs. the Overwhelmed

We want our partners to prove that they see our point of view, understand our pain, or listen intently enough to see who we truly are. In the battle to get your partner to do what you want, we can fight endlessly. Our legitimate claims become distorted by our desperate tactics. An innocent and valid request transforms into divisive demands and instead of being perceived as strong-willed, we may come across as needy. In this place, our partners will not be able to hear our innocent pleas, but may begin to feel overwhelmed and controlled.

When a partner feels overwhelmed, they will instinctually pull away from the relationship, block you with walls of anger and/or frustration, and even take time away from you. This response feels protective to them, but can leave you feeling even more isolated, emotionally hungry, and unrelenting in your battle to win.

Getting your relationship back into a healthy flow requires that you learn to talk about what you need, rather than explaining how the other person is leaving you feeling empty-handed. Doing this will help your partner put up that internal boundary so they can really hear about how it feels to be in your position.

4. Broken Sex

Sex is an incredibly important facet of bonding, and going without sex can be incredibly worrisome. Couples who can’t find the mojo see their lack of sex as a major sign that something isn’t going right emotionally. And in some ways, I might agree with them.

Two of the most important facets to examine when sex feels broken are: 1) accumulating resentments and 2) lack of emotional vulnerability.

Some couples reach for medication that might help them experience a sexual rebound, thinking it might be a medical issue, but below the sheets of our sexual lives lurks the yearning that drives our sexual machine and the resentments that can shut it down. When resentments fill our bodies, the sexual machine has no room to function because it is too bogged down with anger, frustrations, and feelings of loneliness.

Healthy emotional intimacy, however, is a highly necessary component of a healthy sex life. When the body knows it is safe and cherished—to the core—the body is not only willing, but eager to bond, especially sexually. So if healthy emotional vulnerability is missing from your relationship, it might be causing your sex life to suffer.

Fighting for couples counseling might just be the best thing you could do for your relationship. In Part II of this blog series, we give you tips to communicate with your partner so that therapy might just be able to keep your relationship alive.

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Many of us are comfortable talking about sex with friends. We divulge details, share tips and tricks, and even get advice on aspects of our strained sex lives. Talking openly and honestly with our sexual partners, however, comes with a higher level of discomfort. Talking with transparency comes with the risk of hurting our partners’ feelings, embarrassing ourselves, and asking for things that feel selfish, and it forces us to be vulnerable about the parts of ourselves many of us try to hide: our naked, sexual bodies.

Psychological research shows that couples who talk openly about sex report higher levels of relational satisfaction. How, though, do couples talk about sex so easily?

Tip #1: Spend Time Destigmatizing Sex, Sexual Activity, and Sexual Body Parts.

One of the best ways to work through the discomfort of sexuality is to pick up a sex guidebook that can help you learn more about your body, sex, and sexuality in general. Some of my personal favorite books on this topic are Esther Perel’s Mating in Captivity and Janet Hardy’s The Ethical Slut. Books like these will help you feel versed in sexual language, destigmatize sex language, and experience confidence talking about sex with your partner(s).

I once taught a master’s-level course called Sexuality and Counseling. It astonished me how many graduate students felt either scared to talk about sex or ashamed that they had never masturbated. What surprised me more than anything was that these students had a very hard time identifying parts of their sexual organs on a fill-in-the-blank chart.

Learning about our bodies from an academic perspective will help you become comfortable talking about your sex and sexual cravings, allowing them to become a natural part of who you are and how your autonomic nervous system (neurology in charge of sex) functions.

Tip #2: Embrace Self-Exploration

Learning about how your body functions, what you like, what turns you on, what is uncomfortable, and what fantasies you might have can help you make peace with your sexual cravings, and it can also give you the confidence to speak your truth to your sexual lover(s).

Even if they needs to be your personal secret at first, sex toys can help you discover the innocence of what feels good. Masturbating with sex toys and/or the insights of books can help you fully understand your body and inspire confidence to ask for the things you like and stop the things you don’t. This will also help you ask your partner what they like and don’t like, making your self-exploration quite the guide for an under-the-sheets exploration with your partner(s).

Tip #3: Talk About Your Sexual Ethic and Cravings

Sexual activity exists on a massive spectrum. Some mate for life, and some are polyamorous; some enjoy little exploration, while others dive head-first into kink or puppy play. To better assist you and your sexual partner(s) as you approach sex or resolve sexual issues, understanding what is off limits and how you agree to keep one another safe is going to be a great way to set the stage to talk about and have great sex.

The autonomic nervous system, where sex and orgasm live in the neurological body, heavily rely on a felt sense of safety. With safety, the body can sexually function rather well. Without safety, however, the autonomic nervous system will easily and quickly shutdown.

In this light, talking about your sexual ethics and finding agreement will help the nervous system find ease and comfort, which will inspire great passion and sustained satisfaction. You can read more about sex, the body, resentment, and safety here.

Tip #4: Practice Vulnerability & Emotional Intimacy

If you are having a hard time talking about sex with your lover(s), you might want to start with non-sexual emotional vulnerability and intimacy. Talk about your fears, your dreams, your insecurities, and your passions that have nothing to do with sex. Doing so will help you realize that vulnerability is a very rewarding and safety-building process. Log some time experiencing just how safe vulnerability can be and how much emotional intimacy it can create. In this context, you will create an exciting climate and will learn to trust the process of healthy vulnerability, which will lead to meaningful talks about sex. Pave the way to talking about sex by being vulnerable in other areas.

Talking about sex is very different than slipping right into it. However, having these conversations will not only boost your sex life, but also fortify your connections.

Ignite Meaningful Conversations: Exercises and Prompts

When it comes to fostering open and honest communication about sex and intimacy, sometimes a little guidance can go a long way. These exercises and conversation starters are designed to help you and your partner explore desires, boundaries, and concerns in a safe and judgment-free environment.

The Desire Dialogue: Take turns sharing one sexual desire or fantasy you’d like to explore with your partner. Approach this exercise with an open mind, without judgment, and remember that sharing a desire does not necessarily mean acting on it. The goal is to create a safe space for open and honest communication. Done well, this is a great way to demonstrate unconditional love that allows your partner(s) to be fully authentic with you. 

The Pleasure Mapping Exercise: Draw an outline of a body (it doesn’t have to be anatomically correct) and use different colors or symbols to indicate areas that you enjoy being touched, areas that are off-limits, and areas you’d like to explore. Share your pleasure maps with each other and discuss any differences or similarities.

The Intimacy Inventory: Create a list of intimate activities (e.g., cuddling, kissing, oral sex, anal sex, role-playing) and rate your level of interest or comfort with each one on a scale of 1 to 5. Compare your lists and discuss areas where you align or differ in your preferences.

The Boundary Conversation: Take turns sharing your personal boundaries related to sex and intimacy. These could include physical boundaries (e.g., no penetration without protection), emotional boundaries (e.g., no degrading language), or situational boundaries (e.g., no public displays of affection). Discuss ways to respect each other’s boundaries while also finding compromises when possible.

The Concern Check-In: Set aside time to discuss any concerns or challenges you may be facing in your intimate relationship. Use open-ended questions like “What’s on your mind regarding our sex life?” or “Is there anything you’d like to improve or change?”

Breaking Down Barriers: Overcoming Common Obstacle

Gay couples may face unique obstacles when it comes to communicating about sex, including:

Internalized Shame: Years of societal stigma and discrimination can lead to internalized shame or self-doubt about one’s sexuality or desires. To overcome this, it’s important to practice self-acceptance and surround yourself with supportive resources (e.g., LGBTQ+ affirmative therapy, online communities).

Trauma or Negative Experiences: Past traumatic experiences, abusive relationships, or negative encounters related to one’s sexuality can create barriers to open communication. Working with a therapist or counselor who specializes in trauma and LGBTQIA+ issues can help process and heal from these experiences.

Fear of Rejection or Judgment: Some individuals may worry that expressing their desires or concerns will lead to rejection or judgment from their partner. Building a foundation of trust, respect, and empathy in the relationship can help create a safer space for vulnerability.

Lack of Positive Role Models: Without many positive representations of healthy, communicative gay relationships, some couples may struggle to find examples to model their own communication after. Seeking out LGBTQIA+ resources, literature, or mentorship from more experienced couples can provide guidance.

Societal Stigma and Discrimination: The persisting stigma and discrimination faced by the LGBTQIA+ community can make some individuals hesitant to fully embrace and discuss their sexuality. Connecting with supportive communities, advocates, and allies can help counteract the negative impact of societal biases.

Remember, overcoming these obstacles takes time, patience, and a commitment to creating a safe and judgment-free environment for open communication within the relationship.

Don’t let another day go by without prioritizing open communication about intimacy. Implement these exercises and tips today to start breaking down barriers and fostering the deep sexual connection you both crave. Your sexual satisfaction depends on it – take action now.

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queer mental health

Navigating the world of mental health care can be challenging, especially for members of the LGBTQIA+ community. If you’re relying on Medicaid for your healthcare needs, you might wonder about the coverage for LGBTQIA+-affirming therapy. Let’s break down eight crucial facts about Medicaid coverage for queer mental health services in 2024.

  1. Medicaid Does Cover Mental Health Services

First and foremost, it’s important to know that Medicaid does cover mental health services. This includes therapy, counseling, and other forms of mental health treatment, like neurofeedback. However, the specifics can vary by state, so it’s essential to check your local Medicaid guidelines.

  1. LGBTQIA+ Affirming Therapy Is Included

Good news! LGBTQIA+ affirming therapy is generally covered under Medicaid’s mental health services. This means you can seek out therapists who specialize in working with queer individuals and understand the unique challenges faced by the LGBTQIA+ community.

  1. Coverage Varies by State

While Medicaid is a federal program, it’s administered at the state level. This means that the exact coverage for LGBTQIA+-affirming therapy can differ depending on where you live. Some states may have more comprehensive coverage or specific programs aimed at queer mental health.

  1. You Have the Right to Choose Your Provider

Under Medicaid, you have the right to choose your mental health provider. This means you can seek out therapists who specialize in LGBTQIA+ affirming care. Don’t hesitate to ask potential therapists about their experience and approach to working with queer clients.

  1. Telehealth Options Are Available

In 2024, many states continue to offer expanded telehealth options under Medicaid. This can be particularly beneficial for LGBTQIA+ individuals who may not have access to affirming therapists in their immediate area or who prefer the privacy of remote sessions.

  1. Some Specialized Services May Require Pre-Authorization

While basic therapy services are typically covered, some specialized treatments or longer-term care plans may require pre-authorization from Medicaid. It’s best to check with your provider and Medicaid office before starting any new treatment plan.

  1. Transgender-Specific Care Coverage Is Expanding

Many states are expanding their coverage for transgender-specific care, including therapy related to gender identity and transition. However, coverage can still vary significantly by state, so it’s important to check your local guidelines.

  1. Community Health Centers Often Offer LGBTQIA+ Affirming Care

If you’re having trouble finding a private therapist, many community health centers offer LGBTQIA+ affirming mental health services and accept Medicaid. These centers can be excellent resources for queer-friendly, affordable care.

Understanding Medicaid coverage for LGBTQIA+ affirming therapy is crucial for accessing the mental health care you deserve. Remember, your mental health is important, and seeking affirming care is a vital step in your overall well-being.

8 Facts: Medicaid LGBTQIA+ Affirming Therapy Coverage 2024

Legal Rights Information

As an LGBTQIA+ individual seeking healthcare through Medicaid, it’s crucial to understand your legal rights:

  1. Non-Discrimination Protection: The Affordable Care Act (ACA) Section 1557 prohibits discrimination in healthcare on the basis of sex, which includes sexual orientation and gender identity. This applies to all health programs and activities that receive federal funding, including Medicaid.
  2. Right to Appropriate Care: You have the right to receive healthcare that is appropriate for your needs, including mental health care that affirms your LGBTQIA+ identity.
  3. Privacy Rights: Your healthcare provider must protect your privacy and cannot disclose your sexual orientation, gender identity, or HIV status without your consent, except in specific circumstances required by law.
  4. Right to Choose Your Provider: Medicaid allows you to choose your own healthcare provider. You can select a provider who is experienced in LGBTQIA+ affirming care.
  5. Complaint Process: If you believe you’ve faced discrimination, you have the right to file a complaint with the Office for Civil Rights at the Department of Health and Human Services.
  6. Equal Access to Services: Medicaid programs must provide equal access to services regardless of sexual orientation or gender identity. This includes access to mental health services, substance abuse treatment, and other healthcare services.
  7. Gender-Affirming Care: While policies vary by state, many courts have ruled that blanket exclusions of gender-affirming care in state Medicaid programs are discriminatory.

Remember, laws and policies can change, and they may vary by state. If you’re unsure about your rights or feel they’ve been violated, consider reaching out to an LGBTQIA+ legal advocacy organization for current, location-specific guidance.

If you’re ready to explore your options, start by contacting your local Medicaid office or visiting their website to learn more about mental health coverage in your state. Don’t hesitate to advocate for yourself and seek out providers who understand and affirm your identity.

Your mental health journey is unique, and finding the right support can make all the difference. With Medicaid coverage for LGBTQIA+ affirming therapy, you have options to help you on your path to mental wellness.

Frequently Asked Questions

LGBTQIA+ affirming therapy is an approach to mental health care that validates and supports diverse sexual orientations, gender identities, and relationship structures. It recognizes LGBTQIA+ identities as normal variations of human experience rather than as disorders to be treated.

In many states, Medicaid does cover therapy for gender dysphoria. However, coverage can vary by state, so it’s important to check your specific state’s Medicaid policies.

No, it is illegal for Medicaid providers to discriminate based on sexual orientation or gender identity. If you experience discrimination, you have the right to file a complaint.

You can start by contacting your local LGBTQIA+ community center for referrals, searching online directories that list LGBTQIA+ friendly providers, or asking your primary care doctor for recommendations.

Some states have implemented specific programs for LGBTQIA+ youth mental health under Medicaid. Check with your state’s Medicaid office or local LGBTQIA+ organizations for information about available programs.

Coverage for hormone therapy varies by state. Many states do cover hormone therapy for transgender individuals under Medicaid, but you’ll need to verify with your specific state’s policies.

Got More Questions? We’re Here to Help!

Navigating Medicaid coverage for LGBTQIA+-affirming therapy can be complex, but you don’t have to do it alone. Our team is ready to provide personalized guidance and support. Whether you need clarification on coverage details or help finding the right therapist, we’re just a message away.

Schedule your Free 15 Minute Consultation today.

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