Connection Failure: Systemic Disadvantages Facing the LGBTQ+ Community in Therapy and how to Address them

Abstract

This paper examines the experiences of members of the LGBTQ+ community in accessing mental health care in Ottawa, Canada, both positive and negative, and what might be done to improve outcomes. The paper includes a literature review of empirical studies and theoretical works about conducting therapy with LGBTQ+ clients, as well as the results of a pilot study conducted by the researcher to examine in depth the experience of a small sample of LGBTQ+ clients in Ottawa (N=4). Through semi-structured interviews, the researcher found that three out of four participants had experienced some dissatisfaction with how their identity was addressed in therapy, and as a result their overall well-being had suffered. This implies that therapists could be doing more to connect with their LGBTQ+ clients, potentially through better educating themselves on the issues affecting the community, as recommended by the participants. Increasing therapist knowledge would likely improve mental health outcomes for LGBTQ+ clients.