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LGBTQ+ Mental Health

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Social Anxiety Disorder

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Social anxiety disorder in the LGBTQ+ community might stem from fear of rejection or discrimination in social settings. Risk factors include past experiences of bullying or humiliation and lack of support systems. Support strategies include exposure therapy, social skills training, and finding inclusive and affirming social environments.

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Impulse Control Disorders

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Impulse control disorders in LGBTQ+ individuals could be a response to internalized stigma or discrimination, leading to harmful impulsive behaviors. Risk factors include stress, family history, and comorbid mental health conditions. Support strategies include therapy focused on impulse control, medication to manage associated conditions, and affirmative support from loved ones.

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Eating Disorders

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Eating disorders in the LGBTQ+ community, including anorexia, bulimia, and binge eating, can be exacerbated by body image issues and societal pressures. Risk factors include internalized negative beliefs about one's body, cultural pressures around beauty standards, and psychological factors. Support strategies encompass nutritional counseling, therapy, and body positivity groups.

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Panic Disorder

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Panic disorder may be triggered in LGBTQ+ individuals by the stress associated with fear of discrimination or violence. Risk factors include trauma, stress, and a history of anxiety disorders. Support strategies include panic-focused psychotherapy, relaxation techniques, and establishing a strong support network.

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Conversion Disorder

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Conversion disorder (functional neurological symptom disorder) may present in LGBTQ+ people as a physical manifestation of psychological distress. Risk factors include recent stressful events, trauma, and neurological disease. Support strategies include education, cognitive behavioral therapy, and establishing a supportive healthcare team.

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Depression

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Depression in LGBTQ+ individuals often results from societal stigma, discrimination, and lack of support. Risk factors include rejection from family or peers, internalized homophobia, and negative experiences coming out. Support strategies include therapy, support groups, and crisis intervention services.

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Borderline Personality Disorder (BPD)

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BPD in the LGBTQ+ community may stem from identity conflicts, experiences of trauma, and fear of abandonment. Risk factors include early trauma, family instability, and genetic factors. Support strategies include dialectical behavior therapy (DBT), schema therapy, and developing a strong, supportive therapy environment.

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Self-Harm

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Self-harm in LGBTQ+ populations can be a coping mechanism for emotional pain, discrimination, or internalized stigma. Risk factors include bullying, trauma, and lack of family or social support. Support strategies include providing safe spaces, psychoeducation, and access to therapy and self-help strategies.

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Post-Traumatic Stress Disorder (PTSD)

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PTSD in LGBTQ+ individuals can result from traumatic events directly related to their identity, such as hate crimes or family rejection. Risk factors include past abuse, violence, and trauma. Support strategies involve trauma-focused psychotherapies, support groups, and creating safe spaces.

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Obsessive-Compulsive Disorder (OCD)

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OCD in LGBTQ+ individuals may include obsessions and compulsions related to sexual orientation or gender identity. Risk factors include a need for control, traumatic past encounters, and high levels of stress. Support strategies include Exposure and Response Prevention (ERP) therapy, medication, and support networks that understand the intersectionality of OCD and LGBTQ+ identities.

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Insomnia

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Insomnia in the LGBTQ+ population can be linked to chronic stress, anxiety about discrimination, or internal conflicts related to identity. Risk factors include mental health disorders, chronic stress, and lifestyle choices. Support strategies can include cognitive behavioral therapy for insomnia (CBT-I), sleep hygiene education, and relaxation techniques.

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Suicidality

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Suicidality is disproportionately higher in the LGBTQ+ population, with heightened risks associated with factors such as victimization, rejection, and internalized stigma. Support strategies include immediate mental health care, crisis hotlines, and fostering strong, supportive communities.

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Body Dysmorphic Disorder

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Body dysmorphic disorder (BDD) can be particularly challenging for LGBTQ+ individuals, driven by an intense preoccupation with perceived flaws in physical appearance. Risk factors include low self-esteem, societal beauty ideals, and bullying. Support strategies include cognitive-behavioral therapy and providing a supportive and nonjudgmental environment.

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Dissociative Disorders

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Dissociative disorders in LGBTQ+ individuals might relate to trauma and stress from past experiences of discrimination or violence. Risk factors include trauma, abuse, and significant stress. Support strategies include trauma-focused therapies such as EMDR, grounding techniques, and building a safe and stable environment.

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Histrionic Personality Disorder

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While not directly associated with LGBTQ+ identities, the stress of feeling a need to conform to certain stereotypes may contribute to the development of histrionic personality disorder. Risk factors include genetic and environmental components. Support strategies include psychotherapy, particularly cognitive behavioral therapy (CBT), and building genuine social support.

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Bipolar Disorder

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Bipolar disorder among LGBTQ+ individuals might be influenced by life stressors and identity-related issues, leading to mood swings and changes in energy levels. Risk factors include family history of bipolar disorder, high levels of stress, and experiencing major life changes. Support strategies involve mood stabilizers, psychotherapy, and support networks.

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Seasonal Affective Disorder (SAD)

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Seasonal affective disorder in LGBTQ+ individuals might be compounded by the lack of light exposure and stresses related to their identity. Risk factors include geographic location, genetic factors, and having other mental health disorders. Support strategies include light therapy, psychotherapy, and maintaining a healthy routine.

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Gender Dysphoria

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Gender dysphoria entails distress due to a discrepancy between one's experienced or expressed gender and assigned sex. Risk factors include non-affirming environments, lack of recognition of one's gender identity and discrimination. Support strategies include gender-affirming treatments, counseling, and peer support groups.

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Substance Use Disorders

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Substance use disorders are more prevalent in LGBTQ+ adults and youths, largely due to stress from discrimination and social exclusion. Risk factors include societal stigma, stressful life events related to one's sexuality, and mental health issues. Support strategies include specialized addiction services, LGBTQ+ support groups, and dual diagnosis treatment for co-occurring disorders.

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Attention-Deficit/Hyperactivity Disorder (ADHD)

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ADHD can be overlooked in LGBTQ+ individuals. Symptoms can be mistaken for stress or emotional issues related to their identity. Risk factors include genetic predisposition and environmental factors. Support strategies include behavioral therapy, support groups, and medication when appropriate.

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Anxiety Disorders

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Anxiety disorders within the LGBTQ+ community may arise due to fears of coming out, discrimination, or violence. Risk factors include past trauma, ongoing discrimination, and lack of social support. Support strategies include cognitive behavioral therapy, mindfulness techniques, and affirming support networks.

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Schizophrenia

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Schizophrenia in LGBTQ+ individuals may not differ significantly from the general population but diagnosing and treatment can be complicated by a lack of LGBTQ+ culturally competent healthcare providers. Risk factors include genetic predisposition and environmental factors such as living in a non-supportive environment. Support strategies include antipsychotic medication, supportive therapy, and creating safe and supportive spaces.

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