This book brings together the work of professionals prominent in LGBTQ+ health and CBT who are on the forefront of treatment development, adaptation, and real-world implementation. This book is specifically designed for clinicians, clinician researchers, and students, with varying degrees of expertise, who are hoping to learn cutting edge approaches to assess, treat, and mitigate the negative effects of minority stress on the mental health of LGBTQ+ individuals. Primary objectives of this book are to translate the state of science into clear and practical guidance and recommendations that can be implemented today. We will accomplish this through applied case examples, clinical dialogue, and lessons learned from expert clinicians and scholars in the field. We will also prioritize increasing the visibility of under-represented topics (e.g., person-centered assessment, co-occurring trauma and minority stress, relationships and consensual non-monogamy, promoting resilience) and populationswithin the LGBTQ+ community (e.g., People of Color, Native and Two-Spirit individuals, Veterans, rural LGBTQ+ individuals).
Throughout, this book highlights cultural and intersectional considerations for practice and share practical guidance for tailoring clinical care that is responsive to individual and within-community differences. The first section focuses on assessment and case formulation, minority stress interventions, and demonstrates how to provide LGBTQ+ affirming care In section two, focuses on target populations and concerns, presenting case descriptions and formulations, intervention outlines and rationale, therapeutic dialogue, and outcome(s) of the intervention. Given the ever-evolving landscape of healthcare and needs of the LGBTQ+ community, next steps and future directions are provided as a final, separate section of the book., as well as at the end of each chapter to promote ongoing innovation in clinical practice, research, and implementation and dissemination.
Setting the Stage for LGBTQ+ Affirmative Therapy.- Person-Centered
Screening, Assessment, and Case Formulation for Diverse LGBTQ+ Individuals.-
Affirming Therapy in Response to Minority Stress among LGBTQ+ Clients.-
Patient-Centered Treatment for Co-Occurring Trauma and Minority Stress.-
Helping LGBTQ+ Clients Recover from Conversion Therapy or Non-Affirming Care
Experiences.- Facilitating Identity Development and Affirmation among LGBTQ+
Clients.- Doing Affirmative Cognitive Behavioral Therapy with LGBTQ+ Youth
and Their Families.- Addressing Ageism among LGBTQ+ Older Adults.- Addressing
Ableism to Promote the Mental Health of LGBTQ+ Persons with Disabilities.-
Addressing Interlocking Systems of Oppression and the Need for Radical Hope
and Healing for LGBTQ+ BIPOC Clients.- Interrupting Cissexism and Binary
Conceptualizations of Gender/Sex in Therapy.- Countering Anti-Bisexual
Prejudice and Monosexism in Therapy with Bisexual Clients.- Supporting
Asexual- and Aromantic-Spectrum Individuals in Therapy: Challenging
Community-Specific Hardships and Compulsory Sexuality and Romanticism.-
Addressing Relationship Stigma and Supporting LGBTQ+ Individuals in
Consensually Non-Monogamous Relationships .-Addressing Interpersonal and
Systemic Bias among LGBTQ+ Veterans.
Nicholas A. Livingston, PhD, [ he/him] is a Principal Investigator and Staff Psychologist in the National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System; an Assistant Professor of Psychiatry at Boston University Chobanian & Avedisian School of Medicine; and Lecturer in the Department of Psychology, Harvard University. For over 15 years he has studied the effects of trauma, discrimination, and minority stress on health among LGBTQ+ individuals. Other primary research interests include PTSD and substance use and disorder (SUD) comorbidity, treatment access and outcomes, and adverse events (e.g., relapse, overdose, suicide). Primary clinical expertise includes evidence-based SUD and PTSD treatment, and patient centered adaptations to evidence-based care for LGBTQ+ people. Dr. Livingston is an Associate Editor of Behavioral Medicine, Contributing Editor of StressPoints for the International Society for Traumatic Stress Studies, and serves on the editorial boards of Psychology of Sexual Orientation and Gender Diversity and Cognitive and Behavioral Practice.
Brian A. Feinstein, PhD, [ he/him] is a Professor in the Department of Psychology at Rosalind Franklin University of Medicine and Science and a Licensed Psychologist in Illinois. His program of research focuses on understanding and reducing the health disparities affecting sexual and gender minority (SGM) populations, especially bisexual, pansexual, and queer (bi+) individuals. In particular, his work focuses on understanding how different types of stress (e.g., discrimination, internalized stigma, rejection sensitivity) influence mental health, substance use, sexual behavior, and relationship functioning among SGM individuals and couples, and developing and testing interventions to improve health and relationships in these populations. He is an Associate Editor for the journals Psychology of Sexual Orientation and Gender Diversity and Behavior Therapy and serves on the editorial board of the Journal of Consulting and Clinical Psychology.
M. Paz Galupo, PhD, [ they/them] is the Audre Lorde Distinguished Professor of Sexual Health and Education at Washington University in St. Louis and Director of QT-CREW (Queer/Trans Collective for Research on Equity & Wellness). Dr. Galupos research centers the intersection of sexual orientation and gender identity, with a particular focus on understanding non-binary expressions of bisexual/plurisexual and transgender experience, as well as on queer and trans BIPOC. Dr. Galupo is currently Editor for Journal of Bisexuality, and the Editor for the official Division 44 APA journal, Psychology of Sexual Orientation and Gender Diversity.
