{"id":220,"date":"2020-11-13T09:59:14","date_gmt":"2020-11-13T14:59:14","guid":{"rendered":"https:\/\/barryjrichmanmd.flywheelstaging.com\/?p=220"},"modified":"2021-02-19T11:48:02","modified_gmt":"2021-02-19T16:48:02","slug":"lgbtq","status":"publish","type":"post","link":"https:\/\/www.barryjrichmanmd.com\/lgbtq\/lgbtq\/","title":{"rendered":"LGBTQ+"},"content":{"rendered":"\n

Gay and lesbian people come to psychiatrists for help and treatment for many of the same clinical and life issues that heterosexual people do \u2013 Anxiety<\/a>, help with relationships, awareness of patterns that are interfering with their moving forward in their lives, etc. Some of these issues have little to do with the individual\u2019s sexual orientation while others may be intimately connected to their gay identity. Either way, as the treatment gets underway, issues of sexual orientation and identity are likely to play a role in how the treatment evolves and becomes key in understanding the individual and his or her interpersonal interactions in the world at large. Consequently, a therapist with some specialized knowledge and understanding of these issues will be most helpful to the patient.<\/p>\n\n\n\n

GAY AFFIRMATIVE PSYCHOTHERAPY<\/h2>\n\n\n\n

There are many important and unique aspects to working with LGBTQ population. Gay \u2013Affirmative Psychotherapy assumes that GLB identities are normal and changing a patient\u2019s sexual identity should not be a goal of treatment.<\/p>\n\n\n\n

Therapists need to be familiar with the coming out process and must understand the complexities of internalized homophobia and heterosexism. We must be sensitive to our patient\u2019s struggles and not cheerleaders for coming out, pushing for premature resolution of what may be deeply felt conflict and ambivalence.<\/p>\n\n\n\n

HIV, ALCOHOL AND SUBSTANCE USE IN THE GAY COMMUNITY<\/h2>\n\n\n\n

HIV is another area that\u2019s of huge importance and concern to the LGBTQ community, as many patients may require special assessment and monitoring of medications that produce psychiatric side effects and drug interactions. The syndrome itself may also present with psychiatric symptoms ranging from Depression<\/a> and Anxiety<\/a> to loss of memory and other cognitive changes.<\/p>\n\n\n\n

Alcohol and substance abuse too is a significant issue for this population, with higher rates of prevalence than that of the general population, particularly among older gay people. And there seems to be evidence to support higher rates of mood disorders in this population. There is a lot of research attempting to explain the reasons for this, but again it underscores the need to have a therapist well versed, knowledgeable and experienced in working with and understanding the LGBTQ community.<\/p>\n","protected":false},"excerpt":{"rendered":"

Gay and lesbian people come to psychiatrists for help and treatment for many of the same clinical and life issues that heterosexual people do \u2013 Anxiety, help with relationships, awareness of…<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[14],"yoast_head":"\nHelp for LGBTQ. Manhattan NYC Psychiatrist 10016.<\/title>\n<meta name=\"description\" content=\"Barry J. Richman MD Midtown East Therapist helps LGBTQ.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barryjrichmanmd.com\/lgbtq\/lgbtq\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Help for LGBTQ. 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