Those who are faced with the choice of a psychotherapist understand that it is important not only how experienced this specialist is, but how far he “goes”, how much he wants to trust and open up. Feeling safe. That is, you need “your own psychotherapist.”
The topic of trust and safety is very important for the LGBT community. If the psychotherapist himself cannot overcome homophobia and transphobia and, accordingly, instead of therapy, traumatizing the client is not the best choice.
I have successful experience in psychotherapy for people with gay sexuality, and I want to share it.
Psychotherapeutic support for LGBT clients.
Somehow, historically, I have a calm attitude towards people whose opinions or behavior differ from mine. Guys or girls who were experiencing difficulties in non-traditional relationships easily trusted me, and I supported them in their difficulties, without judging or evaluating their views.
When I started psychotherapy professionally, I was “attracted” to several clients who experienced difficulties in relationships, meaning in life, self-esteem from the LGBT community. These were mainly foreigners whom I consulted on Skype.
What LGBT psychotherapy looks like
In general, LGBT psychotherapy is no different from therapy for other clients. As a rule, clients with a non-traditional orientation do not make requests regarding struggles with orientation, but with ordinary requests for solutions to problems in relationships, fear, stress, panic attacks, depression, and so on.
It all starts with an initial free phone conversation or the Internet. At this moment, contact is established, I find out what the overall request is, what the client wants to receive as a result of therapy.
If there is contact, then at meetings I help look for resources to overcome the problem, give some exercises and techniques to overcoming and developing self-help skills. I do not give direct recommendations or advice, but I help analyze solution options. The decision is still made by the client, I do not impose anything.
What I do is conversational psychotherapy. All resources and answers are within a person, they just need to be extracted. This is my task - searching and extracting resources using positive psychotherapy. I accompany a person on the path to finding new answers, new questions. In particular, we articulate this through what happens in the relationship between the therapist and the client. Since usually in these relationships what happens in relationships with other people is manifested.
I can talk about how some processes occur, about their causes and consequences, the structure of conflicts, their dynamics and how to deal with them . This is important for a person to understand the processes and himself. Overall, this gives a sense of perspective, a view of the situation from above. And when you can be above the situation, you have more control over what to do.
In general, the client understands for himself that the person is suitable, understands, and feels deeply. It doesn’t matter whether the psychotherapist belongs to the LGBT community or not.
If the person is yours, then he will not strain you in therapy, he will not broadcast platitudes or stereotypes.
The recommendations are accordingly standard - see what kind of education the specialist has and try to clarify how you are suitable for each other during a free initial conversation. You can ask how a specialist treats LGBT people.
Previously, there were only a few specialists who would be ready to work with LGBT people, but now there are a huge number of them. Therapy is no different; you cannot demand from a psychotherapist that he experience the same problems as the client. It is not necessary that the gynecologist have problems with gynecology, the doctor is not obliged to suffer from the same problems as the client.
It is important that the psychotherapist understands how In Ukraine, unlike the Russian Federation, there is no law “on LGBT propaganda” and there is no criminal liability for talking with a teenager on this topic. I can advise LGBT teenagers from the age of 15 without the presence of parents online or in person.
As I said above, as a rule, they do not address issues of gender orientation, but with issues of trust in people, fears, and universal themes. There are issues related to coming out, fear of rejection, discrimination.
I have had more LGBT male clients, although there is a myth that women go to psychotherapists more often.
Features of the work of a psychotherapist.
Often new acquaintances, having learned that I am a psychotherapist, ask me to tell something about what I think about them, to analyze them. “You’re a psychologist” is a typical phrase. I don’t do analysis all the time, it’s work that requires significant time and effort, in life I’m an ordinary person. If a person tells me that he doesn’t believe in psychology and considers psychotherapists to be deceivers - why should I be interested? It is a person’s choice to trust any services or not to trust them. To use or not to use. Anyone who has benefited or experienced a breakthrough in psychotherapy will not say that. But persuading those who do not believe or trust is not my task.
If a person does not trust, he will not go to therapy and there will be no effect from therapy.
In life I have different roles, I am a psychotherapist when I am in a psychotherapeutic relationship with a client. The rest of the time I'm just a person with a psychological background.
I like helping people and hearing gratitude. Always after a good job I have the feeling that my time was not wasted; I see that I am helping a person find his true self and find new answers and solutions. But of course there are moments that exhaust me emotionally.
Burnout occurs when I work without return (material or emotional). Of course, at the beginning of psychotherapeutic practice, the very opportunity to consult motivated me and provided me with a resource. Now the question arises whether my efforts are compensated enough. That is why psychotherapy is a paid service. The work and emotions of a psychotherapist are compensated with money. Nowadays I rarely undertake charity consultations. I'm investing in therapy and this is time in my life that I can't get back. Therefore, in order to consider the issue of free therapy, I need serious arguments - perhaps an interesting case or strong motivation of the client.
In order for a person to try and understand whether I am right for him, I usually offer a discount on the first consultation and a free initial call and get acquainted. And then I started working with understanding and motivation.
This is really work on yourself that cannot be done without motivation, carelessly.
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Date of update: 04/18/2024 Mikhail Dickey - certified psychologist - psychotherapist - coach. Read about the author