Safe, Seen, and Supported: Navigating Eating Disorders Recovery in the 2SLGBTQ+ Communities

Abstract

Purpose: Our purpose was to explore the experiences of self-identifying Two-Spirit, lesbian, gay, bisexual, transgender, and questioning (2SLGBTQ+) Canadians in treatments for their eating disorders (EDs). By knowing more about their experiences, we hoped to better understand how dietitians and ED service providers can better support 2SLGBTQ+ clients.Methods: Ten self-identifying 2SLGBTQ+ individuals reporting concerns regarding body image or eating patterns, as well as accessing support services or treatments, within Canada were recruited through social media platforms. Participants took part in semi-structured interviews. Data were recorded, transcribed, and analyzed using thematic analysis.Results: Four themes are presented: (i) feelings of judgement and otherness, (ii) experiencing shame in EDs and 2SLGBTQ+ identity, (iii) perceiving a lack of understanding and knowledge, and (iv) sharing lived experiences with the care team.Conclusions: Increased focus on trauma-informed approaches to ED treatment in 2SLGBTQ+ populations are indicated so that 2SLGBTQ+ clients feel comfortable to share. Increased education in 2SLGBTQ+ terminology and gender expression is recommended for dietetic professionals. We also recommend increased recruitment efforts for more diverse care teams.

Keywords: 2SLGBTQ+; body image; eating disorders; gender minorities; image corporelle; minorités de genre; minorités sexuelles; sexual minorities; troubles alimentaires.