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Review
. 2025 Jul;34(3):459-470.
doi: 10.1016/j.chc.2025.03.007. Epub 2025 Apr 30.

Implications and Considerations of Sexual and Gender Identities in Dynamic Psychotherapies

Kevin Hill  1 , Zheala Qayyum  2 , Cecil R Webster Jr  3
Affiliations
Review

Implications and Considerations of Sexual and Gender Identities in Dynamic Psychotherapies

Kevin Hill et al. Child Adolesc Psychiatr Clin N Am. 2025 Jul.

Abstract

Lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, and other diverse gender and sexual identities (LGBTQIA+) youth have a disproportionately high risk of mental health issues such as depression, suicide, and substance use. Clinicians must engage in self-reflection about both obvious and subtle aspects of their identities, recognizing how these factors might influence their practice. Creating a therapeutic space, employing gender-neutral language, and being comfortable in discussing topics related to sexuality and gender diversity, can open the door for multiple opportunities to strengthen the therapeutic alliance.

Keywords: Alliance; Gender; LGBTQIA+; Psychotherapy; Sexuality; Youth.

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