Identifying a Queer-Affirmative Therapist: Key Questions to Ask

Finding a truly queer-affirmative therapist is crucial for LGBTQ+ folx seeking supportive and effective mental health care. In a time when anyone can stick a rainbow on their website or list sexuality as a specialty, it’s so important to ask potential therapists about their background and experience with providing Queer-Affirmative Therapy before diving into the therapeutic work. Here are some important questions to help you determine if a therapist is genuinely affirming:

Identity and Experience Questions

1. Professional Background

• What is your experience working with LGBTQ+ clients?

• Have you received specific training in queer-affirmative therapy?

• Do you have expertise in working with diverse sexual orientations and gender identities, including mine?

2. Approach to Identity

• How do you understand and support gender identity and sexual orientation?

• How do you approach discussions about sexuality and gender?

• Can you describe your perspective on the diversity of gender and sexual experiences?

Practical Approach Questions

1. Therapeutic Methodology

• How do you ensure a safe and non-judgmental space for LGBTQ+ clients?

• What strategies do you use to address internalized biphobia, transphobia, and homophobia?

• How do you handle potential microaggressions or systemic oppression in therapy?

2. Cultural Competence

• How do you recognize and address intersectionality in your practice?

• Are you familiar with the unique challenges faced by different LGBTQ+ communities? What about mine in particular?

• How do you stay informed about current LGBTQ+ issues and experiences?

Specific Scenario Questions

1. Relationship Dynamics

• How do you support clients exploring their sexual or gender identity?

• What is your approach to working with polyamorous or non-monogamous relationships?

• How do you handle therapy for couples with diverse gender identities?

2. Personal Boundaries

• Are you comfortable using my pronouns or discussing intimate aspects of LGBTQ+ experiences?

• How do you handle potential personal biases that might affect therapy?

• Can you share about your own identity or political beliefs to help me feel more comfortable?

Red Flags to Watch For

• Attempts to "change" or "heal" sexual orientation or gender identity

• Discomfort with LGBTQ+ terminology or using incorrect pronouns with you

• Apparent lack of understanding about the complexity of gender and sexuality

• Making assumptions about your experiences

Additional Considerations

• Check their professional credentials and any additional LGBTQ+ training

• Look for therapists who are actively involved in or supportive of LGBTQ+ communities

• Consider therapists who identify as queer or have expertise in queer issues

Remember, a truly queer-affirmative therapist will welcome these questions and be transparent about their approach, experience, and commitment to providing supportive, inclusive care.

Written by Dr Megan Mansfield (PSY31497), Clinical Psychologist and LGBTQ+/Queer Affirmative Therapist specializing in trauma therapy, somatic therapy, and building empowerment. She provides therapy online in California & in-person therapy in Pasadena. If you’re ready to begin your journey or have some questions about the process, schedule a time to talk with Dr Mansfield here.