The Intersection of Cultural Identity and LGBTQ+ Mental Health
by Wenbo
Mental health in the LGBTQ+ population is influenced by numerous intersecting variables such as race, ethnicity, religion, and cultural identity. In addition to the special concerns already confronting LGBTQ+ persons, such as discrimination, marginalization, and identity stress, these concerns can be multiplied for those who are also part of racial or ethnic minority populations. At the cultural identity-LGBTQ+ identity intersection exists a complicated experience with serious ramifications for mental health.
In the majority of cultures, traditional values can be in opposition to the embracing of LGBTQ+ identities. For instance, those from Asian, Middle Eastern, African, or Latinx cultures can grow up in a context where family honor, conformity, or religious values stifle open conversation regarding gender and sexuality. Open LGBTQ+ individuals in these environments can internalize shame, guilt, or fear of rejection by their families and communities. The stress of concealing one's identity, or of living a double life, can lead to chronic stress, anxiety, depression, and even suicidal tendencies.
In addition, there is also a shortage of culturally competent mental health services. For most LGBTQ+ people of color, it is difficult to find therapists who are familiar with both their sexual or gender identity and their cultural heritage. In the absence of this double awareness, mental health providers can miss important elements in a patient's life or unknowingly disregard their challenges. Some LGBTQ+ people may thus abandon seeking help altogether.
Family acceptance is critical to the health of LGBTQ+ youth from minority communities. Research has indicated that LGBTQ+ youth who are rejected by their families are more likely to be homeless, drug addicted, and mentally ill. Conversely, when families and communities are accepting, LGBTQ+ individuals are likely to excel and be proud of their cultural and LGBTQ+ identity.
In spite of these challenges, LGBTQ+ individuals of color find strength and resilience in community and cultural pride. Cultural identity can also be a source of healing, particularly if one is able to identify with others who share the same background and experiences. By and for LGBTQ+ individuals of color-led organizations are essential in providing spaces that affirm all aspects of a person's identity.
To more effectively address mental health at this intersection, there is a need to advance inclusive mental health care that considers both LGBTQ+ and cultural identities. This involves training therapists in cultural humility, increasing access to diverse mental health practitioners, and financing community-based initiatives. Open discussion within cultural and family communities can also dismantle stigma and encourage greater acceptance.
Ultimately, the intersection of LGBTQ+ mental health and cultural identity is a complex issue that requires close attention. As society acknowledges the unique challenges and strengths of LGBTQ+ individuals with diverse cultural identities, it can move towards a more inclusive, accepting, and mentally healthy future.
