The Case of Regan Cooper: Anxiety in a Gay Resident
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Gay, lesbian, bisexual, transgender, queer, and/or intersex (LGBTQI) residents seeking mental health treatment may hesitate to engage in therapy due to the fraught history of psychiatric diagnosis and treatment of sexuality and may not receive optimal care due to inadequate specific knowledge and experience of clinicians. LGBTQI residents have limited spaces that support their safe inclusion. Rather than a diagnosis, being LGBTQI may be considered a cultural factor. The clinician evaluating an LGBTQI individual will want to be attentive to screening for suicide and substance use disorders and to take developmental and sexual histories. Bias and other attitudes and beliefs, both conscious and unconscious, may imbue the therapist-trainee relationship particularly when being gay or lesbian is assumed to be contributing to their psychological difficulties. Nonspecialized clinicians may need to refer or seek supervision to learn approaches to enhance the resilience of doctors identifying as LGBTQI.
KeywordsResident wellness LGBTQI Sexual orientation Resilience, nonconforming sexuality Gender fluidity
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