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(p. 175) Anxiety Disorders and Obsessive–Compulsive Disorder: Evidence-Based Considerations for Affirmative Services for Sexual Minority Clients 

(p. 175) Anxiety Disorders and Obsessive–Compulsive Disorder: Evidence-Based Considerations for Affirmative Services for Sexual Minority Clients
Chapter:
(p. 175) Anxiety Disorders and Obsessive–Compulsive Disorder: Evidence-Based Considerations for Affirmative Services for Sexual Minority Clients
Author(s):

Natalie R. Holt

, Allura L. Ralston

, and Debra A. Hope

DOI:
10.1093/med-psych/9780190669300.003.0008
Page of

date: 26 April 2019

Individuals who identify as lesbian, gay, or bisexual (LGB) are at elevated risk for anxiety disorders and obsessive–compulsive disorder, likely due to the mental health impact of stigma-related stress. Effective psychosocial interventions, especially cognitive–behavior therapies, can reduce symptoms and improve quality of life. This chapter reviews the research and clinical literature to describe adaptations that may be needed at each point of therapy from initial assessment and case conceptualization to effective intervention. Consideration of intersectionality between LGB identities and other identities, such as race, ethnicity, and HIV status, highlights the importance of recognizing the multiple identities a client may have. Case vignettes bridge the gap between the research and clinical literature and implementation of the recommendations.

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