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A detailed resource outlining how cisgender heterosexual mental health providers can engage in cultural humility when working with LGBTQ+ people.
Due to fear of discrimination, past negative experiences with healthcare professionals, internalized homophobia, previous traumatic and adverse experiences, sexual orientation and weight discrimination, lesbian women are less likely to seek preventative medical care (Alba et al., 2022; Duman & Yildirim, 2022; Mason et al., 2017; Rubino et al., 2018). This puts them at higher risk, when compared to their heterosexual counterparts, for developing:
1. Post-traumatic stress disorder (PTSD).
2. Depression.
3. Lower levels of pride.
4. Breast cancer.
5. Low self-esteem.
(Alba et al., 2022; Mason et al., 2017; Rubino et al., 2018; U.S. Department of Health & Human Services, 2020).
Now that we know this, here are some important things to keep in mind when working with lesbian women:
1. Research demonstrates that lesbian women are more likely to utilize therapy than their heterosexual counterparts (Baams, et al., 2018). Therefore, cisgender heterosexual mental health providers must have knowledge and awareness of the barriers this community may face to provide effective and culturally humble treatment. Engaging in culturally humble practice can validate, encourage, empower, and motivate your lesbian clients to continue engaging in services.
2. The American College of Obstetricians and Gynecologists (ACOG) recommends lesbian women get routine, comprehensive care. This comprehensive care includes yearly check-ups with their doctor for the prevention of cardiovascular disease, obesity, cancer, and sexually transmitted infections (STIs). While these recommendations are not different than those recommended for heterosexual women, certain health behaviors or risk factors common among lesbian women may put them at an increased risk for health issues (The American College of Obstetricians & Gynecologists [ACOG], 2012). As a cis-hetero mental health provider, you can engage in culturally humble practice by providing support and education about the importance of routine care and check-ups with a non-judgmental and caring approach.
Remember!
Everyone's experiences are different. No one is the same. Learn their story, hear their voice, and encourage pride in who they are.
Find out the wonderful things about being a part of the LGBTQ+ community
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