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Mental health issues if you're lesbian, gay, bisexual, transgender or intersex

Poor levels of mental health in lesbian, gay, bisexual, trans and intersex (LGBTI+) people have often been linked to experiences of homophobic or transphobic discrimination and bullying.

How therapy can help

Getting help with issues you may be struggling to deal with on your own is one of the most important things you can do.

Talking with a therapist trained to work with LGBTI+ people may help you deal with issues such as:

  • difficulty accepting your sexual orientation
  • coping with other people's reactions
  • feeling your body does not reflect your true gender (gender dysphoria)
  • transitioning
  • low self-esteem
  • self-harm
  • suicidal thoughts
  • depression from long-term effects of bullying and discrimination
  • hostility or rejection from family, friends or your community
  • fear of violence in public places

Related topics

Bullying and harassment

Self harm

Getting help

Don't suffer in silence. You should get help as soon as you feel the need. It's never too late to get help, no matter how big or small your problem might seem.

You could benefit from getting help if you:

  • feel tired or lack energy
  • feel tearful
  • shut yourself away from people
  • no longer want to do things you usually enjoy
  • use alcohol or drugs to cope with feelings
  • harm yourself or have thoughts about self-harming
  • have thoughts of taking your own life

If you're struggling to cope right now, call the Samaritans on 116 123. They offer a safe place for you to talk about whatever's on your mind at any time. The Samaritans are available to you 24 hours a day.

Speak to your GP

Speak to your GP about how you are feeling. They will know what help is available and can help you decide which treatment is best for you.

When discussing your situation, try to be as honest as possible so they can find the best support for you.

Support groups

LGBT Ireland



page last reviewed: 23/09/2018
next review due: 23/09/2021

Do you need to talk to someone right now?

Free call Samaritans 116 123