The mental health needs of LGBTQ+ individuals are unique and complex, often shaped by the distinct challenges they face in society. Discrimination, stigma, and the pressure to conform to heteronormative and cisnormative expectations can create an environment where LGBTQ+ people are more susceptible to mental health issues. Studies show that LGBTQ+ individuals are at a higher risk for depression, anxiety, and suicidal ideation compared to their heterosexual and cisgender counterparts. These elevated risks underscore the importance of providing tailored and sensitive mental health support that acknowledges and addresses these specific challenges.

One critical aspect of supporting LGBTQ+ mental health is understanding the impact of minority stress. Minority stress refers to the chronic stress experienced by individuals from stigmatized minority groups. For LGBTQ+ individuals, this stress can stem from various sources, including internalized homophobia or transphobia, experiences of discrimination, and social rejection. Such stressors can profoundly affect mental health, leading to feelings of isolation, low self-esteem, and chronic anxiety. Mental health professionals need to be aware of these factors and incorporate them into their therapeutic approaches, creating a safe and affirming space for LGBTQ+ clients.

Healing the nervous system is a vital component of mental health care for LGBTQ+ individuals. Chronic stress and trauma can dysregulate the nervous system, leading to symptoms such as hypervigilance, anxiety, and emotional numbness. Techniques that promote nervous system healing, such as mindfulness, deep breathing exercises, and somatic therapies, can be particularly beneficial. These practices help individuals reconnect with their bodies, release stored tension, and cultivate a sense of safety and calm. By integrating nervous system healing into mental health care, therapists can help LGBTQ+ clients build resilience and recover from the impacts of trauma.

Moreover, social support plays a crucial role in the mental well-being of LGBTQ+ individuals. Building and maintaining connections with affirming and supportive communities can mitigate the negative effects of minority stress. LGBTQ+ support groups, community organizations, and online forums can provide safe spaces for individuals to share their experiences, receive validation, and find solidarity. These connections not only reduce feelings of isolation but also empower individuals to embrace their identities with pride and confidence. Encouraging LGBTQ+ individuals to seek out and engage with supportive communities can significantly enhance their mental health and overall well-being.

Ultimately, a compassionate and holistic approach to mental health care is essential for LGBTQ+ individuals. By addressing the unique challenges they face, promoting nervous system healing, and fostering supportive social connections, we can create an environment where LGBTQ+ individuals can thrive. Mental health professionals, allies, and communities all play a crucial role in this process. Through understanding, empathy, and proactive support, we can help ensure that every LGBTQ+ person has the opportunity to live a fulfilling and mentally healthy life.

Originally written by Christian Swan on April 9, 2017 

"Would it be preposterous to you that, before we diagnose seasonal affective disorder, we have to rule out first starvation of the spirit, and that before we prescribe serotonin reuptake inhibitors or megalight, we first prescribe courses on Emerson and Thoreau and lessons in cross country skiing?" -Paul Fleischmann, M.D., delivered to the American Psychiatric Association, May 1993

During my undergraduate years in South Carolina, I participated in a sorority. When sorority "rush" occurred every January, we were asked to stay away from the Three Bs: No Bush (the president at the time), Bedroom, or Bible. For many, talk of politics, sex, or religion is viewed to be inappropriate or impolite. By mentioning them, you run the risk of making someone feel uncomfortable or marginalized. There are times in my life when I have understood people's desire to steer clear of these subjects. However, I have noticed a change in my personal life where I now notice an increased comfort around conversations related to politics or sexual themes. Talking confidently about politics can now be seen as a sign of increased education, while speaking of sexual matters demonstrates a confidence in one's self. And yet, even among circles where individuals share a common religion/spirituality, I sometimes experience tension when the topic comes up. Talk of spirituality can easily be perceived as a weakness, or something so intimate that it should not be shared with others.

As I've entered the therapy world, I have been surprised to learn that spirituality is still perceived as an uncomfortable subject. In my practice, I am passionate about including my clients' spiritual beliefs as they best see fit during our time together. After all, if we cannot experiment with topics that make us uncomfortable in the counseling setting, how are we ever going to be able to navigate them in our daily lives?

Before or during my first session with every client, I ask a variety of questions so that I can get a better understanding of who he/she is. Toward the end of my questions, I always ask about spirituality. Personal spiritual beliefs, practices, and past experiences immensely shape one's view the world. "But what if I believe in no deity and have no spiritual practice in my life?" You may wonder. Knowing this about my clients before we begin to do healing work is very helpful to me as a therapist, as it still makes a statement about how you view the world. 

There are times in which one's spirituality can be an asset in counseling. For example, consider an individual who professes to have few friends and is new to Denver. As a therapist, one might assume that this person has a limited support system and operate accordingly. But what if this same individual feels very connected to God and finds comfort in daily prayer and Scripture study? Knowing this about a client is very helpful in assessing the client's support system and also in using the client's perceived closeness with God as an asset in the therapeutic work. 

On the other hand, consider an individual who has recently experienced a trauma. While she felt connected spiritually before the event occurred, she now confidently proclaims that she doesn't believe in God and feels frustrated that she spent so much time investing in her spirituality in the past. It is important for me to know this information as a therapist in order to factor this individual's loss of a previous support system into her healing. 

After I ask about a client's spiritual background, I may ask follow-up questions. Specifically, are there ways that we can integrate your spirituality into our sessions to enhance your healing? It is important to me that we integrate your spiritual background to your comfort level in our time together. 

Does spirituality matter in the healing process? Yes. However, you get to be the one to decide the extent of its integration. 

Spirituality is a deeply personal and multifaceted aspect of human experience that encompasses a sense of connection to something greater than oneself. At its core, spirituality involves seeking meaning and purpose in life, often through practices that nurture the soul and foster a sense of inner peace. Unlike religion, which is typically organized around specific beliefs, rituals, and communal worship, spirituality is more individualized and can be practiced in various ways that resonate personally with an individual. Whether through meditation, prayer, nature walks, or acts of kindness, spirituality is about finding a path that aligns with one's innermost values and beliefs.

The journey of exploring spirituality often begins with introspection and self-awareness. It's about asking profound questions: "What gives my life meaning?" "What are my deepest values?" "How can I connect more deeply with myself and others?" These questions are not always easy to answer, but they serve as a starting point for discovering a deeper sense of purpose. Spirituality encourages us to look beyond the material aspects of life and consider our connection to the broader universe. This exploration can lead to profound personal growth, increased resilience, and a more compassionate worldview.

Compassion is a cornerstone of spirituality. It involves recognizing the shared humanity in all of us and acting with kindness and empathy towards others. Spiritual practices often emphasize the importance of compassion, not only towards others but also towards oneself. This self-compassion is crucial, as it allows us to acknowledge our imperfections and challenges with a gentle and understanding heart. By fostering compassion, spirituality can help reduce feelings of isolation and increase a sense of belonging and interconnectedness.

In times of difficulty, spirituality can offer hope and solace. It provides a framework for understanding and coping with life's challenges, offering comfort through the belief in a higher power or a greater purpose. Spiritual practices such as prayer, meditation, or mindfulness can be powerful tools for managing stress and anxiety, promoting mental well-being, and enhancing emotional resilience. They help us stay grounded in the present moment, cultivate gratitude, and maintain a positive outlook even during tough times.

Ultimately, spirituality is a journey unique to each individual. It evolves over time, reflecting our changing experiences, beliefs, and needs. Embracing spirituality means embracing the journey of self-discovery, growth, and connection. It's a path filled with hope, compassion, and the search for deeper meaning. By nurturing our spiritual well-being, we open ourselves up to a richer, more fulfilling life, grounded in a profound sense of purpose and interconnectedness with the world around us.

Originally written by Christian Swan on April 23, 2017

A couple of months ago, I had a wonderful meeting with a local therapist. We chatted about our shared passions for maternal mental health and how we could support each other's practices when suddenly she said to me, "So your name is Christian and you went to Seminary. Can you help me understand why I should refer to you?" I'm fully aware that I went to Seminary and the connotations that come with my degree. However, I had never considered that even my given name could lead to confusion for those who consider counseling with me. For these reasons, I find it important to clarify what my training is, what my training isn't, and why I'm passionate about the work that I do. Below are answers to the questions I am most often asked.

So you went to a Seminary. Does that make you a pastor? Are you hopeful to be a nun one day?
Interestingly, this is the question I receive the most often. Yes, I am a graduate of Denver Seminary. I currently have no aspirations of being a pastor, nor do I have the credentials to do so. Also, my husband and daughter probably wouldn't appreciate me becoming a nun anytime soon! 

Ohhh so you're not a pastor. Then you must do pastoral counseling! Or maybe you do Biblical counseling? 
This is the second most frequent question I am asked. I do not practice pastoral counseling, nor am I a biblical therapist. 

So if you aren't any of those things, why did you decide to go to Seminary?
In 2012, I moved to Colorado from North Carolina to pursue a degree from Denver Seminary. After being a client to a fantastic therapist and Denver Seminary graduate while in college, I began to think it would be the best postgraduate choice for me. Denver Seminary is unique in that is one of the few seminaries with a CACREP accredited counseling program. CACREP stands for the Council of Accreditation for Counseling and Related Educational Programs, and ensures that counseling programs throughout the country meet national standards for education and professionalism. Participation in a CACREP accredited program in addition to adherence to state regulations ensures my competency for counseling licensure as well as national counselor certification. I chose Denver Seminary because, in addition to a seminary education, I wanted to make sure that I would be eligible for counseling licensure following graduation. 

What does this mean for me as a potential counseling client? How are you different from other therapists who participated in other programs?
This is a great question. My training is unique from other programs because it highly valued the integration of spirituality and psychology. I believe that in order to live fully whole lives, we must honor the ways in which our spirituality informs our mental health. Specifically, I received training that equipped me to integrate the Christian faith into the counseling setting. As a client, if you would like to have your Christian faith be a focus of our time together, I am happy to work from a biblically informed perspective. 

How are you different from a Biblical counselor?
Biblical counseling, sometimes called nouthetic counseling, bases the counseling process solely on the Bible and has a tendency to reject mainstream psychology. While I am happy to utilize Scripture in sessions with your permission, I also highly value the mental health profession and am likely to draw from various psychological principles and counseling techniques in sessions. 

Do you only work with Christians?
No, I work with individuals of all faith backgrounds. While I have some training specific to working with Christians, my CACREP education has prepared me to work competently with individuals of many different traditions in a way that is honoring to each individual experience. As a therapist, it is most important for me that clients feel comfortable expressing themselves in a way that makes them feel most comfortable. My hope is that my counseling space will always be a setting in which people feel freedom to be themselves, and that in that freedom, they ultimately find healing. 
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Do you have more questions about my training or about the ways in which I may or may not integrate spirituality in sessions? Please do not hesitate to bring your curiosity into the counseling setting.