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Abstract

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals experience increased risk for mental health challenges, such as depression and anxiety. Many LGBTQ individuals experience barriers to accessing formal psychotherapy. This study suggests that a peer-facilitated application of the LGBTQI Workbook for CBT may be a valuable resource for LGBTQ individuals experiencing depression and/or anxiety symptoms. To effectively implement the workbook, facilitators may need to supplement workbook content as written by: (a) providing guidance while introducing, applying, and integrating exercises; (b) engaging in post-exercise guided questioning to facilitate future application of intervention strategies; and (c) delivering supplemental psychoeducation and recommending additional strategies for managing mental health challenges.

Keywords

LGBTQ issues subjects of practice cognitive-behavioral interventions workbook peer facilitation depression mental health and differential diagnoses anxiety

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References

Anderson

Lewis

Araya

Elgie

Harrison

Proudfoot

Schmidt

Sharp

Weightman

Williams

(2005). Self-help books for depression: How can practitioners and patients make the right choice? British Journal of General Practice, 55(514), 387–392.

Carrington

Sims

(2024). How can counselling training courses better prepare their trainee therapists to work with LGBTQ+ clients? Counselling and Psychotherapy Research, 24(2), 513–523. https://doi.org/10.1002/capr.12684

Chaudoir

S. R.

Wang

Pachankis

J. E.

(2017). What reduces sexual minority stress? A review of the intervention “toolkit.” The Journal of Social Issues, 73(3), 586–617. https://doi.org/10.1111/josi.12233

Dunlop

D. B. J.

(2022). The queer mental health workbook: A creative self-help guide using CBT, CFT and DBT. Jessica Kingsley Publishers.

Eubanks-Carter

Burckell

L. A.

Goldfried

M. R.

(2005). Enhancing therapeutic effectiveness with lesbian, gay, and bisexual clients. Clinical Psychology: Science and Practice, 12(1), 1–18. https://doi.org/10.1093/clipsy.bpi001

Flentje

(2020). AWARENESS: Development of a cognitive-behavioral intervention to address intersectional minority stress for sexual minority men living with HIV who use substances. Psychotherapy, 57(1), 35–49. https://doi.org/10.1037/pst0000243

Hoy-Ellis

C. P.

(2023). Minority stress and mental health: A review of the literature. Journal of Homosexuality, 70(5), 806–830. https://doi.org/10.1080/00918369.2021.2004794

Hunt

M. G.

Loftus

Accardo

Keenan

Cohen

Osterman

M. T.

(2020). Self-help cognitive behavioral therapy improves health-related quality of life for inflammatory bowel disease patients: A randomized controlled effectiveness trial. Journal of Clinical Psychology in Medical Settings, 27, 467–479. https://doi.org/10.1007/s10880-019-09621-7

Johnson

A. H.

Rogers

B. A.

(2020). “We’re the normal ones here”: Community involvement, peer support, and transgender mental health. Sociological Inquiry, 90(2), 271–292. https://doi.org/10.1111/soin.12347

10.

Kelly

P. J.

Kyngdon

Ingram

Deane

F. P.

Baker

A. L.

Osborne

B. A.

(2018). The Client Satisfaction Questionnaire-8: Psychometric properties in a cross-sectional survey of people attending residential substance abuse treatment. Drug and Alcohol Review, 37(1), 79–86. https://doi.org/10.1111/dar.12522

11.

Kroenke

Strine

T. W.

Spitzer

R. L.

Williams

J. B. W.

Berry

J. T.

Mokdad

A. H.

(2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114(1), 163–173. https://doi.org/10.1016/j.jad.2008.06.026

12.

Lefevor

G. T.

Janis

R. A.

Franklin

Stone

W.-M.

(2019). Distress and therapeutic outcomes among transgender and gender nonconforming people of color. The Counseling Psychologist, 47(1), 34–58. https://doi.org/10.1177/0011000019827210

13.

Lynch

S. L.

Bruhn

R. A.

Henriksen

R. C.

(2013). Influences of training and personal experiences on counselor trainees’ GLBT ally development: A case study. Qualitative Report, 18. https://eric.ed.gov/?id=EJ1005003

14.

Meyer

I. H.

(2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674

15.

Pachankis

J. E.

Hatzenbuehler

M. L.

Rendina

H. J.

Safren

S. A.

Parsons

J. T.

(2015). LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach. Journal of Consulting and Clinical Psychology, 83(5), 875–889. https://doi.org/10.1037/ccp0000037

16.

Pachankis

J. E.

McConocha

E. M.

Clark

K. A.

Wang

Behari

Fetzner

B. K.

Brisbin

C. D.

Scheer

J. R.

Lehavot

(2020). A transdiagnostic minority stress intervention for gender diverse sexual minority women’s depression, anxiety, and unhealthy alcohol use: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 88(7), 613–630. https://doi.org/10.1037/ccp0000508

17.

Piantadosi

(2024). Clinical trials: A methodologic perspective. John Wiley & Sons.

18.

Pinna

Paribello

Somaini

Corona

Ventriglio

Corrias

Frau

Murgia

El Kacemi

Galeazzi

G. M.

Mirandola

Amaddeo

Crapanzano

Converti

Piras

Suprani

Manchia

Fiorillo

Carpiniello

(2022). Mental health in transgender individuals: A systematic review. International Review of Psychiatry, 34(3–4), 292–359. https://doi.org/10.1080/09540261.2022.2093629

19.

Ritzert

T. R.

Forsyth

J. P.

Sheppard

S. C.

Boswell

J. F.

Berghoff

C. R.

Eifert

G. H.

(2016). Evaluating the effectiveness of ACT for anxiety disorders in a self-help context: Outcomes from a randomized wait-list controlled trial. Behavior Therapy, 47(4), 444–459. https://doi.org/10.1016/j.beth.2016.03.001

20.

Romanelli

Hudson

K. D.

(2017). Individual and systemic barriers to health care: Perspectives of lesbian, gay, bisexual, and transgender adults. American Journal of Orthopsychiatry, 87(6), 714–728. https://doi.org/10.1037/ort0000306

21.

Ross

L. E.

Doctor

Dimito

Kuehl

Armstrong

M. S.

(2007). Can talking about oppression reduce depression? Modified CBT group treatment for LGBT people with depression. Journal of Gay & Lesbian Social Services, 19(1), 1–15. https://doi.org/10.1300/J041v19n01_01

22.

Ross

L. E.

Salway

Tarasoff

L. A.

MacKay

J. M.

Hawkins

B. W.

Fehr

C. P.

(2018). Prevalence of depression and anxiety among bisexual people compared to gay, lesbian, and heterosexual individuals: A systematic review and meta-analysis. The Journal of Sex Research, 55(4–5), 435–456. https://doi.org/10.1080/00224499.2017.1387755

23.

Schott

(2021). LGBTQI workbook for CBT. Routledge. https://doi.org/10.4324/9781003089285

24.

Singh

A. A.

(2018). The queer and transgender resilience workbook: Skills for navigating sexual orientation and gender expression. New Harbinger Publications.

25.

Snow

Cerel

Loeffler

D. N.

Flaherty

(2019). Barriers to mental health care for transgender and gender-nonconforming adults: A systematic literature review. Health & Social Work, 44(3), 149–155. https://doi.org/10.1093/hsw/hlz016

26.

Spitzer

R. L.

Kroenke

Williams

J. B. W.

Löwe

(2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092

Exploring Applications of a Peer-Facilitated Cognitive-Behavioral Workbook for LGBTQ People: Results From an Acceptability and Preliminary Effectiveness Trial

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