Category: Gay / Lesbian / Bisexual / Transgender Issues

Symposium

Symposium 127 - Applying CBT in Diverse Contexts: LGBTQ+ Treatment Outcomes

Sunday, November 19
8:30 AM - 10:00 AM
Location: Sapphire Ballroom K & L, Level 4, Sapphire Level

Keywords: LGBTQ+ | CBT | Community-Based Assessment / Intervention
Presentation Type: Symposium

Individuals identifying as lesbian, gay, bisexual, transgender, queer, or other sexual and gender minorities (LGTBQ+) are at greater risk for mental health problems compared to individuals identifying as heterosexual and cisgender. Additionally, LGBTQ+ individuals are more likely to seek treatment than heterosexual and cisgender individuals. However, there is currently no data evaluating response to traditional evidence-based treatment (i.e., not modified to specifically address LGBTQ+ needs) for this population. The vast majority of treatment outcome studies do not report on participant sexuality or non-binary gender identities, much less examine whether these subgroups respond similarly to treatment. Traditional evidence-based treatments may not be adequate because they do not specifically attend to the unique cognitive, affective, and behavioral factors that often contribute to psychological symptoms in LGBTQ+ individuals (e.g., stigma, discrimination, concealment of identity). On the other hand, traditional evidence-based treatments may be effective given their powerful effects in general and focus on identifying maladaptive thoughts and behaviors within the individual.


 


 This symposium addresses ABCT’s 2017 theme of “Applying CBT in Diverse Contexts,” and the call for CBT to “represent diverse settings and populations (e.g., LGBTQ).” Specifically, this set of talks presents the first data examining LGBTQ+ individuals’ treatment response to traditional treatment across diverse settings, including the VA, psychiatric hospital, and counseling center. We will answer these questions:


(1)    Why should researchers and clinicians collect information on participant sexual and gender identity and what are the best assessment practices?


(2)   Do LGBTQ+ individuals present to treatment with different mental health needs?


(3)   Do traditional CBT and LGBTQ-affirmative treatments work for LGBTQ individuals?


 


First, Lauren Wadsworth will present data from recent studies highlighting the importance of assessing sexual and gender identity, as well as best practices for doing so. Second, Tyler Lefevor will present data comparing mental health at baseline and treatment response between individuals identifying as LGBQQ or heterosexual in a counseling center database of over 100,000 clients. Third, Courtney Beard will present data comparing mental health and treatment outcomes for individuals attending a CBT-based partial hospital program. Fourth, Jeffrey Cohen will present an affirmative DBT for sexual minority veterans treated in the VA.  Finally, Debra Hope will synthesize the talks and discuss the implications for research and clinical practice. 

Learning Objectives:

Courtney Beard

Assistant Professor
McLean Hospital/Harvard Medical School

Presentation(s):

Send Email for Courtney Beard

Debra A. Hope

Professor
University of Nebraska, Lincoln

Presentation(s):

Send Email for Debra Hope

Lauren P. Wadsworth

University of Massachusetts

Presentation(s):

Send Email for Lauren Wadsworth

Tyler Lefevor

Stanford University

Presentation(s):

Send Email for Tyler Lefevor

Courtney Beard

Assistant Professor
McLean Hospital/Harvard Medical School

Presentation(s):

Send Email for Courtney Beard

Jeffrey Cohen

VA Long Beach Healthcare System

Presentation(s):

Send Email for Jeffrey Cohen


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