Transgender is an umbrella term used to cover the gamut of sexual expressions including transgender individuals, drag queens/kings and those who present in a more androgynous fashion. Substance abuse – It’s not enough for a treatment program to say they are welcoming to the trans community. Successful treatment means developing a deep understanding of the multiple factors that drive a trans person’s addiction and then working through those multiple treatment issues to deliver the strongest evidence-based treatment.
We previously discussed the first step in the process of coming out, self acceptance. Once someone accepts that they are in fact LGBTQ, they are then faced with a situation that no other group of people faces…how, when, where and to whom do they disclose their sexual orientation or gender identity? Most people in our society have a default setting which assumes the people around them are straight. This is an example of heterosexism and it is the reason an LGBTQ person constantly questions whether and when they should come out to those around them. Most people have numerous groups of people to come out to. There are friends to consider, co-workers, fellow students, family members, relatives, friends, and acquaintances and within each group there are subgroups. This can be overwhelming and stressful to think about. As we discussed previously, the stress an LGBTQ person faces around coming out can lead to heavy use of alcohol or drugs and addiction.
A person’s identity as LGBTQ begins to form before the decision is made to come out or not. The more developed someone is in their LGBTQ identity, the more likely they are to disclose themselves to others. Simply stated, the more comfortable someone is with their authentic self, the easier it is for them to come out to others.
Once someone accepts themselves as LGBTQ, remaining in the closet forces them to live a double life, hiding who they truly are and how they feel from other people. This secrecy is exhausting, stressful and lonely. A life of concealment keeps one from truly connecting to others, because no one knows the real you.
Stress and Risks of Coming Out
Feelings of shame often keep the LGBTQ person from sharing their true selves. They often hear that they are bad, or evil or unworthy. Fortunately, things are changing. Over 53% of Americans support marriage equality. But reading and hearing the daily news show that the acceptance is far from universal.
People may withhold the decision to come out to others because of the risk of rejection, fear of physical harm, discrimination, harassment, and a desire to protect loved ones from the stress of coming out. It is not a coincidence that many of the LGBTQ clients struggling with addiction also struggle with some aspect of coming out. Either they came out and faced one of the risks listed above, or they are frozen in fear that one of those risks might result if they were to tell others. It is very common to hear about people struggling with addiction who have compartmentalized their life in an effort to hide certain aspects about themselves from others because of shame.
Some project their own anxiety and shame onto their loved ones as a justification for not coming out to those loved ones. For example, my fear during my closeted years was always that others could not adjust to my uniqueness but really it was me who never gave myself a chance. As a result I developed a false self to live up to the perceived expectations of my family and society so I would not hurt myself or let others down. Yes there is a lot of risk associated with the very brave decision to come out but the other side has unlimited potential. Giving yourself the opportunity to be your unique, honest, and authentic self is one of the most empowering experiences you can do in your life. Coming out does not guarantee it but it provides the opportunity and there are people who are willing to help you reach that place of authenticity.
The Coming Out Process Never Ends
There is a myth about the coming out experience: that it is this milestone event and then after that the individual is in the clear. However, this is not the case and the decision to come out is a lifelong, almost daily process that LGBTQ individuals are faced with. Social contexts and an individual’s environment are constantly evolving and therefore decision whether or not to disclose one’s identity to others is constantly being made.
Even once one comes out to some people in a certain group, there is the stress of wondering who else in the group has been told. For example, coming out to close coworkers can lead one to wondering who those coworkers have told. There becomes an uneasy wondering of “do they know”. Because a person’s sexuality is only part of who they are, it would seem forced and strange to start every conversation with “By the way, I am gay”.
Pride Month is a time to raise awareness of the issues those in the LGBT community have and reach out to others who feel alone. Holding onto shame is a lonely place. Healing occurs from hearing other people’s experiences. New Hope Recovery Center offers the New Hope With Pride Program for those struggling with any aspect of addiction and LGBTQ-related stressors. For more information please visit our website New Hope Recovery Center, call us at 888-707-4673, or email us at firstname.lastname@example.org.
Written By: New Hope Recovery Center
It is estimated that 30 percent of the LGBT population struggles with some form of addiction whether drugs, alcohol, sex or gambling. Contrast that figure with the estimate that approximately 9 percent of the general population is impacted by addiction and it’s not hard to see that addiction is epidemic in the LGBT community. Nowhere is this more prevalent that in the transgender community where rates of addiction tend to be even higher. While most addiction research has focused largely on gay men and lesbians, and less so the bisexual community, it’s important to put equally as much focus on the transgender community. When working with the transgender community, it is important to remember a few key things:
The educated use of terminology is vitally important so a few key elements are:
- Transgender is an umbrella term used to cover the gamut of sexual expressions including transgender individuals, drag queens/kings and those who present in a more androgynous fashion.
- Gender Identity is the gender with which one identifies. An individual may present physically as a male but identify as female (MTF) or an individual may present physically as a female but identify as male (FTM).
- Sexual Orientation is the sex or gender that a person is attracted to. Gender Identity and Sexual Orientation are not the same thing. It’s important as a provider to ask the client how they wish to identify.
- Sex refers to the biological characteristics of a person at birth.
- Gender refers to how a person views themselves in the world – i.e. male, female or some combination.
Best treatment practices should involve a variety of trans-specific elements including:
- Body image – What it means to be male and what it means to be female should be examined. Gender dysphoria – the discontent someone may feel due to the sex they were born as or the gender roles associated with that sex – can be quite prevalent. Messages that are portrayed by the social media related to gender roles can be troubling to the community and cause mixed messages. Additionally, if someone in the trans community had any surgical procedures, scarring or changes in appearance, this can cause additional stress to an individuals body image.
- Grief and Loss – There can be multiple levels to grief/loss that someone in the trans community experiences. Rejection by friends/family, loss related to the person’s physical attributes, doubt dissatisfaction and/or regret related to surgery may add deeper layers to a persons grief/loss. These are all conversations that should be had while engaging in counseling.
- Sexual concerns – How to have conversations with others around being what it means to be sexually engaged is important. When engaging in treatment, it’s important to have frank conversations with a trans individual so they can then learn how to have these conversations with others. Make sure to have these conversations with sensitivity as it is important.
- Social Isolation – It’s important to find ways for those in the trans community to be engaged with others. Social isolation could be a driving factor in someone’s addiction particularly if the person has learned to conceal areas of their life from others such as being a trans individual. It’s important to connect others in the trans community through support groups, 12-step meetings of through therapists specializing in working within the LGBT community. Connection helps someone feels as if they aren’t alone in the world.
Substance abuse – It’s not enough for a treatment program to say they are welcoming to the trans community. Successful treatment means developing a deep understanding of the multiple factors that drive a trans person’s addiction and then working through those multiple treatment issues to deliver the strongest evidence-based treatment.
If you are a member of the trans community, or know someone who is trans, and in need of addiction treatment services contact us! New Hope Recovery Center’s LGBT Program called “New Hope With Pride” is the answer for quality treatment services. Feel free to call us at 773-883-3916 or email at email@example.com.
Written by: New Hope Recovery Center
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