Addressing Minority Stress and Enhancing Resilience with Diverse LGBTQ+ Clients

Nicholas A. Livingston, Brian A. Feinstein, M. Paz Galupo

Springer Nature, Oct 27, 2025 - Psychology - 347 pages

This volume brings together cutting-edge work of LGBTQ+ health experts and master clinicians on the forefront of treatment development, adaptation, and implementation. It is designed for clinicians, educators, students, and researchers who want to implement LGBTQ+ affirming practices today. Every chapter includes rich case examples, clinical dialogue, and lessons learned, with particular attention to under-represented topics (e.g., person-centered assessment, co-occurring trauma and minority stress) and groups (e.g., Black, Indigenous, and People of Color, veterans, older adults, people with disabilities).

Contents

• Setting the Stage for LGBTQ+ Affirmative Therapy: 3
• PersonCentered Screening Assessment and Case Formulation for Diverse LGBTQ+ Individuals: 18
• Affirming Therapy in Response to Minority Stress Among LGBTQ+ Clients: 43
• PatientCentered Treatment for CoOccurring Trauma and Minority Stress: 63
• Helping LGBTQ+ Clients Recover from Conversion Therapy or NonAffirming Care Experiences: 89
• Developmental and Lifespan Considerations: 114
• Facilitating Identity Development and Affirmation Among LGBTQ+ Clients: 117
• Doing Affirmative Cognitive Behavioral Therapy with LGBTQ+ Youth and Their Families: 141
• Addressing Ageism Among LGBTQ+ Older Adults: 167
• Addressing Ableism to Promote the Mental Health of LGBTQ+ Persons with Disabilities: 188
• Underrepresented Groups and Intersectionality: 212
• Addressing Interlocking Systems of Oppression and the Need for Radical Hope and Healing for LGBTQ+ BIPOC Clients: 213
• Interrupting Cissexism and Binary Conceptualizations of GenderSex in Therapy: 237
• Countering AntiBisexual Prejudice and Monosexism in Therapy with Bisexual Clients: 262
• Supporting Asexual and AromanticSpectrum Individuals in Therapy Challenging CommunitySpecific Hardships and Compulsory Sexuality and Rom...: 281
• Addressing Relationship Stigma and Supporting LGBTQ+ Individuals in Consensually NonMonogamous Relationships: 301
• Addressing Interpersonal and Systemic Bias Among LGBTQ+ Veterans: 321
• Index: 344

About the author

Nicholas A. Livingston, PhD, [he/him] is a Principal Investigator and Staff Psychologist in the National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System; an Assistant Professor of Psychiatry at Boston University Chobanian & Avedisian School of Medicine; and Lecturer in the Department of Psychology, Harvard University. For over 15 years he has studied the effects of trauma, discrimination, and minority stress on health among LGBTQ+ individuals. Other primary research interests include PTSD and substance use and disorder (SUD) comorbidity, treatment access and outcomes, and adverse events (e.g., relapse, overdose, suicide). Primary clinical expertise includes evidence-based SUD and PTSD treatment, and patient centered adaptations to evidence-based care for LGBTQ+ people. Dr. Livingston is an Associate Editor of Behavioral Medicine, Contributing Editor of StressPoints for the International Society for Traumatic Stress Studies, and serves on the editorial boards of Psychology of Sexual Orientation and Gender Diversity and Cognitive and Behavioral Practice.

Brian A. Feinstein, PhD, [he/him] is a Professor in the Department of Psychology at Rosalind Franklin University of Medicine and Science and a Licensed Psychologist in Illinois. His program of research focuses on understanding and reducing the health disparities affecting sexual and gender minority (SGM) populations, especially bisexual, pansexual, and queer (bi+) individuals. In particular, his work focuses on understanding how different types of stress (e.g., discrimination, internalized stigma, rejection sensitivity) influence mental health, substance use, sexual behavior, and relationship functioning among SGM individuals and couples, and developing and testing interventions to improve health and relationships in these populations. He is an Associate Editor for the journals Psychology of Sexual Orientation and Gender Diversity and Behavior Therapy and serves on the editorial board of the Journal of Consulting and Clinical Psychology.

M. Paz Galupo, PhD, [they/them] is the Audre Lorde Distinguished Professor of Sexual Health and Education at Washington University in St. Louis and Director of QT-CREW (Queer/Trans Collective for Research on Equity & Wellness). Dr. Galupo’s research centers the intersection of sexual orientation and gender identity, with a particular focus on understanding non-binary expressions of bisexual/plurisexual and transgender experience, as well as on queer and trans BIPOC. Dr. Galupo is currently Editor for Journal of Bisexuality, and the Editor for the official Division 44 APA journal, Psychology of Sexual Orientation and Gender Diversity.

Bibliographic information

• Title: Addressing Minority Stress and Enhancing Resilience with Diverse LGBTQ+ Clients; CBT: Science Into Practice; Behavioral Science and Psychology; Behavioral Science and Psychology (R0)
• Editors: Nicholas A. Livingston, Brian A. Feinstein, M. Paz Galupo
• Publisher: Springer Nature, 2025
• ISBN: 3031928369, 9783031928369
• Length: 347 pages
• Subjects: Psychology / Applied Psychology; Psychology / General; Psychology / Psychotherapy / General