Leone Centre Glossary

Coming Out in LGBTQI Therapy

Coming Out

Coming out is the process of acknowledging and openly sharing one’s sexual orientation or gender identity. This step is often a significant and deeply personal milestone for individuals within the LGBTQI community. It involves working through a complex array of emotions, societal expectations, and personal beliefs.

The Role of Coming Out in Psychosexual Therapy

Psychosexual therapy offers a supportive environment where individuals can explore their sexual orientation and gender identity. This type of therapy addresses the psychological and emotional aspects of sexuality, providing a safe space to discuss feelings, fears, and experiences related to coming out.

Challenges in the Coming Out Process

The journey of coming out can be fraught with challenges. These may include fear of rejection, internalised stigma, and concerns about how friends, family, and colleagues might react. Psychosexual therapy helps individuals confront these challenges, encouraging resilience and self-acceptance.

Therapeutic Support

In psychosexual therapy, therapists work with individuals to understand their feelings and experiences. This support includes:

  1. Exploring Identity: Helping individuals understand and articulate their sexual orientation or gender identity.
  2. Building Self-Acceptance: Encouraging an affirming self-view and reducing internalised negative beliefs.
  3. Preparing for Disclosure: Assisting with pathways for coming out to friends, family, and others in a way that feels safe and empowering.
  4. Managing Reactions: Providing tools to handle various reactions from others, whether supportive or challenging.

Creating a Safe Space

Psychosexual therapists create a non-judgemental and empathetic environment. This safe space allows individuals to express themselves freely and work through their feelings without fear of judgement or misunderstanding. Therapists are trained to understand the unique issues faced by the LGBTQI community, ensuring relevant and sensitive support.


What is the focus of psychosexual therapy?
Psychosexual therapy focuses on the psychological and emotional aspects of sexuality, helping individuals address issues related to sexual orientation, gender identity, and sexual health.
How can psychosexual therapy assist with coming out?
Therapists provide a supportive space to explore one’s identity, build self-acceptance, prepare for coming out, and manage the responses of others. They offer guidance and support adapted to the individual’s unique situation.
What if I am not ready to come out?
The decision to come out is personal and should be made at one’s own pace. Psychosexual therapy can help individuals explore their feelings and make informed decisions about coming out when they feel ready.
Are psychosexual therapists knowledgeable about LGBTQI issues?
Yes, psychosexual therapists are trained to understand and address the unique challenges faced by the LGBTQI community, providing informed and compassionate support.


  1. Stonewall – Coming Out: Your Guide
  2. Psychology Today – Coming Out
  3. Mind – LGBTIQ+ Mental Health: Coming Out
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This glossary provides definitions of various counselling terms and approaches for informational purposes only, without implying endorsement or service provision