Almost everyone I know that identifies as LGBT+ has a history of depression and/or anxiety. There is a framework that says that the prevalence of these diagnoses in our community is a result of minority stress. Stigma, prejudice, and discrimination create unhealthy and oppressive environments and experiences that negatively impact our mental health. We experience a variety of stresses as a result of our sexual orientations. These include expectations of rejection, actively hiding our authentic selves, processing and struggling with internalized homophobia, and suffering from a multitude of social pressures. Harm comes from both internal struggle and external treatment.
Precipitating trauma negatively impacts one’s wellbeing. Being lesbian, gay, or bisexual heightens one’s vulnerability to mental illnesses because individuals with marginalized statuses face repeated exposure to stress. They experience chronic social stress due to social environments that promote pervasive homophobia. Individuals with queer identities have higher rates of mood disorders, anxiety disorders, and substance abuse disorders than cisgender heterosexual people. The rates are even higher in people of color because of the additional layers of oppression that they face.
This isn’t shocking. Of course being part of a demographic that is judged and persecuted can negatively impact one’s emotional well-being. However, when I was looking into the link between mental health and queer identities, I saw studies that hinted that mental health is also impacted by whether or not someone is in the closet. A study conducted by researchers from the University of Montreal indicated that coming out positively affects biological and mental health. In this study, it was found that gay and bisexual men had a lesser chance of depression, anxiety, and high cortisol levels than heterosexual men. Additionally, it was found that lesbian, gay, and bisexual individuals had lower stress levels and lower chances of exhibiting depressive symptoms if they had come out to their friends and family. It makes sense that mental health might improve if individuals come out to their friends and families and are accepted and well received. The stress of “being found out” lessens, and they would not feel the pressure of keeping who they are a secret. If they aren’t actively trying to suppress their sexuality or keep their orientation hidden, their stress levels would likely lessen. However, if their friends and families reject them, they will likely experience an adverse effect. The impact that coming out has on an individual really depends on their level of support, group identity, and safety.
It’s important to note that this study only looked at a group of 46 lesbian, gay and bisexual people. Because it is so limited, these results are not definitive and do not represent our community at large. However, it does support the idea that it is necessary for society to continue to carry on with progressive policies in order to protect queer lives, lessen stigma, and promote higher social acceptance of LGBT individuals. If society works to create environments in which people can safely come out, queer people will physically and emotionally benefit.