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Providing Behavioral Health Treatment to LGBTQ+ Populations: Introductory Ethical and Clinical Considerations

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1.  What is one psychological theory often utilized to describe the prevalence of inter- and intra-personal stressors among LGBTQ+ people?
  1. James-Lange Theory of Emotion (Dewey)
  2. Transactional Stress and Coping Theory (Lazarus & Folkman)
  3. Minority Stress Theory (Meyer)
  4. Model of Gay and Lesbian Identity Development (Cass)
2.  Which of the following terms most accurately reflects someone’s sex assigned at birth (or birth sex)?
  1. Male
  2. Woman
  3. Gay
  4. Feminine
3.  Which of these is the most appropriate action once a therapist realizes they have misgendered a client or used an outdated term related to the client’s identity in session?
  1. Apologize until it appears your client is comforted
  2. Provide a defense or rationale for your error
  3. Acknowledge your error, apologize, and continue with the session
  4. Ignore the error and hope the client didn’t notice
4.  Based on the 2022 study published by The Trevor Project, which of the following is associated with higher levels of social support among LGBTQ+ youth?
  1. Decreased alcohol use
  2. Fewer suicide attempts
  3. Increased income
  4. Increased anxiety
5.  Based on the research referenced, which is NOT a typical reason why LGBTQ+ people may delay or forego psychotherapy, despite recognizing mental health concerns in their lives?
  1. Fear of having their LGBTQ+ identities pathologized in therapy
  2. Concerns about being discriminated against by their therapist
  3. Prominent negative past experiences with health and wellness providers
  4. Fear of being institutionalized by their therapist
6.  Data from the All of Us Research Program has recently indicated that, compared to cisgender and heterosexual people, LGBTQ+ people generally have higher odds of experiencing which of the following conditions:
  1. Tobacco use disorder
  2. Cardiovascular disease
  3. Diabetes
  4. Narcissistic personality disorder
7.  According to the Williams Institute’s recently published findings from the 2020-2021 BRFSS survey data, what percentage of young adults ages 18-24 identify as LGBTQ+?
  1. About 1 in 3
  2. About 1 in 6
  3. About 1 in 10
  4. About 1 in 20
8.  Which of the following would represent a helpful response from a therapist to a teenage client who discloses that they are questioning their gender identity?
  1. Inform the client’s parents of this news
  2. Immediately transfer the client to a new therapist
  3. Communicate that this is normal and provide support in a manner that falls within one’s competence level
  4. Ask the client what gender-affirming procedures most interest them
9.  What is one common argument for why a therapist would include their pronouns in their e-mail signature?
  1. To ward off clients who have conservative views
  2. To encourage potential gender-diverse clients to come out during the intake appointment
  3. To impress fellow therapists
  4. To indicate to potential gender-diverse clients that pronouns are respected in their practice
10.  Which of the following is an experience that an LGBTQ+-identified client may uniquely present with in therapy?
  1. Depression
  2. Internalized homophobia/transphobia
  3. Difficulty maintaining social connections
  4. Psychosis

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