Medically Reviewed
Why Substance Abuse is Higher within the LGBTQ Community

Discrimination and Social Stigma
Despite growing acceptance in the United States, almost all LGBTQ individuals face some level of homophobia and discrimination. This may come from strangers, acquaintances, and even friends and family. They also face the constant threat of workplace harassment, bullying, and even hate crimes.Lack of Support for LGBTQ People
Many members of the LGBTQ community choose to remain “in the closet,” keeping their sexual identity a secret to avoid discrimination. Living this type of double life can create feelings of loneliness and anxiety. Those who do choose to come out often face rejection from family and friends, and as a result often turn to substance abuse to help dull the pain.Internalized Homophobia

Co-Occurring Disorders
Clinical depression, stress, and anxiety disorders are very common among members of the LGBTQ community. These individuals are also prone to mood disorders, eating disorders, and other types of psychiatric problems. In addition, some may suffer from serious health issues such as hepatitis, HIV/AIDS, and other sexually transmitted diseases. Dealing with these medical issues can interfere with the ability and desire to seek substance abuse treatment.The Need for Specialized Treatment Options
Many sexual minorities facing addiction problems are hesitant to seek help from a traditional treatment facility. Group therapy participants, and even some counselors, may display homophobic behaviors or make inappropriate remarks. This prevents recovering addicts from feeling like they can let down their guard, which is essential for successful rehabilitation. In addition, most traditional treatments do not address the specific needs of LGBTQ individuals. This includes learning successful coping methods for dealing with social isolation, family problems, homophobia, and violence. Luckily, rehabilitation centers have recognized this need, and many are beginning to offer LBGTQ-specific addiction treatment programs. It is important for those who need help to know that viable options are available. Reaching out for support takes courage and strength,and it is also the first step towards recovery.References:
- Medley, G., Lipari, R.N., Bose, J., Cribb, D.S., Kroutil, L.A., &McHenry, G.. (2016). Sexual Orientation and Estimates of Adult Substance Use and Mental Health: Results from the 2015 National Survey on Drug Use and Health.