“We want our therapist to talk with us about sexuality and gender diversity”: Qualitative perspectives of adolescents and professionals in youth mental health care.

Abstract

Abstract Introduction: For youth with psychiatric conditions, sexual and gender identity development can be challenging. Mental health care professionals (MHPs) often avoid communication about sexuality, sexual side effects, and gender diversity with youth. The aim of this study is to gain insight into the perspectives of youth in mental health care and professionals about sexuality and gender diversity communication. Methods: In-depth interviews with 21 adolescent patients (aged 15–22 years) and focus groups were conducted with 20 MHPs (aged 26–55 years) at a mental health care institution in Amsterdam. During analysis, the experiences, needs, and underlying inhibiting and facilitating factors of both groups were derived and analyzed. Results: Both youth patients and MHPs stated that sexuality and gender identity should be a part of mental health care. Youth described the impact and interplay between mental health, sexuality (e.g., sexual experiences, romantic relations, sexual orientation), and gender identity. Both groups want sexual side effects of psychotropic medication to be addressed when prescribing medication. Cultural and faith-based factors should be considered, especially for LGBT+ youth. Conclusion: Youth patients and MHPs feel that sexuality and gender identity should be a standard part of youth mental health care. Confidential conversation with an MHP can provide a designated place to talk about these sensitive subjects. Mental health care institutions should implement sexuality and gender diversity communication in clinical practice.