Handling discussion with LGBTQ/questioning adolescents

Home Echo Discussions Module 4 Discussion Handling discussion with LGBTQ/questioning adolescents

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    This was a great video. I really appreciated the sensitivity of how the topic was handled. I wonder if there are any resources on handling this discussion with LGBTQ/questioning youth, and parental involvement if the youth have not disclosed this with their parents.


    I agree this was a fabulous video.  I certainly appreciated how he kept the 15 yo involved as his parents sat by his side; That’s a great point, LGBTQ community is certainly a hot topic, addressing appropriately, youth needs in general.

    I certainly appreciated the moderators tone of voice  and empathy; I perceived he was able to make the father feels somewhat calmer and open to having this discussion.



    I love that you brought up the concept of how this topic may present differently with LBGTQ patients. We definitely need to be sensitive to this situation, especially that the young person may not have disclosed sexuality and gender identity concerns with the parents. I think that emphasizes what some other threads have discussed around providing an opportunity to speak with the patient independently prior to meeting with the parents (when appropriate) to ask permission to discuss these issues in front of the parents and inquiring if there are things that it would be helpful for the psychologist to know about the patient prior to initiating the group discussion. I keep wondering about how this meeting was presented/introduced to the family prior to the appointment with the psychologist and how providers bring up the topic with patients/families. I also appreciate the idea of providing information in multiple formats to help acknowledge that everyone learns and processes information differently.

    However, I feel the psychologist did a great job of opening with asking the family what they understand about why they are there and what has been shared about the impact to the patient’s fertility. I appreciate the normalizing of feeling overwhelmed and pressured to make decisions as I am sure these are topics not previously discussed or thought of at this age by the family. The psychologist did a nice job of being informative, compassionate and outlining goals for the appointment. I appreciate that he emphasized that it is the patient’s (family’s) decision and that there is no right or wrong decision – just the decision that is right for them. Well done overall and a nice model to follow.

    I would love to see an example of how the value tools are used in practice in this situation.

    Great thread topic. I think we could spend hours looking at how to do things slightly differently with different populations. All of which would be helpful and fascinating to learn more about.


    This is a great topic!  For multiple reasons, it is important to talk with patients without their parents pregnant. They often hold back information such as gender identity and sexual orientation. Since we also need to educate the patients on proper birth control while on treatment, it’s important to inquire if they might be sexually active. They might not disclose this properly in front of the parents.


    Such a good point about handling this discussion with LGBTQ/questioning youth.  It’s a topic that many providers overlook or are not comfortable with- all the more important with the issues of fertility.  Meeting separately certainly can create a safe environment for that if the patient has not revealed their sexual preference or identity to their parents.  Thank you for bringing this up!

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