There are many theoretical models about LGBTQI+ identity development and the stages of the coming out process. These can inform mental health professional’s practices in the following ways:
It is important for mental health professionals to be acquainted with these theoretical concepts and be able to use them. Also, the model can be helpful in pointing out for clients that they are not alone and not a “freak”: the experiences they have are completely common and many others have had similar experiences.
However, it is crucial that these models should not be used for prediction, or understood as a “guide” that each individual has to follow in their processes, rather as an aid in better understanding the client’s current situation.
| Always keep in mind that sexual and gender identity development is a complex, multidimensional, individual and often fluid process. One must consider cognitive, social, emotional, cultural, social and familial complexities of the individual’s experience to contextualize the narrative of sexual identity development and coming out. |
There is a risk that mental health professionals might pressure their LGBTQI+ clients to come out as a part of their process of self-acceptance. One can think that being out is “good”, “healthy” and generally a happy place to be, and being in the closet must be “unhealthy” and “bad” for the individual. The assumption can be that LGBTQI+ persons feel bad up until they reach the “final” stage, in which they are completely and comfortably out. In reality, there is no “final” stage and being out looks different to everyone. Coming out is certainly a journey with challenges, but it is unhelpful to think about it in this black and white way. Earlier stages in the process are not inherently bad or horrible, there can be a lot of joy, freedom and meaningful transformation found in them. LGBTQI+ persons don’t need to be saved from the early stages of the process. A mental health professional must try to avoid the role of the savior, which they can easily pick up based on the outlined binary ideas about coming out.