In theories of the last decade, discussion around sexual orientation has been expanded to reflect its natural fluidity.
Sexual preference is seen as a spectrum and it fluctuates according to social and temporal context. Sexual orientation, gender identity, sexual preferences, and relationship choices vary and each one is turned into a personal narrative during the therapy session.
Apart from that, the issues brought up in therapy do not differ from the ones brought up by the general population. However, they occur in a social environment that adds another dimension to those issues for the LGBTQ+ community; that of being accepted or not. Internalised self-oppression pushes the individual to question their own identity. Having common experiences and sharing them can help the person in building an identity by including all the different aspects of their personality.
"LGBTQ+Therapy is cognisant of the social context in which gender and sexual diversities live as well as the particular concerns of each individual. It works with the hypervigilance and consequences of living within a society which is biased towards heteronormativity and binary conception of gender. It helps clients understand their experiences and the impact of external oppressions, how they are internalised and a range of issues specific to these populations and communities. It stresses the need for clients to self-define and for developing personally relevant values and moral codes.”
(Olivier Cormier-Otaño and Dominic Davies)