Common challenges
Everyone who has a substance use disorder is dealing with a unique set of challenges, but there are some common experiences among the LGBTQ community.
Coming out
The process of self-identifying as LGBTQ is a unique and personal experience. For some, expressing or accepting an LGBTQ identity can be confusing, frightening, or uncomfortable. Many LGBTQ individuals may worry about the reactions of their family members, co-workers, and friends — and may experience strained relationships or even rejection. Some people may turn to drugs and alcohol to relieve the stress of various stages of the coming out process, or to cope with a negative reaction to revealing their identity.
Homophobia
No matter where they live or the degree of acceptance and support they receive from their friends and family, many people who identify as LGBTQ encounter homophobia and discrimination at some point in their lives.
There are many ways in which this type of discrimination can make itself known. People may distance themselves from friends or family members when they come out. Employers or co-workers may find ways to avoid hiring or supporting career advancement for LGBTQ workers.
LGBTQ individuals are also sometimes the target of hate crimes. In 2021, more than 1,100 reported hate crimes resulted from a sexual orientation bias. Survivors of violent crimes, such as sexual assault, often experience symptoms of mental health conditions like depression and PTSD.
According to the Substance Abuse and Mental Health Services Administration, for some people, coping with homophobia may be traumatic and can lead to feelings of shame or anxiety about their identity. LGBTQ individuals may use drugs or alcohol to mask unpleasant feelings or memories associated with experiencing homophobia. In addition, some people who develop a dependence on drugs or alcohol may resist seeking help, fearing that admitting to an addiction will add another minority status to their sexual or gender identity.
