Unfortunately, living in Russia, you will agree, it is difficult to express even a word or opinion, and even more so, to open up to society, presenting yourself as someone else. Join the LGBTQQI*+ community. Coming out. In addition, the constant “imposition” by the state and society of far-fetched values, at the same time tightening the punishment for admitting that you are not like everyone else, leads to very serious consequences from a mental point of view. This is why many clients - if they come to a psychologist - do not reveal their true anxieties, and they have to spend considerable time for them to open up and assert themselves. And it’s not even a matter of empathy, congruence and acceptance of the client on the part of the specialist, which is one of the most important principles of work. It's about automatic thoughts, stereotypical thinking or stereotyped thinking - whatever you want to call it (depending on the school). The client cannot get rid of the prejudice in any way, which will certainly end up in reproach, in an attempt to convince others, etc., and subsequently they will begin to guide him or help him get rid of this “obsession.” It is known that everyone who falls under this group is subjected to violence and more psychological: they are influenced by huge amounts of stress factors, discrimination and general negativity from society. They are at risk for emotional distress. I do client-centered therapy, so I have come up with a few simple rules that help in my work and help clients process requests faster and more clearly. Let's start with a specialist: Despite our residence in a country that is trying in every possible way to impose certain invented, out-of-context values ​​and bonds, it is known that ICD-11 (International Classification of Diseases) defines homosexuality (we say the same thing about bi/intersexuality) completely excluded from pathology. In ICD-11, any mention of sexual orientation as a medical problem has finally disappeared. Relationships with persons of any gender (or with those who have not decided on their gender), if they are adults, capable people, are now of no medical interest. It must be said that ICD-10 did not consider different sexual orientations to be a pathology. But if a person wanted to get rid of gay orientation, the “patient” could receive a diagnosis and treatment. Another thing is that worries about one’s own attraction can cause depression, such as “puberty disorder”, “sexual relationship disorder”. At the same time, experts believe that in such cases there is no point in looking for any other approach, but to deal with depression as such. Most importantly, the group's report states: "Given that expressions of same-sex orientation continue to be highly stigmatized in some parts of the world (as are other expressions of other orientations), the psychological and behavioral symptoms observed in people who are not heterosexual may be the product of hostile social reactions, and not an expression of psychopathology" [1] Contrary to understanding, that one of the main reasons for the occurrence of homosexuality/transsexuality is associated with the family factor does not always turn out to be a correct hypothesis. Reading the literature [2], I became convinced that some teenagers were both very worried and terribly ashamed of their identity, but no obvious signs of the reasons for the desire to change due to the “past” were observed. From here it follows that the problem is not in gender identity as an attempt to extract it, but in the request itself, which you and the client find and work through. In other words, this is an ordinary, normal, mentally healthy client. If, for some reason, a specialist feels low tolerance inside, then I advise you to undergo personal therapy. Of course, it is advisable to know such phenomena as “homosexual”, “transsexual”, “bisexual”; have an idea about queer and intersex people. As for clients, I will also try to give recommendations: In all cases, psychologists do not work on.