LGBTQIA+ people often face discrimination that can make accessing and receiving mental health care more difficult. Healthcare workers may not understand their needs, and negative interactions can make it less likely that people will seek help when they need it. And as the community continues to face discriminatory legislation across the country, both seeking and receiving help are a huge feat in themselves.
Case in point: as of July 17, 2025, the ‘press 3 ‘option of the 988 Suicide and Crisis Lifeline—which served to connect LGBTQ+ youth to a gender-affirming counselor—has since been discontinued. While the 988 hotline will remain active, counselors responding may or may not be specifically trained to address the unique mental health needs of this group.
In a recent survey of more than 18,000 LGBTQ+ young people between the ages of 13 and 24, 39% of respondents said that they’d seriously considered attempted suicide in the past year, with 12% attempting. Such findings point to a need for psychological services that are designed to meet the needs of LGBTQIA+ people.
Whether you are looking for help for yourself or are a supportive ally, there are still several mental health resources that can address this need.
Crisis Resources
If you or someone you care about is experiencing a crisis, the following hotlines can help you locate trained counselors, information, and other resources.
Crisis Text Line
Text LGBTQ to 741-741
Texting the Crisis Text Line will connect you to a crisis counselor who can offer support. This resource is available 24 hours a day, seven days a week.
The Trevor Project
1-866-488-7386 or text START to 678-678
The Trevor Project is the world’s largest crisis intervention organization for LGBTQIA+ young people under the age of 25. You can reach them by phone, text, or chat 24 hours a day, seven days a week.
Trans Lifeline
1-877-565-8860
Trans Lifeline is a service devoted to offering care and support to transgender people. It provides peer support from a place of experience since the organization is staffed by trans individuals.
LGBT National Hotline
1-888-843-4564
The LGBT National Hotline is for people of all ages and offers a confidential, anonymous place to talk about issues including coming out, identity, bullying, safe sex, anxiety, and other concerns.
Online Resources
There are also a number of organizations that provide resources, education, and other services online. Some of these include:
Gay, Lesbian & Straight Education Network (GLSEN): Student Action
Gay, Lesbian & Straight Education Network (GLSEN) is an organization that offers information designed to help students take action and initiate changes in their schools and communities. Students who are interested in starting a Gender and Sexuality Alliance in their school can register to find resources and learn more about how student-led movements can help foster more inclusive schools for all students.
One study found that schools with anti-homophobia groups such as gay-straight alliances (GSAs) significantly reduced the risk of suicidal thoughts among both LGBTQ+ students and straight students.
GLMA Health Professionals Advancing LGBT Equality
GLMA Health Professionals Advancing LGBT Equality is an organization that works to connect people who are lesbian, gay, bisexual, and transgender with welcoming healthcare providers. You can visit the site to search their provider directory to find healthcare professionals in your area.
True Colors United
The True Colors United focuses on ending homelessness among LGBTQ+ youth. In addition to providing learning resources and advocacy, they also provide fundraising guides for those interested in raising money to support LGBTQIA+ youth.
Therapy Services
There are also therapy services that specialize in treating LGBTQIA+ individuals. Online therapy, in particular, is an increasingly important way for people to access affirming therapy that is sensitive to the needs of lesbian, gay, bisexual, transgender, queer, and questioning people.
Pride Institute
Pride Institute offers inclusive recovery programs for LGBTQIA+ people. They offer both residential and outpatient treatment programs for substance use and addiction. This treatment provider also offers a family therapy program, a sexual health program, mental health referrals, and telehealth options.
Pride Counseling
As of November 1st, 2023, Pride Counseling no longer exists separately from its parent company, BetterHelp. BetterHelp claims that LGBTQIA+-affirming therapy services are still available.
Pride Counseling offers online therapy to members of the LGBTQIA+ communities. This service features counselors who not only specialize in helping people who are LGBTQIA+, they also have experience with a range of issues including stress, depression, anxiety, sleep problems, trauma, relationships, self-esteem, and interpersonal conflicts.
Support Groups
PFLAG
PFLAG was the first organization devoted to helping parents, families, and allies support LGBTQIA+ people. Today, the organization supports a network of more than 400 local chapters found throughout the United States. Through their site, you can locate or even start a local chapter of the support organization.
Q Chat Space
Q Chat Space allows LGBTQIA+ teens to participate in online support groups that are professionally facilitated. All members are verified and the facilitators guide conversations and enforce group rules to ensure safety. The site also offers an option for Spanish-speaking LBGTQIA+ youth.
Youth Resources
Challenges that teens may face include lack of acceptance from their families and bullying by peers, both of which may play a role in increasing the risk of mental health concerns.
Statistics suggest that LGBTQIA+ teens have a higher risk for mental health conditions including anxiety, depression, and substance use.
Nearly half (49%) of LGBTQ+ young people ages 13-17 had experienced bullying in the past year, with higher rates of attempting suicide among those who’d experienced it. Despite this, only half (50%) of LGBTQ+ young people who wanted mental health care in the past year were able to get it.
Some organizations that offer services specifically for LGBTQIA+ youth include:
It Gets Better Project
The It Gets Better Project works to remind LGBTQIA+ youth that there is hope and that no matter how things might be now, it does get better. The site offers resources and stories from people all over the world to encourage, uplift, and empower young people and to let them know that they are not alone.
LGBT National Youth Talkline
1-800-246-7743
The LGBT National Youth Talkline, provided by the LGBT National Help Center, is aimed at teens and features trained peer counselors who can offer advice and information on topics such as sexual health, coming out, mental health, and other topics. They also feature a national resource database where you can search for youth groups, community centers, and other support resources in your area.
Love Is Respect
1-866-331-9474
Love Is Respect offers resources for teens about healthy relationships and dating violence. The site has a section specifically for LGBTQIA+ teens with information about dating abuse, personal safety, supporting others, and other topics. In addition to providing information about healthy relationships, they also have counselors available to provide support, advice, and education.
The National Runaway Safeline
1-800-786-2929
The National Runaway Safeline works to provide resources and assistance to young people who have run away from home. They also work to help those who feel unsafe in their home or who are thinking of running away. They can provide assistance with transportation, shelter, counseling, and returning home.
How Mental Health Resources Can Help
The minority stress model suggests that the increased rate of mental health issues among LGBTQIA+ individuals stems from their experiences with rejection and discrimination. The good news is that affirmative peers, social support systems, and professional mental health services can be helpful for people who are experiencing minority stress.
A 2019 research report by The Trevor Project found that LGBTQIA+ youth who had at least one accepting adult in their lives were 40% less likely to report attempting suicide in the previous year.
Having access to support is essential. The Trevor Project 2021 report found that LGBTQIA+ youth who had access to supportive spaces that affirmed their gender identity and sexual orientation had lower rates of attempted suicide. Many young people also reported that despite hardships, they also found strength and joy through things such as representation in media, learning more about LGBTQIA+ history, and therapy.
Other Ways to Get Help
If you are dealing with a mental health issue, it is important to get help. Discrimination can not only lead to increased risk for mental health issues like depression and anxiety, but it can also affect the amount and quality of support that people may have from their own families.
In cases where people experience rejection by their own family, reaching out to friends and other sources of support is essential. Talking to a mental health professional can be helpful.
You might start by discussing the issue with your doctor, who may be able to recommend a supportive professional in your community. You may also check with some of the resources listed above to find therapists or support groups in your community.
