[The LGBTQ + community faces adversity every day in the form of judgment, lack of access to medical care, legal discrimination, discrimination in the workplace, and so much more. A common phrase used by those who do not scorn attempt to understand and support this community is “no one would choose a life that hard and cruel”. And, it is true. In fact, many choose to hide who they feel they are in an attempt to avoid the discrimination and shame pushed upon those who are openly gay, lesbian, bisexual, transgender, or queer. However, the internalized feelings of shame can be just as traumatic and harmful. With the hatred and struggle that the LBGTQ community faces, it is no wonder that drug abuse and self-harm are ways that some cope with common mental health issues they experience.
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LGBT Substance Abuse Statistics
According to numbers published by the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III), those who identify as a part of the LGBTQ + community are drastically more likely to struggle with a substance use disorder than their heterosexual counterparts. Additionally, the survey reported that those who were unable to identify their sexual identity were as much as 5x more likely to have a substance use disorder than someone who identifies as heterosexual.
LGBT Youth Substance Abuse Statistics
Studies have found that more than ¾ of high school seniors in the U.S. have tried alcohol, almost ½ have tried marijuana, and almost ¼ have abused prescription drugs. Consider how this may factor in with the following statistics on LGBTQ teens:
- They are twice as likely to be victims of bullying, exclusion, or assault while at school
- They are 40% less likely to have a parent or adult figure in their family who they feel safe and comfortable talking to openly
- They are twice as likely to try drugs and alcohol as their heterosexual counterparts
The rates of drug use among teens are astounding enough in general, however, the first 2 statistics bulleted make the 3rd no surprise at all.
So, the question is “what can be done?”
LGBT Mental Health Resources
As discussed in a Healthline article about LGBTQ Substance Abuse issues, gay bars and clubs have long been a “safe haven” for individuals who are a part of this community. This is especially true for those who have been exiled from their families and previously close friends. However, I use the term “safe haven” loosely, because, when has a club or bar ever really been the safest place?
Being that LGBTQ teens often don’t feel that they have adults in their family they can talk to and bars full of alcohol and drugs are common places to gather, it is easy to determine that creating safe spaces for the LGBTQ community is a major starting point to addressing the mental health issues they face. From LGBT-friendly community centers to addiction treatment facilities, creating physical space and holding emotional space for these individuals can go a long way.
To explore additional resources currently available to individuals and families of the LGBTQ + community struggling with mental health and substance use disorders.
FAQs About Addiction Issues Among the LGBTQ+ Community
Why does this community face unique challenges with addiction?
Many people in the LGBTQ+ community experience extra layers of stress, such as feeling like they don’t fit in or facing unkindness from others. When life feels heavy or unfair, it’s common to look for a way to “turn off” those feelings. This is why addiction can sometimes take hold—it starts as a way to cope with the pain of being treated differently.
Is it harder to find support when you are LGBTQ+?
It can be. Sometimes, people worry that a doctor or a counselor won’t understand their life or, worse, might judge them. This fear can keep people from asking for help. Finding a “safe” space where you can be your 100% authentic self is one of the most important parts of getting healthy. When you don’t have to hide who you are, you can focus all your energy on getting better.
How do social scenes affect recovery?
For many, the most welcoming places to meet other LGBTQ+ people have traditionally been bars or clubs. When your whole social circle revolves around “going out,” it can feel like you’ll lose your community if you stop drinking or using drugs. Recovery often involves finding new, sober ways to celebrate pride and friendship, like game nights, outdoor meetups, or community centers.
What should I look for in a recovery program?
Look for a place that is “affirming.” This means the people working there understand and respect your identity, your pronouns, and your relationships. You shouldn’t have to “teach” your counselor about your life; they should already be prepared to support you. Feeling respected and seen makes a huge difference in how quickly you can heal.
How can family relationships impact the journey?
Family rejection is a very painful experience that can lead to substance use. On the flip side, “chosen family”—friends who become like brothers and sisters—can be the strongest support system during recovery. Building a circle of people who love you for exactly who you are is a powerful shield against the urge to use.
What is the best way to help an LGBTQ+ friend who is struggling?
The best thing you can do is be a “safe harbor.” Let them know that you love them and that their identity is a gift, not a problem. Encourage them to find spaces where they feel celebrated. Sometimes just knowing that one person truly “gets it” can give someone the courage to take the first step toward a healthier life.