The American Psychiatric Association (APA) has a strong history of advocating for LGBTQ+ rights and addressing mental health disparities within the LGBTQ+ community. Key statements include removing homosexuality from the list of mental disorders in 1973 and affirming the importance of evidence-based, inclusive care for transgender, gender-diverse, and nonbinary individuals.
Removal of Homosexuality from DSM:
In 1973, the APA removed homosexuality from its official list of mental disorders, recognizing that same-sex attraction does not inherently indicate impairment in judgment, stability, or social functioning.
- Opposition to Conversion:
The APA strongly opposes “reparative” or conversion therapies, which are based on the assumption that diverse sexual orientations and gender identities are inherently mentally ill.
Affirming Care for Transgender and Gender-Diverse Individuals:
The APA has adopted policies that support evidence-based, inclusive care for transgender, gender-diverse, and nonbinary individuals, emphasizing access to psychological and medical gender-affirming care, and the importance of involving parents, guardians, and young people in treatment decisions.
Addressing Stigma and Discrimination:
The APA acknowledges the negative impact of stigma and discrimination on the mental health of LGBTQ+ individuals and advocates for policies that promote social justice and equity.
Supporting LGBTQ+ Civil Rights:
The APA has long supported civil rights legislation to protect the rights of LGBTQ+ individuals, including equal rights under the law and protection from discrimination.
In essence, the APA’s statements on mental illness and LGBTQ+ issues reflect a commitment to:
- Scientific accuracy:
Recognizing that sexual orientation and gender identity are not mental disorders, and that they do not inherently lead to impairment.
- Human rights:
Advocating for the rights and well-being of LGBTQ+ individuals, including access to quality mental health care.
- Inclusivity:
Promoting evidence-based, inclusive care for transgender, gender-diverse, and nonbinary individuals, and advocating for policies that advance health equity.