I have identified as a lesbian for as long as I have battled anxiety. I came out to my family and friends 13 years ago, unaware that my sexual orientation would be one of the biggest triggers of my anxiety symptoms. Those in the lesbian, gay, bisexual, transgender, queer, intersex, asexual, etc. (LGBTQIA+) community who also have a mental illness face many obstacles regarding public treatment. The constant worry of judgment and non-acceptance when out in public can lead to heightened anxiety. Holding on to what we can control and educating others about our community can help calm this worry.

Common wisdom and social research both tell us that accepting who we are and being open about our sexual identity brings mental health benefits, despite the negative consequences we may experience for doing so. Many of us who have come out LGBT know that coming out as a sexual minority is risky and the consequences are real, particularly in the workplace. We also know that coming out is not a one time thing. It is a never ending process of interacting with others while trying to remain as true to ourselves as possible. Whether it is correcting co-workers who assume the ring on my finger means I have a husband, or telling my boss the woman in the picture frame isn't my sister, we are always making a moment by moment decision about disclosing who we are.