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4 Building Resilience in Therapy

An overview of how therapy can intentionally build resilience in LGBTQ2+ youth by centering safety, affirmation, and contextual understanding. The material emphasizes the therapeutic relationship as a primary protective factor, highlighting consistent use of chosen names and pronouns, validation of discrimination experiences, and transparent repair as essential clinical interventions. Distress is reframed through a minority stress lens, recognizing anxiety, withdrawal, anger, or depression as meaningful responses to environmental harm rather than inherent pathology. By strengthening agency, supporting boundary-setting, and expanding decision-making capacity, therapy becomes a catalyst for reducing shame, increasing self-trust, and connecting youth to broader systems of support that sustain long-term wellbeing.