Understanding Intersectionality in Therapy for Queer and Gender Expansive Individuals

The Importance of an Intersectional Approach

When I support queer and gender expansive individuals in therapy, one thing is always clear: no identity exists in a vacuum. While gender and sexuality are core parts of who someone is, they are never the full story. Every person brings with them a tapestry of other identities—cultural heritage, race, religion, migration history, class, disability, family roles—and these all intersect to shape how we experience the world. This is why an intersectional approach is so important.

The term “intersectionality” was coined by legal scholar Kimberlé Crenshaw. It describes how social systems of oppression—like racism, sexism, homophobia, transphobia, and classism—don’t act independently of each other. They overlap and reinforce one another, creating unique experiences of marginalisation and resilience.

Recognising Nuance in Lived Experiences

Without this lens, it’s easy to miss the nuance of someone’s lived experience. For example, a queer South Asian client may struggle with navigating cultural expectations around gender and family duty. They may also deal with the erasure or stereotyping of their identity within mainstream queer spaces. A trans client who is also neurodivergent might find that the support they receive focuses solely on their gender. This often neglects how sensory needs or communication preferences affect their wellbeing.

The Whole Person Approach

In my work, I believe it is important to centre the whole person. This means I’m always trying to be attuned to how multiple aspects of identity interact. I also consider how power, privilege, and marginalisation show up in people’s lives. I don't believe in offering a one-size-fits-all model of care. Instead, I work collaboratively to understand each client’s values, needs, and the systems they’re navigating.

The Weight of Misunderstanding

I often find that queer and gender expansive clients come into therapy not only with the weight of personal struggles but also with a long history of being misunderstood or misrepresented—sometimes even in therapeutic spaces. This is why it’s not enough for therapists to be “inclusive” in name. We need to be actively curious, reflexive, and willing to unlearn.

Embracing Complexity and Contradictions

Intersectionality allows us to hold space for contradictions, for complexity, and for multiple truths to exist at once. At the heart of it, this approach is about deep respect. It’s about saying: I see you—all of you—and your story matters here.

The Role of Therapists in Supporting Clients

Therapists play a crucial role in creating a safe and affirming environment for queer and gender expansive individuals. This involves not just understanding their identities but also recognising the societal pressures they face.

Building Trust and Safety

Establishing trust is essential. Clients must feel safe to express their true selves. This requires therapists to engage in ongoing education about the diverse experiences within the queer and gender expansive communities. It also involves being open to feedback and willing to adapt therapeutic practices to better meet clients' needs.

Encouraging Self-Exploration

Therapists should encourage clients to explore their identities in a supportive manner. This can involve discussing how various aspects of their identities intersect and influence their experiences. By doing so, clients can gain a deeper understanding of themselves and their place in the world.

Addressing Systemic Issues

It is vital to address systemic issues that impact clients' lives. Therapists should be aware of the broader societal context in which their clients exist. This includes understanding the impact of discrimination, stigma, and societal expectations on mental health and wellbeing.

Conclusion: A Commitment to Intersectionality

In conclusion, an intersectional approach in therapy is not just beneficial; it is essential. It allows for a more comprehensive understanding of clients' experiences. By recognising the complexities of identity, therapists can provide more effective support.

The journey towards understanding and embracing intersectionality is ongoing. As therapists, we must commit to this journey. We must strive to create spaces where all identities are acknowledged and valued. Only then can we truly support queer and gender expansive individuals in their healing and growth.