Therapy is probably necessary under the following conditions:
- If the individual reports unsuccessful attempts to diminish their same-sex attractions. Therapy will likely be necessary in order for them to make the changes they want.
- If the individual reports:
- Suicidal thoughts or a history of suicidal thoughts or attempts
- Feelings of shame, depression, and anxiety
- Patterns of ruminative or obsessive thinking
When these issues occur in a person with unwanted same-sex attraction, they may be contributing to the same-sex attraction, but they may also be caused by it. These issues probably won’t remit without professional help from someone trained to work with unwanted same-sex attraction.
- If the individual reports an inability to stop engaging in unwanted sexual behavior. This may be an indication of a sexual addiction. The person might need special help from someone with sexual addiction training, but they may also need the help of someone with specialized training in unwanted same-sex attraction.
- If the individual reports abuse or trauma from earlier in life. Without question, these people need the assistance of a well-trained therapist.