How Do I Know When Someone Needs Therapy?

Summary: Although some people with same-sex attraction may not need individual psychotherapy in order to thrive in life and in the gospel, many will experience great difficult without therapy.

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.