Helping Families Navigate the Coming Out Process

Behavioral Health Behavioral Health

photo of mother and child embracing

When a teen expresses unexpected identity preferences to their family, it’s often uncharted territory for the whole family to navigate. Behavioral health providers are in a privileged position to help families with education and communication during this process, according to Nina Narang, MSW, LSW, Primary Therapist at Princeton House’s Hamilton outpatient site.

“Family support is critical to the well-being of LGBTQ+ teens,” says Narang. “Knowing where to turn for information can be confusing for families in today’s climate, but providers can serve as a source of reliable facts and guidance on next steps.”

While every situation is unique, Narang recommends the following approaches for working with LGBTQ+ teens and families. 

  • Start by identifying points that parents are not questioning. For example, they may love their child, understand that they are struggling with something, and want to figure out how to be helpful.
  • With the teen’s permission, meet with parents separately to give them a safe space to explore questions that might be invalidating in the teen’s presence. Provide psychoeducation for their learning journey with the goal of building support. Identify what’s not going well and how to reduce any distress so they can continue to learn.
  • Establish ground rules when meeting with the teen and family. Work with the teen to decide ahead of time whether your role will be to listen and gently guide or be more active. Set expectations, including taking turns with no raised voices. Share an agenda to contain the conversation to a few concepts, and work toward one or two takeaways or action steps.
  • Build cope-ahead strategies with the teen for when family members say something that feels invalidating.
  • Reiterate that friendships, support groups, and other avenues for community can be empowering, especially if family members are unable to provide support.
  • Remember that the process is a marathon, not a sprint.
Narang notes that when family members are willing to learn more and be curious about concepts they may not understand, they have the power to be amazing advocates and a protective force for their teens.

“When a family accepts their child with compassion, it has such a beautiful and wonderful effect,” adds Narang. “It’s our role to do whatever we can to help them get there.”

 

Resources for Providers, Parents, and Teens

PFLAG: pflag.org
Particularly helpful for parents and teens; includes how to locate virtual/local support groups and community-building events.

Human Rights Campaign: hrc.org
Provides a glossary and an array of tools focused on equality and inclusion.

Family Acceptance Project: familyproject.sfsu.edu
Features helpful videos for families working toward acceptance.