Black LGBTQIA+ men exist at the intersection of various forms of oppression, often enduring compounded trauma that begins in childhood and extends into adulthood. Behavioral and mental health professionals frequently assist clients in navigating the lasting effects of adverse childhood experiences (ACEs), toxic stress, homophobia, racism, violence, substance addiction, and rejection. Such adverse experiences often lead to chronic mental health issues, including anxiety, depression, post-traumatic stress disorder (PTSD), and increased vulnerability to substance use and sexual health risks.

This presentation offers a clinical and social work-centered approach to addressing the mental health needs of Black LGBTQIA+ men through trauma-informed, culturally responsive, and identity-affirming strategies. This session will explore how toxic stress stemming from early-life adversity impacts emotional regulation, relationship-building, and self-worth. Special emphasis will be placed on how systemic oppression, societal stigma, and the lack of culturally competent mental health services heighten these challenges.

Drawing on clinical casework and evidence-based practices, this session will highlight therapeutic methods that integrate narrative therapy, somatic practices, and harm reduction. It will also emphasize the importance of including discussions about sexual health, HIV stigma, and coping through substance use in the therapeutic process without judgment or shame. Participants will leave with actionable strategies to create safer therapeutic environments and improve their ability to support Black LGBTQIA+ men with dignity, cultural humility, compassion, and pride.