Can I Go to Couples Therapy for a Same-Sex Relationship?

Same-sex couples are welcome to seek out a couples therapist if their relationship could use some work. However, it is important to know that not all couples therapists may be a good option. Here, several therapists explain how a couples therapist can help same-sex couples, and what you should look for if you are a same-sex couple looking for a couples therapist:

John Sovec, LMFT
: Couples therapy can be valuable for any relationship, including same-sex relationships. There are times in any relationship where communication breaks down and having a therapist who is trained to work with LGBT couples can assist a couple in rediscovering their passion for each other.Not just any therapist is a good match for gay couples, and is important to investigate the therapist’s training in working not only with couples, but especially having additional training in working with same-sex couples. This additional training will assist the therapist in being more aware and empathetic to the needs of an LGBT couple and will also help the couple to feel comfortable talking openly about the unique qualities of an LGBT relationship.

You, your partner, and your therapist need to be comfortable talking about all aspects of your relationship. As you create a therapeutic alliance with your therapist, it becomes easier and easier to talk about the deeper issues that are influencing you as a couple. In the most effective style of therapy, both of you should be able to speak openly about your needs—mental, emotional, spiritual, and sexual.

Finding a therapist who is trained and comfortable working with LGBT couples can be of great value to the growth and development of your relationship, and can help the two of you to build the foundation for a long-lasting relationship that addresses all of your needs.

Nichols-MargieMargaret Nichols, PhD: The short answer to this is of course, but there are some caveats. First, you will want to make sure that the therapist you have in mind is gay-affirmative. Most therapists these days have gotten past the belief that homosexuality is an illness or a sub-optimal lifestyle, but that is the way it used to be taught in graduate programs of psychotherapy. Counselors trained prior to the 1980’s might still hold these terribly outdated views, so it’s worth checking out.It also helps to have a therapist who is not only gay-affirmative, but knowledgeable about LGBT issues. To be sure, most of the issues same-sex couples face are similar to those handled in heterosexual marriages, and therefore the most important criteria in selecting a therapist is that they have solid experience and training in couples issues, and in sex therapy if sexuality is one of your problems.

There is extensive research literature on lesbian and gay relationships that suggests some important differences between same- and opposite-sex couples. Same-sex couples tend to have less family support, which impacts them in negative ways, particularly if the couple has children. Lesbians and gay men tend to stay friends with their ex-es which many straight people find puzzling. Inexperienced heterosexual therapists may also assume that the gender role presentation of a couple reflects gendered divisions of labor in the relationship, and this simply is not true for same sex couples. In other words, a lesbian ‘butch-femme’ relationship or a gay male ‘top/bottom’ one may reflect erotic roles, but in fact, same-sex couples are much more egalitarian than heterosexual ones—a research finding that has been consistent more than 30 years.

Sexual differences exist as well. Lesbian couples have less sex than either gay men or heterosexually married people; moreover, asexual lesbian couples are often quite affectionate with each other and may not see the lack of genital sex as a problem. Approximately half of gay male couples are not monogamous, and therefore issues surrounding nonmonogamy are much more often a source of conflict within the relationship. Therapist not experienced with gay lifestyles may automatically assume the problem in such a couple is the nonmonogamy, instead of helping the men negotiate rules that will make nonmonogamy palatable to both. Lesbians are not as nonmonogamous as gay men, but the monogamy issue is one that is discussed and debated frequently.

Finally, there is a substantial overlap between the lesbian and gay community and the bisexual, trans, kink, and polyamory community. If that applies to you, make sure that your therapist is comfortable with non-traditional lifestyles and choices as well as with gay people.

Mendonsa-AndrewAndrew Mendonsa, PsyD: Absolutely! Many of the same struggles that affect same-sex relationships are those that affect heterosexual relationships. For example, communication problems are very similar in all relationships, both intimate and friendly. Partners in same-sex relationships often face specific struggles that therapy can address. For example, discrimination, ignorance, parenting, and sexuality issues can cause strain in a same-sex relationship. Discussing them in therapy helps to develop a resolution instead of allowing minor problems to become major.

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  • Kody L

    June 30th, 2016 at 10:49 AM

    Thank you for the advice. I Have a brother who is in a same sex relationship. He and his partner have been together for about 10 years now. He has expressed to me that he wishes he could get some counseling for the two of them. I guess things have been harder the last few months. I did not know there were councilors that are trained to help Same sex couples. I will have to do some research for some in our area, and let my brother know.

  • Michele

    October 1st, 2018 at 11:41 AM

    As a lesbian relationship coach, it is not only something same-sex couples CAN do, it is something that all couples benefit from. There are definitely issues unique to lesbian couples that are not as common with either male-male pairings or female-male pairings, and if you have a non-conforming gender, then the expertise of a therapist familiar with gender variance is important too.

  • amanda

    February 21st, 2020 at 1:37 PM

    My name is Amanda, I have been in a lesbian relationship for over 11 years. I have dealt with issues with my partner for over 9 years, and not really sure who or where to take the issues to to have resolved/advised . I live in eastern Oklahoma, any advice would be appreciated.

  • Dean

    July 6th, 2023 at 7:52 AM

    As a gay couples counsellor (in Britain, working via video conferencing) A same-sex couple can go to couples therapy. One warning, though, would be to check the counsellor’s knowledge about LGBTQ+ relationships during the initial assessment sessions. Remember that it’s not just the counsellor who is assessing the couple, the couple are equally assessing the counsellor so have an equal right to ask questions of the therapist’s knowledge, awareness, training and skills. The couples counsellor does not have to identify as LGBTQ themselves, but if the couple don’t feel confident that the counsellor has sufficient appreciation of the unique experiences of LGBTQ+ intimate relationships, then the couple must go to another couples counsellor and assess them as being suitable (or not).

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