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Sexuality and mental health

What is sexuality?

Sexuality is all about who you’re attracted to and how you express that attraction. It’s personal, can change over time, and there’s no right or wrong way to feel it.

You might want sex, relationships, both or neither. Maybe you prefer cuddling over sex or you connect more through emotions, shared values, and being your authentic self around someone. You could be attracted to the same gender, different genders, multiple genders – or feel little to no attraction at all. These are all valid experience of sexuality.

Different kinds of attraction can exist together, like finding someone attractive but not wanting to have sex. No experience is more ‘normal’ than another, because sexuality is yours to define – only you get to decide what feels right to you.

A young Black woman in a wheelchair and an older Black woman sitting on a bench in the park. They are laughing together.
It may be that finding a label is helpful for you, as it can lead to a sense of community. But it’s important to know that you don’t need to label yourself.

What is sexual orientation?

Sexual orientation is part of your sexuality. It’s the label some people use to describe how they experience attraction. You don’t choose or control who you’re attracted to – it just happens.

There are lots of different labels, but here are some common ones:

  • Ace/asexual

    Someone who feels little to no sexual attraction but may experience other types of attraction. They might feel romantic attraction or want physical closeness in other ways, like cuddling.

  • Aro/aromantic

    Someone who experiences little to no romantic attraction. They might feel other types of attraction, like sexual attraction, or want physical closeness in other ways, like cuddling.

  • Bisexual/bi

    Someone who is attracted to more than one gender.

  • Demisexual

    Someone who only feels sexual or romantic attraction when they’ve built an emotional connection.

  • Gay

    A man who is attracted to men, but people of all genders often use it to describe being attracted to the same gender.

  • Heterosexual/straight

    Someone who is attracted to people of a different gender – most often used to describe attraction between cis men and cis women.

  • Lesbian

    A woman who is attracted to women.

  • Pansexual

    Someone who is attracted to people regardless of gender.

  • Queer

    This covers a range of identities and can mean different things to different people, but it’s usually used by anyone who isn’t straight or cis.

While some people find these labels helpful, others don’t. How you use labels is completely up to you. You might choose one, more than one, or none at all. And if you choose a label but later realise it doesn’t fit, that’s okay too. It’s about what feels comfortable for you right now and you can always change your mind.

If you’re looking for more terms, take a look at Stonewall’s list of LGBTQ+ terms.

The links between sexuality and mental health

Your sexuality and who you’re attracted to isn’t a mental health problem. It doesn’t cause mental health struggles either. In fact, embracing your sexuality can have a positive impact on your mental health, self-esteem, and relationships.

But society often treats being straight as the norm and doesn’t always accept or understand the diversity of sexuality. That’s why, if you’re LGBTQIA+, you’re more likely to struggle with your mental health. This is not because of who you are, but because of the challenges you may come up against and the impact they have on you.

Here are some common challenges that you might face:

Play Video: Moulded a space Moulded a space

Aisha's story

Moulded a space is a short film by Aisha about growing up queer in a Muslim household, where mental health wasn’t something you talked about.

Aisha shares her experience of realising she was a lesbian while dealing with anxiety and depression, and how hard it was to feel accepted – either by the Muslim community or the LGBTQ+ community.

Despite the pressure to let go of her faith because of her sexuality, Aisha held on to Islam in her own way.

Telling others about your sexuality or 'coming out'

A young person talking to a trusted adult outside on a bench.

‘Coming out’ is when you tell others about your sexuality. It’s not always a one-time thing – you might tell different people at different times or even change how you label yourself.

For some, coming out is easy, but for others it’s a tough experience. It’s scary if you’re not sure how people will react. It can be even harder if you come from a background where diverse sexualities aren’t always accepted.

You don’t have to come out if you’re not ready or don’t feel safe. No one should pressure you to share. What matters most is doing what feels right for you.

But if you feel ready, here are some tips that can help:

  • Decide who to tell

    Choose someone you trust and feel safe with, like a close friend or family member. You could start by talking about LGBTQIA+ people or celebrities around them and see how they react before you decide to tell them. After you’ve told them, they should support you or boost your confidence when it comes to telling others.

  • Decide when and where

    There’s no ‘right’ time or age to tell others about your sexuality. You might choose a time when you haven’t got other stresses going on and a place where you feel safe. But there’s no rush and you don’t owe anyone your story – it’s okay to go at your own pace.

  • Decide what to say

    It can help to write down how you feel or practise saying it aloud. It’s okay to write it in a letter, email or text if saying it feels too difficult. This gives you and who you tell time to process before speaking in person.

  • Have a safety plan

    If you’re worried things could go wrong, make a list of numbers, people and places you can turn to. You might tell someone you trust when the conversation is happening, so they can be by the phone if you need them. You could organise staying with a friend after, have helpline numbers ready, or schedule in time to do something you enjoy after.

A young Black woman, young Black man and young white man, all sitting on a bench outside, looking at something on a phone and laughing.
I came out to my friends differently than my parents. There are plenty of people in my life who I'm still not out to. Even much later in life when I'm out to almost everyone, I'll still be meeting new people who I have to come out to like it's the first time.

Bullying, abuse and discrimination

Bullying, abuse or discrimination because of your sexuality is never okay. Not everyone from the LGBTQIA+ community experiences this, but sadly it is common. And it’s not just LGBTQIA+ people who face it – anyone can be targeted if others make assumptions about their sexuality.

Bullies might say things that make you feel uncomfortable, send nasty messages, post mean things about you online, or even physically hurt you. Whatever form it takes, you don’t deserve this, and it can have a big impact on your mental health.

You might find yourself scared to open up, want to hide who you are, or even start believing the negative comments. This can lead to loneliness, anxiety, depression and low self-esteem.

If you’re being bullied because of your sexuality, here are things that can help:

Abuse and hate crimes

Abuse is when someone hurts you physically, sexually, emotionally, or financially. A hate crime happens when someone abuses you because of who you are, including harming you because of your sexuality. It can happen online or in person, from strangers or people you know. If someone’s behaviour towards you makes you feel unsafe or at risk, you deserve help.

Galop has more information about anti-LGBTQIA+ hate crimes. We also have advice in our guide to abuse.

Abuse and hate crimes are illegal, so you should always report them. You might worry that you won’t be taken seriously, but there are lots of people who are trained to help without judgement. You have every right to feel safe.

Report a hate crime

Conversion therapy

Conversion therapy attempts to change or suppress someone’s sexuality. It’s a form of abuse. It can be done by family, friends, faith and community groups, or healthcare professionals. There’s nothing wrong with being LGBTQIA+ – you can’t and don’t need to be ‘cured’ or changed.

Conversion therapy is not just unethical, it can seriously affect your mental health, leading to anger, anxiety, depression, low self-esteem and suicidal feelings. Physical and verbal abuse or threats of abuse to you because of your sexuality are never okay. You have the right to exist without fear of harm or abuse.

If you’ve experienced or been offered conversion therapy, you deserve support. Talk to someone you trust, like a friend, family member, or a supportive adult. You can also call Galop’s anti-abuse helpline for guidance, or report it to the police.

Looking after your mental health

If you’re struggling with your mental health while exploring your sexuality, we’ve got advice on how to get help and things you can do to feel supported, accepted and confident as your true self.

We understand some of these might not be possible if you can’t be safely out as an LGBTQIA+ person. Take a look at the tips below and choose ones that feel comfortable to you – you know yourself best.

Get help from others

Talking to someone who listens and understands can be a big step toward feeling better. Here are some ways to reach out for support:

Find peer and community support

Having a supportive community who get it and respect who you are can make a huge difference to your mental health. Here are some ideas to help you connect with more LGBTQIA+ people and allies:

Do something to celebrate being LGBTQIA+

There are so many reasons to be proud of being LGBTQIA+ and celebrate who you are. It can help you feel good about yourself and feel connected to others. It doesn’t have to be big, public celebrations – it can also be little moments of joy that are just for you.

Here are some ideas for how you can celebrate your identity:

Play Video: Celebrate Queer Disabled joy with me Celebrate Queer Disabled joy with me

Celebrating Queer Disabled Joy

Video description: Srishti is a young wheelchair user. A variety of different clips make up this video, featuring moments from Srishti’s daily life. We see her being out in nature, spending time with friends, dancing and making art.

2-minute watch

Hear from more Queer Disabled creators
A boy wearing a grey t-shirt sits beside a window while using Facebook on his laptop.

Manage your social media

Social media is a great way to find online communities and follow LGBTQIA+ accounts. But seeing negative news and opinions about LGBTQIA+ people can be really upsetting.

Remember, you can mute, block or unfollow accounts that are sharing harmful content. It’s okay to take breaks and look after your mental health too – you don’t have to be informed all the time about LGBTQIA+ issues.

For more advice, take a look at our social media and mental health guide, or get tips on dealing with worries about the news and the world.

Social media and mental health guide
Growing up, I was always an outcast. Though I did not know at the time that I was transgender and queer, I did know that I didn’t quite fit in with most other people my age. Now that my wife is my carer, I have had experiences where people have questioned our relationship and failed to understand our dynamic. All of these experiences led me to create “The In-Betweens” a piece of art I hope will show that no matter how different or “in-between” you feel, there are places where you don’t have to just survive but in fact, you can thrive.
Lyd
An illustration of a group of five people with their arms around each other, with their backs facing the camera
A girl staring at the camera in front of a brick wall.

Celebrating Queer Disabled stories

We know from speaking to Queer young people that their sexuality can have a big impact on mental health and how they experience the world. Navigating Disability can be tricky, and when you're also dealing with discrimination or added pressures because of how you identify, that can make these struggles even more complicated. That's why we're showcasing content by Queer Disabled young people. Their voices, often left out of the wider mental health conversation, are honoured here through themes of resilience, joy, and survival.

Hear their stories

Supporting someone with their sexuality

How to be an LGBTQIA+ ally

An ally is someone who might not be LGBTQIA+ but helps and supports people who are. There are lots of ways to do this – even small actions can make a big difference to someone’s mental health.

The most important thing is to show that you accept and respect them as they are. You can do this by going to an LGBTQIA+ event with them or talking about LGBTQIA+ topics together. Your relationship doesn’t have to change because of their sexuality – continuing as normal will mean so much to them.

Here’s how you can support someone in your life who’s LGBTQIA+:

  • Recognise your bias

    Bias is when you have set ideas or assumptions about people, like expecting someone’s partner to be a certain gender. Everyone has these kinds of set ideas. Being around someone who is LGBTQIA+ might challenge your views on things like relationships. If you notice your ideas invalidate their experience, try to listen and be open-minded. It’s okay to get things wrong if you’re willing to learn and change.

  • Listen and show you care

    Keep checking in, make plans with them, and give them space to talk about their experiences if they want to. If they’re not ready yet, don’t force it – just letting them know that you accept and are there for them will mean so much.

  • Learn more about LGBTQIA+

    There are lots of ways to learn about LGBTQIA+ people, experiences and challenges. You could read about current issues in the news, real stories by LGBTQIA+ people, or watch documentaries. You could even ask the person you’re supporting for recommendations of things they’ve read or watched – this will really show you care and have their back.

  • Challenge discrimination and stigma

    If you hear someone making a homophobic comment or joke, call them out. You can calmly correct them and explain why what they said is wrong or harmful. You can also support by reporting discrimination and hate crimes. This helps create safer spaces for LGBTQIA+ people.

  • Respect their privacy

    If someone comes out to you, that doesn’t mean they’re ready to tell everybody just yet. They should always be in control of telling others. Don’t share with anyone else unless the person has asked you to or said you can.

  • Help them get support

    If they’re really struggling, remind them that it’s okay to ask for support. You could recommend organisations and helplines, or go with them to an appointment. Looking after someone else can be stressful, so remember to look after your mental health too. Take a look at our guide to supporting a friend with their mental health for more advice.

Get help now

See below for a list of organisations and helpline services that have information to support you.

  • MindOut

    A mental health service run by and for lesbians, gay, bisexual, trans and queer people with experience of mental health issues.

    Instant web chat service also available (hours vary).

    Runs in-person peer support groups in Brighton.

  • Galop

    A dedicated LGBT+ anti-violence charity.

    Gives advice and support to people who have experienced biphobia, homophobia, transphobia, sexual violence or domestic abuse.

    Opening times:
    10am - 5pm, Monday - Friday (Open until 8pm on Wednesdays and Thursdays)
  • Albert Kennedy Trust

    Supports LGBTQ+ young people aged 16-25 in the UK who are facing or experiencing homelessness, or living in a hostile environment.

    You can refer yourself online to arrange a face-to-face appointment with a member of staff in their Bristol, London, Manchester or Newcastle centres.

    They also offer a free webchat service.

  • Pink Therapy

    Provides an online directory of therapists who work with gender and sexual diversity clients across the LGBTQ+ spectrum from a non-judgmental standpoint.

    Search the directory.

  • Switchboard

    Offers confidential support and advice to members of the LGBT+ community.

    Free webchat service also available.

    Opening times:
    10am - 10pm, 365 days a year
  • Stonewall

    Provides information, resources and signposting for lesbian, gay, bisexual and transgender (LGBT) young people.

Patient Information Forum Trusted Information Creator (PIF TICK) logo

This page was reviewed in March 2025.

It was co-created with young people with lived experience of sexuality and mental health.

We will next review the page in 2028.

YoungMinds is a proud member of PIF TICK – the UK's quality mark for trusted health information.