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Background <p>India has a complex relation with concepts of gender and sexuality. Existing stigma in Indian society results in complex trauma and high psychiatric morbidity. We suggest adaptations to trauma and dissociation-informed therapy to ideally support the Indian queer community.</p> Method <p>We searched PubMed using the keywords “LGBT India mental health”, “LGBT Trauma psychotherapy”, and “LGBT India”, yielding 174 studies. Inclusion Criteria: relevant English original or meta-analytic studies from India. Exclusion criteria: non-English, non-Indian, inaccessible studies. After duplicate removal, abstract screening and full text analysis, a total of 37 studies (6 studies—LGBT statistics, 13 studies—struggles of LGBT Indian community, 11 studies—mental health impact, 9 studies—available resources, and 7 studies—trauma and dissociation-informed therapy) were included for this narrative review.</p> Results <p>Familial, communal, and police violence against the LGBTQ+ still exists in India. Stigma, microaggressions, homophobia, and re-traumatization in healthcare cause complex PTSD and other psychiatric disorders. Government, non-profit, and community-based interventions are lacking.</p> Discussion <p>Individually tailored, socially sensitive trauma-informed therapy would be ideal for the Indian queer community. “Narrative exposure therapy” creating culturally empowering narratives, “Mentalization-based therapy” reducing internalized stigma, “Prolonged exposure group therapy” building a support system, “Milan family therapy” combating negative stigma, and “somatic therapy” reclaiming one’s body would help adapt existing Western trauma and dissociation-informed therapy models for the LGBTQ+ population in India.</p> Conclusion <p>By adapting a model of trauma-informed therapy for the Indian LGBTQ+ community, we provide culturally and ethically sensitive recommendations for mental health professionals through this narrative review.</p>

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Trauma-Informed Care Adapted for Indian LGBTQ+ Community: A Narrative Review

  • 期刊论文

  • 发表日期：

    2026年4月24日

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  • Vasudha Sharma,
  • Ravleen Kaur Suri,
  • Gurnoor Kaur Suri,
  • Eeshan Ralhan,
  • Rajeev Sharma,
  • Sasidhar Gunturu

摘要

Background

India has a complex relation with concepts of gender and sexuality. Existing stigma in Indian society results in complex trauma and high psychiatric morbidity. We suggest adaptations to trauma and dissociation-informed therapy to ideally support the Indian queer community.

Method

We searched PubMed using the keywords “LGBT India mental health”, “LGBT Trauma psychotherapy”, and “LGBT India”, yielding 174 studies. Inclusion Criteria: relevant English original or meta-analytic studies from India. Exclusion criteria: non-English, non-Indian, inaccessible studies. After duplicate removal, abstract screening and full text analysis, a total of 37 studies (6 studies—LGBT statistics, 13 studies—struggles of LGBT Indian community, 11 studies—mental health impact, 9 studies—available resources, and 7 studies—trauma and dissociation-informed therapy) were included for this narrative review.

Results

Familial, communal, and police violence against the LGBTQ+ still exists in India. Stigma, microaggressions, homophobia, and re-traumatization in healthcare cause complex PTSD and other psychiatric disorders. Government, non-profit, and community-based interventions are lacking.

Discussion

Individually tailored, socially sensitive trauma-informed therapy would be ideal for the Indian queer community. “Narrative exposure therapy” creating culturally empowering narratives, “Mentalization-based therapy” reducing internalized stigma, “Prolonged exposure group therapy” building a support system, “Milan family therapy” combating negative stigma, and “somatic therapy” reclaiming one’s body would help adapt existing Western trauma and dissociation-informed therapy models for the LGBTQ+ population in India.

Conclusion

By adapting a model of trauma-informed therapy for the Indian LGBTQ+ community, we provide culturally and ethically sensitive recommendations for mental health professionals through this narrative review.