Trump’s slew of executive orders are seriously affecting the LGBTQ+ community, especially the mental health of its young members.
It’s no exaggeration to say that Gen Z (those born between 1997 and 2012) has navigated a whirlwind of significant political and social events throughout their formative years; and many of these changes are particularly connected to LGBTQ+ rights and acceptance when same-sex marriage was made legal in the United States in 2015.
The landmark decision not only represented a significant victory in the fight for equality but also highlighted how public attitudes towards LGBTQ+ issues have evolved over the years. According to a Gallup Survey, in the mid-1990s, only 27% of Americans supported same-sex marriage, reflecting a society that was not yet ready to embrace the idea of love and commitment between individuals of the same sex. However, by 2024, this number had soared to 69%, showcasing a remarkable shift in perspective.
This transformation is notably pronounced among younger generations such as Generation Z, who have come of age in a more open and accepting culture. They are more likely to view LGBTQ+ rights as a fundamental aspect of human rights, fostering a sense of inclusivity and understanding that was less prevalent in previous generations.
Additionally, a recent study by the Public Religion Research Institute found that 28% of Gen Z adults identify as gay, lesbian, bisexual or another orientation. This marks a significant increase compared to earlier generations – only 16% of millennials, 7% of Generation X and just 4% of baby boomers and the silent generation identify as LGBTQ+. This rise in identification and acceptance shows a change not only in personal identities but also in the recognition of diverse sexual orientations in society.
Still, in the last month, the Trump administration has created new obstacles for LGBTQ+ individuals, which can be incredibly hard on Gen Z. For example, an article from Psychology Today noted that Executive Order #14187 (2025), aimed at protecting children from certain medical procedures, stops Gen Z teens (ages 13 to 17) from getting federal funds for gender confirmation medical help through insurance. Other executive orders have taken LGBTQ+ information off federal websites, removing important resources about health and reporting discrimination, making it more difficult for them to find help.
This removal of LGBTQ+ resources not only reduces support options but also sends a clear message of exclusion, making LGBTQ+ people feel even more marginalized. The administration’s push to define gender strictly as the sex assigned at birth has also impacted federal ID forms (like passports), participation in sports teams and the safety of trans people in prison. These policies can lead to increased stress for LGBTQ+ individuals, which can result in worse mental health issues like anxiety and depression.
In response to these challenges, LGBTQ+ youth are more frequently seeking help from online groups and crisis hotlines. For example, the Rainbow Youth Project, which has reported a striking increase in call volume, particularly during pivotal political events, is highlighting a strong need for mental health support.
To address the growing demands of LGBTQ+ youth, specialists recommend adopting a well-rounded approach in a way that pushes for better policies, more access to mental health support and the creation of safer spaces where they can thrive.
Chana Etengoff, Ph.D., an intersectional developmental psychologist and an assistant professor of psychology at Adelphi University’s Derner School of Psychology, shares important steps that we should encourage healthcare providers to take, in order to better support our LGBTQ+ youth in our communities.
Provide Affirming and Inclusive Care
Use language that includes everyone and honor the names and pronouns that people choose for themselves.
Make sure clinics are safe and welcoming, including visible support for LGBTQ+ people, like pride flags and statements against discrimination.
Acknowledge that LGBTQ+ people who are also BIPOC, disabled or immigrants experience added discrimination.
Customize actions to tackle different levels of discrimination.
Utilize Trauma-Informed Approaches
Understand how ongoing systemic discrimination, negative political attitudes and pressure on minority groups can affect mental health.
Use trauma-sensitive methods to acknowledge feelings of fear, anxiety and being overlooked.
Provide tips to help deal with the hypervigilance and stress caused by harmful policies.
Strengthen Social Support Networks
Support joining LGBTQ+ groups and community organizations.
Share information about LGBTQ+-friendly support groups, online communities and crisis resources such as The Trevor Project or Trans Lifeline.
Assist clients in developing strategies to deal with rejection from family or society.
Respect and emphasize the value of LGBTQ+ chosen family structures.
Policy Awareness
Keep up-to-date on policies that impact LGBTQ+ people and teach clients about their rights.
Help clients get support for gender-affirming care, changing their legal name and gender marker, and finding other important resources.
