Life Transitions Members

Exploring Identity and Coming Out

An affirming worksheet exploring sexual orientation or gender identity, safe people and communities, and a self-paced disclosure plan.

1-page fillable PDF · US Letter (prints on A4) · Affirming practice

Key facts

Approach / concern
Life Transitions
Technique
Affirming practice
Format
Fillable PDF, 1 page (US Letter / A4)
Access
Pro and Advanced plans (3-day free trial)
For
Licensed clinicians to use with clients
Updated
October 2026

What is the Exploring Identity and Coming Out?

Minority stress from stigma and discrimination contributes to mental health disparities among 2SLGBTQIA+ people. Affirming support and family acceptance are protective.

Why it works

Meyer (2003) described the minority stress model. Family rejection predicts poorer health outcomes among LGB young adults, highlighting the value of acceptance (Ryan et al., 2009).

When to use it

  • Clients exploring sexual orientation or gender identity
  • Teens and adults
  • Coming out planning
  • Families

How to use it in session

  1. Reflect on identity.
  2. Identify safe people.
  3. Find community.
  4. Plan disclosure.
  5. Prioritize safety.

Clinician tips

  • Use affirming language and the client’s terms.
  • Never pressure disclosure.
  • Assess safety, especially for youth.

Worked example

Know: I’m bisexual. Safe: my cousin, my best friend. Plan: tell my cousin over coffee next month; family not yet.

Sharing with clients

Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.

Frequently asked questions

Do I have to come out?

No. Whether, when and to whom you come out is your choice.

Where can I find support in Canada?

Local 2SLGBTQIA+ centres, affirming counsellors and online communities offer support.

References

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674-697.

Ryan, C., Huebner, D., Diaz, R. M., & Sanchez, J. (2009). Family rejection as a predictor of negative health outcomes in White and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123(1), 346-352.

This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.