The myth of the safe space: Sexual orientation disparities in therapist effectivenessMain Findings: The results indicated that clients’ sexual orientation status was not significantly associated with any of the BHM-20 subscales or with the Global Mental Health Scale (GMH). Of interest was that therapists varied in the extent to which their clients’ symptoms and GMH improved and how that improvement varied by client sexual orientation status. Thus, attention must be paid not only to which therapists are more and less effective overall, but also to the specifics of which clients (and the social identities those clients hold) are improving while under their care.
Keywords:psychotherapy outcome, identity disparities, therapist effects, sexual orientation, LGBTQ