Masters in Practice: LGBTQ+ Mental Health and DBT w/ Dr. Kiki Fehling

Most therapists overlook one of the most powerful tools for supporting LGBTQ+ clients: the deep connection between minority stress, emotional validation, and joy. In this eye-opening conversation, Dr. Kiki Fehling—an expert in queer-affirmative DBT—shares how understanding the unique challenges faced by queer individuals can transform therapy from mere coping to building a genuinely fulfilling life.Discover how minority stress operates like chronic invalidation, fueling mental health difficulties like anxiety, depression, and trauma. Kiki reveals how DBT’s biosocial model not only helps clients manage emotions but also reframes their experiences—empowering clients to see their identities not as sources of pathology but as sources of strength and joy. She explains how the foundational CBT skill of opposite action can combat shame and anxiety, leading clients to actively pursue moments of queer joy—whether through celebrations, community, or self-affirmation.You'll learn practical ways clinicians can avoid microaggressions—like making assumptions about pronouns or relationships—and how to repair ruptures that threaten trust. The episode emphasizes the importance of fostering therapy spaces where queer clients can fully embrace their identities, find happiness, and counteract societal stigma. Whether you're a mental health professional or a queer advocate, this conversation offers a clear map for integrating affirming practices that lead to genuine resilience and happiness.Filled with actionable exercises from Kiki’s new workbook, along with her insights on cultural humility and self-work, this episode is a must-listen for anyone committed to supporting LGBTQ+ folks in living their fullest, happiest lives. Queer joy isn’t just a moment—it’s a vital component of mental health and belonging.Her New Book: https://www.kikifehling.com/lgbtqworkbookTherapist Guide: https://www.amazon.com/dp/0197643302?lv=shuf&channelId=500&plpRedirect=mhFallbackFree worksheets/handout: https://www.newharbinger.com/9781648486623/the-lgbtq-mental-health-workbook/Find a LGBTQ+ community center near you: https://www.lgbtqcenters.org/Brightminds AdPAR Ad This episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"