Dr. Holland’s clients often come to therapy experiencing significant stress resulting from living under circumstances where their cultural, sexual, or gender identities are not fully recognized or validated. This is known as Minority Stress. Dr. Holland incorporates a combination of systemic, interpersonal and humanistic approaches to develop a meaningful connection with her clients.
Therapy for Gender and Sexual Identity Issues
Coping with discrimination and oppression, coming out to one’s family and sorting out an “authentic” sense of self in the face of social expectations and pressures can lead to higher levels of depression, anxiety, substance use, and other mental health concerns for LGBTQIA+ people.

The health risks associated with isolation and loneliness
Risk of social isolation increases with age due to life factors, such as widowhood and retirement. Nearly 1/4 of U.S. adults ages 65 and older are socially isolated, and prevalence of loneliness is even higher, with estimates of 22% to 47%. A survey from the project describes “Gen Z” (adults currently ages 18-22) as the loneliest generation. Increased isolation and loneliness among younger adults may be attributed to higher social media use and less engagement in meaningful in-person activities.

Friendships empower women against unwelcome sexual experiences
Sexual victimization is a widely studied phenomenon on college campuses, yet surprisingly little is known about how first-year college women navigate and respond to this risk. A new study reviews how perpetrators might target first-year women for a variety of reasons that include inexperience with alcohol, and being new to many of the social settings that are common in college. Strategies developed by researchers called “capable guardianship” helps women understand that by working together they can maximize their protection and safety and reduce the possible occurrence of nonconsensual sexual acts, ranging from unwanted touching to rape.

Nature walking can improve self-esteem around body image
A new study has found that being in nature helps people deal with negative body image by removing some of the triggers of body image anxiety, such as the focus on social media, and strengthening coping mechanisms to keep negative feelings in perspective.

New Research Examines Diversity of Nonbinary Youth
People whose gender is not male, or female use many different terms to describe themselves, with ‘non-binary’ being one of the more common. Other terms include queer, gender non-confirming, genderfluid, genderqueer, androgynous, agender, demigirl, demiboy, genderflux and bigender. None of these terms mean exactly the same thing – but all speak to an experience of gender that is more complicated than simply male or female.
Youth with diverse gender identities subject to increased bullying

Young people with diverse gender identities may be bullied and victimized up to three times more often than peers who identify as male or female, a new study of more than 4,464 adolescents in Illinois found. The students were part of a statewide survey of eighth- through 12th-grade youths in Illinois schools.”Transgender youths reported the highest rates of all forms of peer victimization, which were double to nearly triple those of males and up to 2.6 times higher than those of females,” said social work professor Rachel Garthe of the University of Illinois Urbana-Champaign, who led the research. “Slightly more than half of transgender youths reported verbal abuse such as peers calling them names or spreading rumors about them. About one in three of these youths reported cyber victimization, and slightly fewer reported psychological dating violence,” such as a romantic partner denigrating or trying to control them.
Gender-expansive youths — students who don’t identify as male, female or transgender — experienced disproportionately higher rates of all forms of bullying and dating violence. Among these students, 41% experienced verbal abuse, nearly 32% were cyberbullied and 19% experienced physical violence, according to the study.
Garthe said the findings, published in the journal Pediatrics, are very concerning and underscore the need for supportive policies and practices for students with diverse gender identities who may need help coping with psychological and physical violence from peers and romantic partners. Additionally, she said more programs are needed in schools that prevent these types of violence from being perpetrated.
Equal numbers of male, female, transgender and gender-expansive students were included in the research. The study was novel in that it included a large sample of transgender individuals and the experiences of gender-expansive individuals were explored as a distinct group, Garthe said.
The students in the current study were a subset of the participants in the 2018 Illinois Youth Survey, a biennial survey that gathers data on a variety of social, behavioral and health indicators from youths in schools throughout Illinois. The Center for Prevention Research and Development, a unit within the U. of I. School of Social Work, conducts the survey.
Despite growing numbers of schools implementing anti-bullying policies that include protections based on sexual or gender identity, rates of victimization remain high among lesbian, gay, bisexual, transgender and questioning youths, research has shown. However, LGBTQ students report feeling safer and more connected at school and experience fewer gender-related negative remarks from peers when resources such as LGBTQ-inclusive curricula are taught, according to the study. When anti-bullying policies with LGBTQ protections are implemented, students are less likely to be forced to use bathrooms that match their assigned sex or wear clothing incongruent with their gender identity or expression, Garthe said.
“To enhance the effectiveness of these policies and further support these students, anti-transphobic education for teachers, administrators and students is needed, along with the use of pronouns that reflect individuals’ gender identity,” Garthe said.
Read this article on Science Daily: University of Illinois at Urbana-Champaign, News Bureau. “Youths with diverse gender identities bullied up to three times more than peers, study finds.” www.sciencedaily.com/releases/2021/05/210512132910.htm.
Dr. Holland offers LGBTQIA+ Affirming Therapy and is a psychotherapist providing cutting edge, integrative and evidence-based mental health care, proven effective with depression and anxiety, life transitions; pregnancy, parenting, ageing, loss, and caring for a parent or loved one during a health crisis or decline. She is available for Teletherapy – Online Video Counseling Services — Short-term sessions, single sessions or ongoing support as well as in-person appointment for fully vaccinated clients. Contact Dr. Holland to schedule an appointment at 707-479-2946.