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Couples Therapy for LGBTQIA+ and Non-Monogamous Couples

Diverse Relationship Dynamics

In our diverse society, relationships take many forms. Couples therapy must recognize and embrace this diversity, tailoring approaches to meet the unique needs of LGBTQIA+ and non-monogamous couples. 

Non-monogamous and LGBTQ couples face unique challenges and opportunities in their relationships. They may experience stigma, discrimination, or misunderstanding from society, family, or friends. They may also have different needs, preferences, and boundaries than monogamous or heterosexual couples. Therefore, they may benefit from therapy interventions and theory that are tailored to their specific situations and goals.

One of the most important aspects of therapy for non-monogamous and LGBTQ couples is to create a safe, supportive, and affirming space where they can explore their identities, feelings, and desires without judgment or shame. A therapist who is knowledgeable, respectful, and curious about non-monogamy and LGBTQ issues can help them achieve this. A therapist can also help them communicate effectively, negotiate agreements, manage conflicts, cope with stress, and enhance intimacy.

Some of the therapy interventions and theory that may be useful for non-monogamous and LGBTQ couples are:

– Attachment theory: This theory explains how people form emotional bonds with others and how these bonds affect their behavior, thoughts, and feelings. Attachment styles can vary from secure to insecure, depending on how people perceive their availability and responsiveness of their partners. A therapist can help non-monogamous and LGBTQ couples understand their attachment styles and how they influence their relationships. For example, a person with an insecure attachment style may feel anxious or jealous when their partner has other partners or relationships. A therapist can help them develop more trust, security, and confidence in themselves and their partner.
– Emotionally focused therapy (EFT): This is a type of therapy that focuses on helping couples identify, express, and regulate their emotions in a constructive way. EFT is based on the premise that emotions are the key to creating and maintaining a strong bond between partners. A therapist can help non-monogamous and LGBTQ couples access their deeper emotions, such as fear, anger, sadness, or joy, and share them with their partner in a way that fosters empathy, understanding, and connection. EFT can also help them resolve emotional injuries or traumas that may interfere with their relationship.
– Cognitive behavioral therapy (CBT): This is a type of therapy that helps people change their negative or distorted thoughts and beliefs that may cause them distress or impair their functioning. CBT is based on the idea that thoughts, feelings, and behaviors are interconnected and influence each other. A therapist can help non-monogamous and LGBTQ couples identify and challenge their cognitive distortions, such as catastrophizing, overgeneralizing, or personalizing. For example, a person may think that their partner’s interest in someone else means that they are not good enough or that their relationship is doomed. A therapist can help them replace these thoughts with more realistic and positive ones.
– Narrative therapy: This is a type of therapy that helps people construct new and empowering stories about themselves and their relationships. Narrative therapy is based on the notion that people are not defined by their problems or labels, but by the meanings they give to their experiences. A therapist can help non-monogamous and LGBTQ couples re-author their stories in a way that highlights their strengths, values, and goals. For example, a couple may have a story that they are abnormal or deviant because of their non-monogamy or LGBTQ identity. A therapist can help them create a new story that celebrates their diversity and authenticity.

Therapy Philosophies Applied To Couples

Some of the therapy interventions and theory that may be useful for non-monogamous and LGBTQ couples are:

Attachment theory: This theory explains how people form emotional bonds with others and how these bonds affect their behavior, thoughts, and feelings. Attachment styles can vary from secure to insecure, depending on how people perceive their availability and responsiveness of their partners. A therapist can help non-monogamous and LGBTQ couples understand their attachment styles and how they influence their relationships. For example, a person with an insecure attachment style may feel anxious or jealous when their partner has other partners or relationships. A therapist can help them develop more trust, security, and confidence in themselves and their partner.


Emotionally focused therapy (EFT): This is a type of therapy that focuses on helping couples identify, express, and regulate their emotions in a constructive way. EFT is based on the premise that emotions are the key to creating and maintaining a strong bond between partners. A therapist can help non-monogamous and LGBTQ couples access their deeper emotions, such as fear, anger, sadness, or joy, and share them with their partner in a way that fosters empathy, understanding, and connection. EFT can also help them resolve emotional injuries or traumas that may interfere with their relationship.


– Cognitive behavioral therapy (CBT): This is a type of therapy that helps people change their negative or distorted thoughts and beliefs that may cause them distress or impair their functioning. CBT is based on the idea that thoughts, feelings, and behaviors are interconnected and influence each other. A therapist can help non-monogamous and LGBTQ couples identify and challenge their cognitive distortions, such as catastrophizing, overgeneralizing, or personalizing. For example, a person may think that their partner’s interest in someone else means that they are not good enough or that their relationship is doomed. A therapist can help them replace these thoughts with more realistic and positive ones.


– Narrative therapy: This is a type of therapy that helps people construct new and empowering stories about themselves and their relationships. Narrative therapy is based on the notion that people are not defined by their problems or labels, but by the meanings they give to their experiences. A therapist can help non-monogamous and LGBTQ couples re-author their stories in a way that highlights their strengths, values, and goals. For example, a couple may have a story that they are abnormal or deviant because of their non-monogamy or LGBTQ identity. A therapist can help them create a new story that celebrates their diversity and authenticity.

The Importance of Tailored Approaches in Couples Therapy

Every relationship is unique, but LGBTQIA+ and non-monogamous couples may face specific challenges that require specialized understanding and techniques in therapy. Therapists must be aware of cultural sensitivities, societal pressures, and individual dynamics that can impact these relationships.

Couples therapy for diverse relationships requires specialized knowledge, ethical care, and tailored approaches. Therapists must be aware of cultural sensitivities, societal pressures, and individual dynamics that can impact diverse relationships. Some of the special considerations and approaches involved in couples therapy for diverse relationships are:

  • Cultural Competency: Therapists must tailor their therapy to understand and respect the unique cultural dynamics of diverse relationships. They must avoid assumptions, stereotypes, or biases that may harm or invalidate diverse couples.
  • Open Dialogue: Therapists must facilitate open dialogue between partners about their diverse relationship issues. They must use techniques that encourage meaningful conversations, such as Imago Dialogue, which involves mirroring, validating, and empathizing with each other’s perspectives.
  • Empathy Building: Therapists must create a non-judgmental space where both partners feel seen and understood. They must help partners to express their feelings and needs in a constructive way, and to listen to each other with empathy and compassion.
  • Customized Strategies: Therapists must develop strategies that consider the unique needs and dynamics of diverse relationships. They must help partners to define their relationship agreements and boundaries, to cope with societal pressures or family issues, to manage their finances or legal matters, to deal with their emotions or conflicts, etc.

Special Considerations for LGBTQIA+ Couples

Diverse relationships, such as LGBTQIA+ and non-monogamous relationships, can offer many benefits, such as freedom, diversity, authenticity, and growth. However, they can also encounter many challenges, such as stigma, discrimination, misunderstanding, or conflict. Some of the common challenges and opportunities of diverse relationships are:

    • Identity: Understanding and respecting the various identities within the LGBTQIA+ spectrum and the non-monogamous spectrum, and how they affect the relationship.
    • Society: Dealing with the external pressures and prejudices that may affect diverse relationships, and finding ways to cope and thrive.
    • Family: Navigating family acceptance or rejection, which may have a significant impact on the emotional wellbeing of diverse couples.
    • Legal and Financial: Addressing legal barriers and financial concerns that may be unique to diverse relationships.
    • Communication: Communicating openly and honestly about desires, expectations, and boundaries within a diverse relationship.
    • Emotions: Managing complex emotions, such as jealousy, trust, or insecurity, that may arise in a diverse relationship.

Special Considerations for Non-Monogamous Couples

  1. Defining the Relationship: Understanding the specific agreements and boundaries within a non-monogamous relationship. We need to understand the specific agreements and boundaries within a non-monogamous relationship.

  2. Communication Dynamics: Facilitating open and honest communication about desires, expectations, and concerns. We need to encourage open and honest communication about desires, expectations, and fears.  If you want to read deeper into building communication skills, read our articles here for communication issues and here for active listening skills.

  3. Emotional Considerations: Navigating complex emotional landscapes, including jealousy, trust, and security. We need to help non-monogamous couples cope with complex emotional issues, such as jealousy, trust, and security.

  4. Societal Understanding: Recognizing societal attitudes towards non-monogamous relationships and how these can impact the couple. We need to recognize societal views on non-monogamous relationships and how they can affect the couple.

Therapeutic Techniques and Approaches

Some of the therapy interventions that have been proposed or used for non-monogamous and LGBTQ couples are:

Some of the therapy theories that have been applied or adapted for non-monogamous and LGBTQ couples are:

These are some of the therapy interventions and theory for non-monogamous and LGBTQ couples therapy. If you want to learn more about this topic, you can check out the articles I have listed below:

Polyamory Couples Therapy 5 Ways LGBTQ+ Couples Therapy Can Help LGBTQ+ Couples Explore … Where Therapists and Counselors Can Learn About Polyamory

Common misconceptions about non-monogamous Relationships

Some common misconceptions about non-monogamous relationships are:

These are some of the common misconceptions about non-monogamous relationships. If you want to learn more about this topic, you can check out the articles I have listed below:

5 Misunderstandings About Nonmonogamous Relationships Ethical non-monogamy: what to know about these often misunderstood relationships Ethical non-monogamy: What to know about these often misunderstood relationships

Fostering Inclusion and Respect

Embracing diversity in relationships requires a tailored and empathetic approach in couples therapy. By understanding the unique dynamics of LGBTQIA+ and non-monogamous couples, therapists can foster an environment of inclusion, respect, and healing. 

Couples therapy can help diverse couples cope with these challenges and improve their relationship. Couples therapy can help diverse couples understand their relationship dynamics; create a supportive environment for recovery; learn communication skills to express feelings and needs; rebuild trust and intimacy; manage financial stress; develop a relapse prevention plan; etc.

Couples therapy is a valuable tool for diverse couples who want to heal, grow, and thrive together. If you or your partner are in a diverse relationship and need professional help or support, consider seeking couples therapy.