FFFGay, Lesbian and Bisexual Adolescents

No. 63; Updated October 2018

Growing up is a demanding and challenging task for every adolescent. One important aspect of maturing is forming one's sexual identity. All children explore and experiment sexually as part of normal development. This sexual behavior may be with members of the same or opposite sex. For many adolescents, thinking about and/or experimenting with people of the same sex may cause concerns and anxiety regarding their sexual orientation. For others, even thoughts or fantasies may cause anxiety. These feelings and behavior do not necessarily mean an individual is homosexual or bisexual.

Homosexuality is the persistent sexual and emotional attraction to someone of the same sex. It is part of the normal range of sexual expression. Homosexuality has existed throughout history and across cultures. Many gay, lesbian, and bisexual individuals first become aware of their sexual thoughts and feelings during childhood and adolescence. Recent changes in society's attitude toward sexuality have helped gay, lesbian, and bisexual teens feel more comfortable with their sexual orientation. In other aspects of their development, they are similar to heterosexual youngsters. They experience the same kinds of stress, struggles, and tasks during adolescence.

Parents need to clearly understand that sexual orientation is not a mental disorder. The cause(s) of homosexuality or bisexuality are not fully understood. However, a person's sexual orientation is not a matter of choice. In other words, individuals have no more choice about being homosexual or bisexual than heterosexual. All teenagers do have a choice about their sexual behaviors, regardless of their sexual orientation.

Despite increased knowledge and information, gay, lesbian, and bisexual teens still have many concerns. These include:

  • feeling different from peers
  • feeling guilty about their sexual orientation
  • worrying about the response from their families and loved ones
  • feeling judged by religious groups they might belong to, or even rejected
  • being teased and ridiculed by their peers
  • worrying about AIDS, HIV infection, and other sexually transmitted diseases
  • fearing discrimination when joining clubs, sports, seeking admission to college, and finding employment
  • being rejected and harassed by others

Gay, lesbian, and bisexual teens can become socially isolated, withdraw from activities and friends, have trouble concentrating, and develop low self-esteem. Some may develop depression and think about suicide or attempt it. Parents and others need to be alert to these signs of distress because recent studies show that gay, lesbian, and bisexual youth account for a significant number of deaths by suicide during adolescence.

It is important for parents to understand their teen's sexual orientation and to provide emotional support. Parents may have difficulty accepting their teen's sexuality for some of the same reasons that the youngster wants to keep it secret. Gay, lesbian, or bisexual adolescents should be allowed to decide when and to whom to disclose their homosexuality. Announcing a person's sexuality before they are ready is called "outing" and can be traumatic. Parents and other family members may gain understanding and support from organizations such as Parents, Families, and Friends of Lesbians and Gays (PFLAG).

Counseling may be helpful for teens who are uncomfortable with their sexual orientation or uncertain about how to express it. They may benefit from receiving support and the opportunity to clarify their feelings. Therapy may also help the teen adjust to personal, family, and school-related issues or conflicts that emerge. Therapeutic interventions directed specifically at changing sexual orientation is not recommended and can be harmful. It may create more confusion and anxiety by reinforcing the negative thoughts and emotions with which the youngster is already struggling.

For additional information about Parents, Families, and Friends of Lesbians and Gays (PFLAG) visit PFLAG's website at www.pflag.org or contact:

PFLAG, 1726 M Street, NW
Suite 400
Washington, DC 20036
202.467.8180
202.467.8194 (FAX)


If you find Facts for Families© helpful and would like to make good mental health a reality, consider donating to the Campaign for America’s Kids. Your support will help us continue to produce and distribute Facts for Families, as well as other vital mental health information, free of charge.

You may also mail in your contribution. Please make checks payable to the AACAP and send to Campaign for America’s Kids, P.O. Box 96106, Washington, DC 20090.

The American Academy of Child and Adolescent Psychiatry (AACAP) represents over 10,000 child and adolescent psychiatrists who are physicians with at least five years of additional training beyond medical school in general (adult) and child and adolescent psychiatry.

Facts for Families© information sheets are developed, owned and distributed by AACAP. Hard copies of Facts sheets may be reproduced for personal or educational use without written permission, but cannot be included in material presented for sale or profit. All Facts can be viewed and printed from the AACAP website (www.aacap.org). Facts sheets may not be reproduced, duplicated or posted on any other website without written consent from AACAP. Organizations are permitted to create links to AACAP's website and specific Facts sheets. For all questions please contact the AACAP Communications Manager, ext. 154.

If you need immediate assistance, please dial 911.

Copyright © 2023 by the American Academy of Child and Adolescent Psychiatry.