Shame, silence, and survival: internalized oppression and the struggle for mental health in LGBT populations

Abstract

This paper examines the psychological consequences of internalized oppression in LGBT individuals across diverse cultural contexts. Drawing from psychodynamic theory, minority stress models, and qualitative data, it explores how persistent societal rejection can evolve into selfdirected shame, suppression of identity, and chronic psychological distress. The article highlights common patterns such as internalized homonegativity, emotional withdrawal, self-silencing, and body-based dissociation. Through in-depth clinical case comparisons and cross-national diagnostics, the paper identifies therapeutic strategies that help clients navigate the long-term effects of invisibility, guilt, and fear. The findings emphasize the role of identity-affirming therapy in re-establishing emotional integrity, restoring agency, and promoting psychological recovery.