Efectividad de la Terapia Cognitivo Conductual Afirmativa en la validación de la orientación sexual en población LGBTQ+: Revisión sistemática a partir de la experiencia práctica

Abstract

Abstract:During the pre-professional experience, a problem was identified among youth and adults in the LGBTQ+ community related to difficulty validating their sexual orientation, which generated emotional symptoms and impaired well-being. In response to this problem, a systematic review was conducted on the effectiveness of Affirmative Cognitive Behavioral Therapy (ABT) in the LGBTQ+ population. The findings showed improvements in anxiety-depressive symptoms and self-esteem, highlighting interventions such as ESTEEM (Intervention Focused on Reducing Stress in Sexual Minorities) and AFFIRM (Manualized Group Intervention Based on ABT, Aimed at LGBTQ+ Youth), both focused on addressing stigma from an affirmative perspective. Based on this evidence, a clinical case was developed of a young homosexual man who presented with depressive symptoms, identity conflict, and a conservative family environment. The therapeutic process included a clinical evaluation, diagnosis, and a 14-session intervention plan based on ABT. The intervention focused on cognitive restructuring, self-acceptance, and strengthening emotional well-being. This study supports the usefulness of CBT in addressing sexual identity conflict in the LGBTQ population.