Queer Therapy: A Framework for Working With Queer Clients

Author(s) : Thomas Quinn-Smithson

Queer Therapy: A Framework for Working With Queer Clients

Book Details

  • Publisher : Karnac Books
  • Published : January 2027
  • Cover : Paperback
  • Pages : 216
  • Category :
    Forthcoming
  • Category 2 :
    Individual Psychotherapy
  • Catalogue No : 98713
  • ISBN 13 : 9781800135000
  • ISBN 10 : 1800135009
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A book from a queer therapist to all fellow therapists, trainee therapists, and those working in allied professions. Queer Therapy shares a journey of discovering ways to work with queer clients and offers a personal, proven perspective on how to work in that way. Filled with stories, it presents a framework to integrate into any working style.

Working with queer clients is complex. Thomas Quinn-Smithson provides a straightforward, easy-to-understand, and adaptable framework for use by all practitioners, queer or not. His aim is to improve understanding about what queer clients might be experiencing and give ideas of how to proactively work with them. Alongside theory, Tom uses stories of his work to demonstrate how it works in practice.

Split into three, interrelated parts – the four pillars, the queer narrative, and the self-fulfilling cycle – the aim is to guide and inform the reader of a tried-and-tested way of working with queer clients. The “four pillars” are the areas therapists and counsellors need to be mindful of when working with queer clients: intersectionality, shame, rage/anger, internalised phobias. The queer narrative is the story clients tell themselves about how their life will progress from the overt and implicit messages they received growing up. The final part looks at the self-fulfilling cycle, which is made up of three elements: self-acceptance, community, and relationships. These different stages provide practical tools for working with queer clients which ultimately enable them to live a happier life.

Queer Therapy works alongside an integrative model of therapy, incorporating a range of person-centred, psychodynamic, existential, solution-focused and relational work. It does not provide its own individual “queer theory”. Instead, it enables practitioners to integrate the approach into their own way of working. This book is essential reading for practitioners working with adult clients who are actively struggling with understanding and accepting their gender and/or sexuality identity. It is also highly recommended for all mental health practitioners interested in continuing their professional development and for related professionals whose work involves working with queer individuals and communities.

Reviews and Endorsements

‘This is an essential read for any practitioner working with queer clients. The four pillar framework is clear, adaptable, easy to understand and rooted in trauma-sensitive practice, offering both deep insight and practical tools. It not only enhances clinical understanding but also challenges us to reflect on our own assumptions and show up more fully for the communities we hold space for.’
Danielle Bottone, MBACP

‘A vital and accessible guide for clinicians seeking to offer the most affirming and effective support to their queer clients. While the therapeutic relationship is rightly emphasised as central to all forms of therapy, Tom enriches this foundation with thoughtful reflections drawn from both personal experience and years of clinical practice. This is an essential read for any therapist working with queer people who want to deepen their understanding and truly show up in the room with care, clarity, and empathy.’
Lesley Kollikho, UKCP

‘Finally! A non-academic resource that resonates with real-world clinical practice and is readily applicable to client work.’
Nathan Osborne, MBACP

‘This book is really needed! Tom has created an excellent framework for practitioners working with queer clients in this highly readable and highly practical guide.’
Heather Robertson, MBACP (Accred

Table of Contents

About the author
Introduction

Part I: The four pillars
Introduction to Part I

1. The wider context
2. Queer shame
3. Rage and anger
4. Internalised phobias

Part II: The queer narrative
Introduction to Part II

5. The queer narrative
6. Negative queer narrative
7. Positive queer narrative
8. Discussing the queer narrative

Part III: The self-fulfilling cycle
Introduction to Part III

9. The importance of queer acceptance
10. The importance of relationships
11. The importance of community
12. The self-fulfilling cycle

Final thoughts
Acknowledgements
References

About the Author(s)

Thomas Quinn-Smithson is a BACP-registered therapist, supervisor, and tutor. He set up his private practice, New Horizon Counselling, in 2018. He works with adults online, specialising in working with LGBTQIA+ communities. He uses three main theories and techniques in his work: psychodynamic, person-centred, and existential. He spent several years writing this, his first, book and hopes it will do much to widen the conversation about working with queer clients.

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