This is an On-Demand course that includes a video recording and a handout of slides that accompany the talk.

John Pachankis

Sexual orientation disparities in mental health and related psychosocial outcomes are one of the most robust population disparities in psychiatric epidemiology, likely driven by LGB people's disproportionate exposure to stigma-related stress. 

In this ABCT Webinar, John Pachankis, PhD reviews the first evidence-based treatment package to reduce depression, anxiety, and related health conditions by reducing the processes through which stigma-related stress impairs the mental health of this population. Attendees learn to utilize LGB-affirmative therapeutic principles and techniques to adapt standard cognitive-behavioral approaches to specifically address the stigma-related stress faced by LGB people across development.  Preliminary efficacy data from a recent RCT is presented suggesting that this LGB-affirmative treatment package, called ESTEEM, can reduce sexual minority men's depression, alcohol abuse, sexual compulsivity, and HIV risk behavior. 

Learning Objectives

After completing this course participants will be able to:

  • Summarize psychiatric epidemiologic findings related to sexual orientation and mental health.
  • Recognize clinical presentations of sexual minority stress.
  • Utilize transdiagnostic cognitive-behavioral treatment approaches to reduce the mental health impact of minority stress.



Dr. John Pachankis is an Associate Professor at the Yale School of Public Health and the Director of the ESTEEM Research Group in New York City.  He received his Ph.D. in clinical psychology with a quantitative focus in 2008 from the State University of New York at Stony Brook and completed his clinical psychology internship at Harvard Medical School / McLean Hospital. His research program has two primary foci: (1) to identify psychosocial mechanisms linking stigma-related stressors to adverse health outcomes within lesbian, gay, bisexual, and transgender (LGBT) populations and (2) to develop and disseminate effective interventions to reduce sexual orientation mental health disparities. He has published widely in the areas of stigma, LGBT mental health, and psychosocial mechanisms linking stigma to mental health health. This work appears in journals such as Psychological Bulletin, the Journal of Consulting and Clinical Psychology, AIDS, and the American Journal of Public Health. His research has had both national and international scholarly, legal, and popular impact, having been referenced in national professional guidelines for LGBT mental health practice, cited in numerous amici curiae briefs before U.S. state and federal courts, including the U.S. Supreme Court, and featured in national and international media outlets, such as The New York Times.

He currently serves as Principal Investigator on grants from the National Institutes of Health to develop evidence-based psychosocial interventions specifically tailored to the unique mental health concerns of LGBT individuals. He examines the efficacy of LGBT-affirmative interventions delivered via novel technologies (e.g., smartphones), in diverse settings (e.g., Eastern Europe, Appalachia, NYC), and with diverse segments of the LGBT community (e.g., rural youth). Dr. Pachankis has received several awards for his research, including the 2013 Samuel Turner Early Career Award for Distinguished Contributions to Diversity in Clinical Psychology from the American Psychology Association (APA). In addition to his academic training and research experience, Dr. Pachankis has 16 years of experience in the development and delivery of health promotion initiatives within LGBT community-based settings.

Licensing and Continuing Education Requirements

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The Evidence-Based Practice Institute is approved by the American Psychological Association to offer continuing education for psychologists. The Evidence-Based Practice Institute maintains responsibility for the program and its content.  The Evidence-Based Practice Institute allocates 1.5 CE credits for this course following APA guidelines. After you successfully complete the course, fill out an evaluation form, and pass an exam, your CE certificate will be emailed to you.

Licensing and continuing education requirements vary by state. Please contact your state's regulatory authority to verify that this course meets your licensing and/or continuing education requirements.