Much recent attention has focused on the emerging area of LGBTQI+ health care and evidence-based best practices for professionals providing physical and mental health services to clients from this community. Advocacy and politics have also received a great deal of press attention that might impact the delivery of much needed professional health care services. Issues related to non-binary, transgender, and gender affirming health care have received perhaps the most attention and can be polarizing in some communities with politicians and state legislators weighing in and micromanaging access to available treatment as well. Psychologists and other health care professionals must be able to provide evidence-based best practices for those with whom they work that are always ethically grounded. Providing quality and ethically sound clinical health services in a rapidly changing and sometimes controversial area of work can be challenging. The purpose of this article is to highlight the primary ethical issues associated with psychological treatment of LGBTQI+ clients that highlight the need for vigilant attention to matters involving informed consent, avoiding harm, maintaining competence, offering respect, and being mindful of justice issues in providing quality health care services to LGBTQI+ clients and their loved ones.
