Effective support for lesbians in rural communities: the role of psychotherapy.

Most research involving lesbians has been conducted using urban or suburban samples. However, the challenges lesbians face in their rural communities differ from those encountered by lesbians in urban areas. Lesbians in rural areas face potential isolation due to the lack of a visible gay community, an overall lack of services and resources, and an often heightened experience of stigma. Rural areas tend to have a more conservative political climate with an emphasis on fundamentalist religious beliefs. Due to such strong heteronormist pressures, lesbians who decide to come out to their rural communities often face justifiable fears surrounding possible discrimination from employers, religious organizations, schools, and even their friends and family members. Therapists who work with lesbians in rural areas should be prepared to help their clients face and successfully deal with many unique challenges.