Bisexuality

&
Mental Health

BiPhoria
 "I went to a sexual health
clinic for a routine STD screening. I'm
female but when it emerged I was sleeping with a
bisexual, I was told I had to go to the gay and bisexual men's
clinic to receive my testing.

It was only when I mentioned that my bisexual partners were

female that they agreed to treat me in the female clinic. I
would not have felt comfortable going to the men's clinic
and felt quite uncomfortable about being
tested at all after that."

"When I went for initial interview to get

referred to a gender identity clinic, they told me I
needed to stabilise my sexuality before they would
engage with me about my gender dysphoria."

"When I told my therapist that I

was bisexual and that I was having trouble
finding a place in society where I fit in, he assumed
I wanted help to become straight. He referred me
for CBT to 'cure' me. I didn't feel any more
confident about my sexuality."

"A psychiatric nurse asked me what I'd done

at the weekend and I mentioned I'd been at a bisexual
event, and as a result came out as bisexual.

He seemed fine at the time but when it came to see my counsellor, I

found out that my referral letter said that I had unresolved
issues with my sexuality. I hadn't said anything like that! I
felt so betrayed, knowing that he'd secretly been
judging me like that."

Published by BiPhoria © 2011

www.biphoria.org.uk
May be reproduced with credit to BiPhoria and our
web address. Contact: bis@biphoria.org.uk or
Box 101, LGF, 5 Richmond St, Manchester M1 3HF
Bisexuals may experience homophobia like lesbian
and gay people, as they might appear lesbian or
gay. But there are some issues that are unique to
the bisexual experience, which is the focus here.
What is Bisexuality?
Definition from the Bisexual Index (www.bisexualindex.org.uk):
“A bisexual is someone who is attracted to more than one gender.”

Some people self-identify as bisexual. Others may use other terms such as
queer, pansexual, bi-curious, questioning, mostly straight, heteroflexible or many
more.
Some people may be behaviourally bisexual. They may identify as gay or lesbian but
have relationships with people of different genders or identify as straight but have
relationships with people of the same gender.

Labels are not as important as making sure people have access to the services
and support they need.

Bisexual people may:

· Be equally attracted to people of all genders, be mainly attracted to people
of one gender or consider gender irrelevant.

· Find their level of attraction to different genders varies over time or

remains constant through their life.

· Have relationships with people of the same gender or different genders.

· Be celibate, monogamous, cheating, or in polyamorous relationships

(Polyamory is having more than one relationship at a time with the
knowledge and consent of everyone involved.)

· Be of any age, ethnic background, religion, disability, or other things

besides their sexuality about which they may also experience discrimination
and/or mental health issues

· Be transgender or genderqueer and/or have transgender or genderqueer

partners. (Transgender means having a gender identity different from the
gender assigned at birth. Genderqueer means identifying as a gender other
than male or female, especially in ways that challenge assumptions about
gender.)
· Be connected to "straight" or LGBT community, both or neither.
Biphobia
As well as homophobia, bisesuals may experience Where Does
biphobia, which comes from prejudices and stereotypes Biphobia Come From?
about bisexual people and may result in discrimination, · From straight people and
harassment or violence. mainstream culture, including friends,
family and partners.
Stereotypes of Bisexuals
· From other LGBT people, friends,
Some examples of stereotypes we have heard or experienced:
family and partners.
· Greedy · Institutional biphobia – at work,
· Promiscuous from health and social services, from
government agencies and other
· Deceitful/Untrustworthy
institutions.
· Can’t commit to one person · Internalised biphobia.

· Cheater

· It’s a phase before coming out “properly”.

· Experimenting before settling down in a heterosexual

relationship.

· Attention seeking / just doing it for their boyfriend

· Indecisive

· It’s easier to be bi – you can pass for straight if you

want to.

· Cowardly

· Fooling themselves

· Sexually predatory / Vector for STDs

· Irresponsible

· Bisexual men don’t exist!

· Kinky / Sexually experimental

· Young / Immature
As with any stereotypes, some of these may be true in
some individuals – being part of a stereotyped group
is no guarantee against the stereotypical behaviour! – but
the stereotypes are still spurious and potentially damaging.
Four ways you can help make services
accessible/supportive to bisexuals
1. Be aware of the stereotypes you and other
members of staff may have. 2. Be aware of the effects of biphobia
· Be aware that health professionals have a lot · Discrimination, harassment and hate-
of power over their service users, which means the crimes at home, at work or in public spaces can
stereotypes they hold can have a very negative have a huge affect on mental health.
impact on the lives of vulnerable people. · Internalised biphobia may make people
· Be aware how stereotypes can affect people’s deny their feelings, feel pressured to “choose”,
diagnosis and treatment – for example if someone or be defensive. They may feel expected to live
is assumed to be ‘confused’ about their sexuality, out the stereotypes discussed above.
will it be assumed they are confused in other · People may feel unable to come out to
areas? their partners, friends or family, leading to the
· Be proactive in challenging biphobic stress and anxiety of keeping secrets from loved
behaviour from both staff and other service users. ones.
Be aware biphobia may come from lesbian and gay Social spaces tend to be either straight or gay.
as well as straight staff and service users. If your partner is the ‘wrong’ gender for your
social space, this can lead to conflict and
isolation.

3. Make services as inclusive as possible

4. Be open to learning more
· The fear of being excluded or discriminated against
· Like homosexuality, there
may discourage bisexuals from accessing services or being
are a lot of weird
open with health professionals.
psychological theories about
· Bisexuals may have experienced exclusion in services
bisexuality. Bisexuals are the
for lesbian and gay people. Make it explicitly clear that
experts on their own lives and
bisexuals are welcome to use LGBT services.
experiences.
· Equally, bisexuals may not be connected to the LGBT
· Don’t assume open or
community – targeting services for bisexual people only
polyamorous relationships are
through LGBT organisations will miss out a lot of people
harmful or involve deceit.
(only one-third of bisexuals access the 'LGBT scene'
(But don’t assume all bisexuals
regularly, and of course that doesn't count all those we
are polyamorous or cheating).
don't know about or who won't say!).
Engage with the bisexual
· People may identify as lesbian, gay or straight, but be
and LGBT community, and by
behaviourally bisexual. Don’t assume you know all about using resources such as this
someone’s sexual behaviour from their identity, current one!
partner, etc.
 Bisexuality and
Mental Health: Research
There is limited research available about bisexual people’s mental health
(often LGB is
all mixed together in the statistics, and information is often solicited
via LGBT
organisations so misses out at least 2/3 of bisexuals who don't interac
t with the
'scene') but the available research shows:
Bisexual people are less likely than lesbians and gay men to report
that
their siblings have been positive about their sexuality. They are also
less likely
to be at ease with their sexuality or to have come out to family, friend
s and
colleagues. 1

Bisexuals are less likely to feel comfortable being out at work

than
lesbians or gay men and less likely feel workplace LGBT networks were
helpful.2
1 in 5 LGBT people have experienced homophobic, biphobic or
transphobic hate crimes in the last 5 years.3
LGBT people, especially young people, are disproportionately likely
to be
homeless or insecurely housed.3
· Bisexual people report poorer mental health than either heterosexuals
or lesbians and
gay men, higher levels of anxiety and depression, more current adverse
events and a higher
frequency of financial problems.4

Bisexual Resources
· BiPhoria (www.biphoria.org.uk) – Manchester · Both Directions – Booklet providing
based bisexual social and support group. information about being out as bisexual in the
· Bisexual Index (www.bisexualindex.org.uk) – UK, available for download from the Bi
Organisation and website which seeks to Community News website.
challenge myths about bisexuality and bisexual · BiCon (www.bicon.org.uk)– the UK
invisibility. Bisexual Conference/Convention – Annual
· Bi Community News community event over 4 days consisting of
(www.bicommunitynews.co.uk) Britain's biggest workshops, discussions, meetings and social
selling bisexual magazine, giving a voice to events with bisexuals and allies from around
the bi community since 1995. the UK, Europe and the world. Running since
1984.
References to Research on Mental Health
1. King, M and McKeown, E (2003) Mental Health and Social Wellbeing of Gay Men, Lesbians and
Bisexuals in England and Wales: A summary of findings, Mind, London.
2. Bisexual People In The Workplace - Practical advice for employers, Stonewall, London
3. A Five Year Strategy underpinning the development of the LGB&T Sector in the North West (2009 -
2014), Lesbian and Gay Foundation, Manchester
4. Dobinson, C, MacDonnell, J, Hampson, E et al. (2003) Improving the Access and Quality of Public
Health Services for Bisexuals, Ontario Public Health Association, Toronto.