Sexual preference is seen as a spectrum and it fluctuates according to social and temporal context. Sexual orientation, gender identity, sexual preferences, and relationship choices vary and each one is turned into a personal narrative during the therapy session.
Apart from that, the issues brought up in therapy do not differ from the ones brought up by the general population. However, they occur in a social environment that adds another dimension to those issues for the LGBTQ+ community; that of being accepted or not. Internalised self-oppression pushes the individual to question their own identity. Having common experiences and sharing them can help the person in building an identity by including all the different aspects of their personality.