Elizabeth Simpson, Psy.D., is a 2022 graduate of the Psy.D. Program in Clinical Psychology at Antioch University, New England

Dissertation Committee:

  • Shannon McIntyre, PhD, Committee Chair
  • Roger Peterson, PhD, ABPP, Committee Member
  • Jennifer McLean, PsyD, Committee Member


queer women, nonbinary individuals, mental health services, telepsychology, sexual minorities, COVID-19, health care disparities, social justice

Document Type


Publication Date



Background: The COVID-19 pandemic has had a negative effect on mental health. Queer women and nonbinary individuals disproportionately experience mental health issues when compared to heterosexuals, often facing challenges in receiving care from providers who are sensitive to their concerns and competent in their care. Objective: To report experience of queer women and nonbinary individuals in the United States with mental health care services before and during the pandemic. Methods: Data were gathered via a 43-item survey about experiences with mental health care services before and during the pandemic that was posted on four social media sites, and flyers hung in university student centers and businesses friendly to LGBTQ individuals. Queer women and nonbinary individuals between the ages of 18 and 75 were invited to participate. Descriptive statistics and Spearman’s correlations were used for data analysis. Results: There were 175 participants who met inclusion criteria and were included in the analysis. During the pandemic, more survey participants received mental health services compared with before the pandemic. How they received care significantly changed from before the pandemic (mostly in-person) to during the pandemic (mostly remote). Participants reported being seen significantly more frequently for mental health care during the pandemic compared to before. A higher percentage of participants received both psychotherapy and medication during the pandemic compared with before. They were generally satisfied with their mental health care; however, satisfaction was significantly higher during the pandemic. Conclusion: During the pandemic, compared with before, significantly more participants received mental health care and there were significantly more virtual mental health visits, more frequent mental health visits, more intensive therapies, and higher patient satisfaction. Telehealth care was perceived to be beneficial by most participants.


Elizabeth Simpson

ORCID Scholar ID# 0000-0002-9405-0847