Healing after conversion therapy

How so-called conversion or “ex-gay” efforts can leave lasting harm, and what recovery can look like.

Earl Johns, MSN, PMHNP-BC

Earl Johns, MSN, PMHNP-BC

Board-certified psychiatric nurse practitioner and founder of Wellthy Psychiatry & Wellness

✓ Medically reviewed by Earl Johns, MSN, PMHNP-BC

people sitting on brown wooden chairs during daytime

Conversion therapy, sometimes called “reparative therapy” or “ex-gay” ministry, tries to change a person’s sexual orientation or gender identity. Major medical organizations agree it doesn’t work and can cause real harm. If you went through it, your pain makes sense, and healing is possible.

The harm it can leave behind

Survivors often carry deep shame, anxiety, depression and a sense that something is wrong with them at their core. Research links conversion efforts to higher rates of depression and suicidal thoughts. Many people also lose trust in therapists, faith leaders or family.

Common after-effects

You might notice intense self-monitoring, fear around intimacy, numbness during sex, or panic when your identity comes up. Some people feel grief for the years they spent trying to change, or anger at the people who sent them.

What recovery can look like

Healing often starts with an affirming provider who will never try to change who you are. Trauma-focused therapy can help process painful memories. DBT and CBT skills can quiet shame and anxiety. Connecting with other survivors and queer community can be powerful too.

Rebuilding trust in care

It’s okay to interview a provider before you start. Ask how they work with LGBTQ+ clients and religious trauma. A good fit will welcome your questions and move at your pace.

A gentle next step

A free 15-minute phone consult is an easy way to see if Wellthy Psychiatry feels like the right fit for you.

This article is for general education and isn’t medical advice. If you’re in crisis, call or text 988, the Suicide & Crisis Lifeline, or call 911. LGBTQ+ young people can also reach The Trevor Project 24/7.

Earl Johns, MSN, PMHNP-BC, psychiatric nurse practitioner

About the author

Earl Johns, MSN, PMHNP-BC

Board-certified psychiatric nurse practitioner · UCSF-trained · Founder of Wellthy Psychiatry & Wellness

Earl provides LGBTQ+ and neurodivergent-affirming psychiatric care, blending medication management, therapy and whole-person approaches. He sees clients in San Francisco and by telehealth across California.