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🌈 Why the β€œ+” in LGBTQPIA+ Matters β€” Inclusion, Identity & Anti-Transphobia By V. Levy, LMFT, LPCC


#Gender, #LGBTQ+, #Sexuality Updated on Dec 17, 2025
I offer therapy via phone and online.
My focus is culturally responsive trauma-informed care that is client centered.

Mx Van Ethan Levy (they | elle)

Licensed Marriage and Family Therapist

San Diego, United States

The β€œ+” in LGBTQPIA+ isn’t optional or decorative β€” it’s a commitment to inclusion for all sexual and gender minorities. This article explains why the β€œ+” matters, who it includes, and how to honor identity and resist cis-supremacy.


Introduction

When someone writes β€œLGBTQPIA+,” the β€œ+” isn’t filler. The β€œ+” stands for the many people whose identities fall outside those listed explicitly β€” identities that are too often erased or dismissed.

Using the β€œ+” is a deliberate act of recognition. It affirms that sexual and gender minority identity(ies) are infinite, evolving, and valid. Using the β€œ+” refuses the idea that identity is binary or limited. It is an act of anti-transphobia.

What LGBTQPIA+ Means

The letters in LGBTQPIA+ represent some identities, and the β€œ+” stands for all additional sexual, romantic, intersex, and gender-diverse identity(ies) not captured by the letters.

β€’ L β€” lesbian

β€’ G β€” gay

β€’ B β€” bisexual

β€’ T β€” trans

β€’ Q β€” queer and/or querying

β€’ P β€” pansexual / polysexual / panromantic / poly-romantic depending on identity)

β€’ I β€” intersex

β€’ A β€” asexual / aromantic / agender / ally / and many more identity as self-defined

β€’ 2S- Two-Sprite/Two Spirit/ Two-Spirited/ two spirit /two-spirited / and many more

β€’ + β€” all additional sexual, romantic, identity, intersex, cultural, or identity-based variations (non binary, gender fluid, two-spirit, queer-of-color identities, and more)

Because identity is infinite and evolving, the β€œ+” is critical: it signals we don’t attempt to name or limit every identity β€” we acknowledge existence, validity, and dignity of all.

Why the β€œ+” Matters β€” Inclusion Is Liberation

1. It acknowledges people erased by abbreviation

Without the β€œ+,” many people who identify outside cis/hetero norms are erased β€” especially non binary, intersex, ace/aromantic, pansexual, two-spirit, and culturally specific identities. The β€œ+” affirms their presence.

2. It resists cis-supremacy and binary identity enforcement

Using only β€œLGBT” or β€œLGBTQIA2S” β€” without the β€œ+” β€” implicitly suggests identity can be boxed or capped. That supports systems that erase, gatekeep, or invalidate trans, non binary, intersex, and other marginalized identity(ies). The β€œ+” pushes back against that erasure.

3. It creates spaces where identity can exist and evolve

Identity isn’t fixed. People’s understanding of themselves β€” of attraction, identity, expression β€” changes over time. The β€œ+” leaves room for growth, self-definition, and difference.

4. It demands respect for complexity and intersectionality

Many people hold multiple identity factors β€” e.g., racial, ethnic, neurodivergent, intersex, queer, trans, etc. The β€œ+” reminds us that people are more than a single label β€” and deserve respect for all parts of themselves.

What β€œ+” Includes β€” Some Examples

Here are just a few of the many identity(ies) the β€œ+” stands for:

β€’ non binary

β€’ fluid / queer

β€’ two-spirit (for Indigenous and First Nations people)

β€’ pansexual / polysexual / panromantic

β€’ aromantic / asexual / ace-aromantic

β€’ intersex

β€’ demisexual / gray-ace / gray-sexual / gray-romantic

β€’ trans + cultural-identity (cultural, ancestral, non-Western identity)

β€’ queer identities that resist Western labels

β€’ Intersectional identities β€” race, disability, neurodivergence, body-diversity, spiritual, etc.

And more. The β€œ+” recognizes identity is expansive.

What It Means for Providers, Allies, and Community Members

β€’ Use β€œLGBTQPIA2S+” or β€œLGBT+” (or another inclusive acronym) β€” don’t leave out the β€œ+.”

β€’ When creating intake forms, surveys, community spaces, or group settings: include open-ended fields for identity. Don’t force people into limited or binary boxes.

β€’ Understand that visibility β‰  safety for everyone. Allow anonymity, privacy, and self-definition.

β€’ Share β€” but don’t police β€” pronouns, identity, and orientation inclusively and humbly. Never demand disclosure.

β€’ Continuously educate yourself about evolving identity terminology and respect how people self-identify.

β€’ Don’t Put β€œother” instead Put β€œanother identity not listed”

Why the β€œ+” Is Not Optional or Decorative β€” It’s Essential

To remove the β€œ+” isn’t neutral. It is a choice that erases and excludes. It says: only the identities we listed are valid.

That choice upholds cis supremacy. It keeps gatekeeping alive. It denies people the dignity of existing fully.

The β€œ+” is a statement of solidarity, recognition, and commitment to justice. It says to every person whose identity isn’t named:

β€œYou belong. You exist. You matter.”

Omitting the β€œ+” rejects that commitment.

Conclusion β€” The β€œ+” Is an Act of Resistance, Inclusion and Care

If you are working in mental-health, medical care, community support, activism, education, or just being a human striving for justice β€” including the β€œ+” is one of the smallest but most powerful acts you can do.

It is not about political correctness.

It is not about ticking a box.

It is about honoring humanity.

It is about validating identity.

It is about resisting transphobia and erasure.

When you include the β€œ+,” you choose inclusion over exclusion β€” you choose respect over assumption β€” you choose humanity over silence.

That matters. It changes lives.






Van Ethan is a qualified Licensed Marriage and Family Therapist, based in San Diego, United States.

With a commitment to mental health, Mx Levy (they | elle) provides services in English, including Advocacy, Assessment, Awareness, Mindfulness, Psychotherapy (Adolescent), Psychotherapy (EMDR), Therapy, Therapy (Individual) and Youth Development.

Mx Levy (they | elle) has expertise in Abuse, Attachment Issues, Child and/or Adolescent Issues, Cross Cultural Issues, Gay, Lesbian and Same Sex Counselling, Relationship Counselling, Sexuality and Trauma.

Click here to schedule a session with Mx Levy (they | elle).





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Important:

TherapyRoute does not provide medical advice. All content is for informational purposes and cannot replace consulting a healthcare professional. If you face an emergency, please contact a local emergency service. For immediate emotional support, consider contacting a local helpline.





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