Nathan Hollinsaid

Harvard University | Harvard · Department of Psychology

Objective: Gender minority youth (i.e., children/adolescents whose gender identity and/or expression is inconsistent with their birth-assigned sex) experience elevated rates of emotional and behavioral problems relative to cisgender youth (who identify with their birth-assigned sex), which are not intrinsic to gender identity but attributable to un...

Objective We examined whether anti-Black cultural racism moderates the efficacy of psychotherapy interventions among youth. Method We analyzed a subset of studies from a previous meta-analysis of five decades of youth psychotherapy randomized controlled trials. Studies were published in English between 1963 and 2017 and identified through a system...

Objective: Transgender adolescents experience adversity accessing mental healthcare, which is exacerbated by transgender-specific mental health provider shortages in the United States. Factors associated with variability in transgender-specific mental health provider availability across states – especially at the macro-social level – have yet to be...

Research into correlates and predictors of emotion regulation has focused almost exclusively on individual differences and the immediate situation. Here, we consider whether features of macro-social contexts may also shape emotion regulation. To test this hypothesis, we conducted a longitudinal study of 502 gay and bisexual men living in 269 U.S. c...

Hypervigilance is often theoretically invoked as a psychological mechanism linking stigma to internalizing psychopathology among sexual minorities. Empirically, however, hypervigilance is rarely explicitly assessed but is instead commonly conflated with putatively related constructs, including sexual-orientation-related rejection sensitivity and ru...

Introduction: Young gay and bisexual men (YGBM) face elevated risk for co-occurring mental (e.g., depression, anxiety), behavioral (e.g., substance use), and sexual (e.g., HIV-transmission-risk behavior) health challenges compared to their heterosexual peers. LGBTQ-affirmative cognitive-behavioral therapy (CBT) targets psychosocial pathways through...

Background Hundreds of youth psychotherapy randomized trials have generated scores of helpful empirically supported treatments (ESTs). However, the standardized structure of many ESTs and their focus on a single disorder or homogeneous cluster of problems may not be ideal for clinically referred youths who have comorbidity and whose treatment needs...

Background: Hundreds of youth psychotherapy randomized trials have generated scores of helpful empirically supported treatments (ESTs). However, the standardized structure of many ESTs and their focus on a single disorder or homogeneous cluster of problems may not be ideal for clinically referred youths who have comorbidity and whose treatment need...

Purpose Transgender adults face increasingly discriminatory laws/policies and prejudicial attitudes in many regions of the United States (US), yet research has neither quantified state-level transphobia using indicators of both, nor considered their collective association with transgender adults’ psychological wellbeing, hindering the identificatio...

Purpose: Transgender adults face increasingly discriminatory laws/policies and prejudicial attitudes in many regions of the United States (US), yet research has neither quantified state-level transphobia using indicators of both nor considered their collective association with transgender adults’ psychological wellbeing, hindering the identificatio...

Hypervigilance is often theoretically invoked as a psychological mechanism linking stigma to internalizing psychopathology among sexual minority young adults. Empirically, however, hypervigilance is rarely explicitly assessed among sexual minorities but instead commonly conflated with putatively related constructs, such as sexual orientation-relate...

Stigma refers to societally-deemed inferiority associated with a circumstance, behavior, status, or identity. It manifests internally, interpersonally, and structurally. Decades of research indicate that all forms of stigma are associated with heightened risk for mental health problems (e.g., depression, PTSD, suicidality) in stigmatized youth (i.e...

Stigma refers to societally-deemed inferiority associated with a circumstance, behavior, status, or identity. It manifests internally, interpersonally, and structurally. Decades of research indicate that all forms of stigma are associated with heightened risk for mental health problems (e.g., depression, PTSD, suicidality) in stigmatized youth (i.e...

Objective: Transgender adolescents experience adversity accessing mental healthcare, which is exacerbated by transgender-specific mental health provider shortages in the United States. Factors associated with variability in transgender-specific mental health provider availability across states—especially at the macro-social level—have yet to be ide...

Transgender and gender diverse (TGD) adolescents and their caregivers have highlighted the dearth of providers trained in gender-affirming practices as a critical treatment barrier, yet little is known about their specific experiences in mental health therapy. The present study sought to elucidate these experiences. Qualitative description was empl...

Background: Relative to cisgender adolescents, transgender adolescents experience greater interpersonal trauma, depression, and suicidality. Structural transphobia (societal conditions constraining transgender people’s rights/wellbeing) may exacerbate associations between trauma and poor mental health for this group. Indeed, a recent study found mo...

Transgender and gender diverse youth (TGD youth; i.e., children and adolescents who do not identify with their birth-assigned sex) face a variety of traumas and adversities, including those explicit to their gender identity and/or expression (hereafter “gender”; e.g., gender-related victimization, caregiver rejection). However, few studies or clini...

Transgender and gender diverse youth (TGD youth; i.e., children and adolescents who do not identify with their birth-assigned sex) face a variety of traumas and adversities, including those explicit to their gender identity and/or expression (hereafter “gender”; e.g., gender-related victimization, caregiver rejection). However, few studies or clini...

Research consistently links internalizing/externalizing symptomatology in Black youth to discrimination (Benner et al., 2018), with a near exclusive focus on interpersonal racism (Williams, 2018). Despite recent calls (Trent et al., 2019), few studies have explored anti-Black racism at the macro level, including if and how cultural racism (i.e., a...

Objective: Mounting evidence indicates that transgender and gender diverse (TGD) youth experience significant mental health inequities and poorer psychotherapy outcomes relative to cisgender youth (Hollinsaid et al., 2020). Emerging research suggests that this may be partially attributable to structural transphobia (i.e., discriminatory state laws/...

Since the coronavirus (“COVID”) outbreak, scholars have called for research examining its mental health impact on sexual and gender minority (SGM) populations, who, amid the pandemic, may be at particularly high risk for psychological distress associated with social isolation, unsafe living situations, and disrupted mental health services (Salerno...

Objective: The study examined whether cultural racism moderates the efficacy of psychotherapy interventions among youth.Method: We analyzed a subset of studies from a previous meta-analysis of five decades of youth psychotherapy randomized controlled trials. Studies were published in English between 1963 and 2017 and identified through a systematic...

Gender minority (GM) youths’ risk for mental health problems is partially attributable to barriers they face accessing appropriate mental health services. GM youths and their caregivers have highlighted the dearth of providers trained in gender-affirming care as a critical barrier to treatment access and engagement. Provider-focused training is a p...

Relative to their cisgender peers, gender minority (GM) adolescents—whose gender identity and/or expression differs from their birth-assigned sex (Turban & Ehrensaft, 2018)—are at elevated risk for internalizing psychopathology (Becerra-Culqui et al., 2018). This disparity may be partially attributable to their exposure to adverse childhood experie...

[In press in Evidence-Based Practice in Child and Adolescent Mental Health] Despite great advancements in the development of evidence-based treatments (EBTs) for youth mental health problems, few EBTs have been adopted by or successfully implemented in schools. This is of concern, as schools are the most common entry point for youth mental health...

Objective: Gender minority youth (i.e., children/adolescents whose gender identity and/or expression is inconsistent with their birth-assigned sex) experience elevated rates of emotional and behavioral problems relative to cisgender youth (who identify with their birth-assigned sex), which are not intrinsic to gender identity but attributable to un...

Purpose: Gender minority (GM) adolescents’ risk for mental health problems is partially attributable to barriers they face accessing and engaging in mental health services. GM adolescents and their caregivers have highlighted the dearth of providers trained in gender affirming care as a critical treatment barrier, yet little is known about their sp...

The present study examined the effectiveness and acceptability of a modular youth psychotherapy across cisgender and gender minority youths.

Gender minority youth (“GMY”; i.e., children and adolescents whose gender identity or expression differs from societal expectations for their birth-assigned sex) report elevated rates of anxiety (Reisner et al., 2015), depression (Roberts et al., 2013), self-harm (Veale et al., 2017), suicidality (Toomey et al., 2018), and other mental health disor...