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Out in Healthcare: Wade Robinson, OTD

Name: Wade Robinson

Pronouns: He/his

Identity: Gay man 

Background: While completing my undergraduate degree, I became passionate about the field of sexual wellness while working with various non-profit organizations that provided HIV-related services and raised scholarships for LGBTQ students. Those experiences emphasized the importance of education around sexuality, and after beginning graduate school I was delighted to discover that sexual activity is included in the domain of occupational therapy. I was able to bring OT and sexuality education together and collaborate with @sexintimacyOT for my doctoral capstone project to create a continuing education course on LGBTQ0-inclusive practice.

Profession: Occupational Therapy

Area(s) of Practice or Interest: Sexual activity and education, pediatrics, hand/orthopedics

What does being ‘Out in Healthcare’ mean to you?: I believe that generally people have many misconceptions about what it means to be LGBTQ until they know that they know LGBTQ people. In my day-to-day life, I live by the mantra of “advocacy through visibility”, and I try to do the same in a professional setting by being authentic about my own sexual identity. I think this normalizes conversations about sexuality, models to colleagues how to respond, and indicates a safe-space to clients.

What is one thing everyone should know about your identity?: Overall I think that LGBTQ visibility is a good thing, but I’ve noticed that a lot of the mainstream media highlighting LGBTQ people are pretty narrow in their scope. I just want people to check themselves for implicit biases that are easy to subscribe to and know that being gay does not mean being into interior design, subscribing to a particular style of drag, or being into drag at all for that matter. Part of allyship is celebrating LGBTQ people for their identities, so just recognize that there are countless ways for identities to differ and each is as valid as the next.

How do you feel when your identity is included?: We [LGBTQ people] have gone so long without seeing proper representation or inclusion that I definitely notice when we are included in policies and media, even with little things.

What does “taking up space” mean to you?: To me this goes back to the idea of advocacy through visibility. It’s not like I always talk about being gay, queer culture, or anything like that, but I do think it is important to share my sexual identity with the people around me. I think its personal relationships that create allies. It’s so obvious to LGBTQ people how cisnormative/heteronormative everything is by default, and that creates a lot of marginalization that the majority never considers. I think that we can use that lens for the better to recognize how other minority groups could be excluded and erased, then aim for more inclusive, mindful practice.

What is one piece of advice that you would give to healthcare workers who aren’t sure how to honor the identities of their patients?: I know for OT in particular, there are not very many resources, which is why I created the LGBTQ-inclusive course for my capstone project. For healthcare professionals in general, I think the National LGBT Health Education Center is the best resource for practice guidelines. Time in the clinic is precious and the experience is often stressful for clients; it would be very unusual that that time would be best spent with the client educating the clinician about their sexuality. Being educated about sexuality before interacting with clients is best practice. If somebody finds themselves in a situation where they still are unsure, I think the most import thing they could do is approach the situation with humility. 

Has your identity influenced healthcare that you’ve received?: There are two instances that come to mind in which providers made assumptions about me after I disclosed that I am gay, and both instances were regarding sexual health interestingly enough. The first time I was just completing a routine check-up and getting some vaccinations to start graduate school, and the physician suggested that I complete a battery of STD tests. Even after I explained that I have worked in sexual health, am very aware of my relative risks, and was current on all my tests, the physician suggested that I at least get an HIV test. The second time, the nurse told me that they were going to ask me some questions about my sexual health, but once I said that I was gay, they moved on to ask me about other areas of health. Afterwards, without knowing any of my risk factors or sexual habits, they proceeded to try to administer a test that was completely inappropriate and did not apply to me at all. At this point, I said I would not be doing that test, explained that I previously worked in sexual health, and commented that I was surprised that they did not ask more questions to assess which tests were appropriate. The nurse brushed off my response and quickly said that there were more questions on the template but they were optional to ask and this was standard procedure. 

Where can people find you?: Hidden away studying for the NBCOT exam, hiking, or on Instagram at @Wad_the_robin

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LGBTQIA+ 101: What Do the Letters Mean?

L represents Lesbian. The term or identity Lesbian, describes an individual that identifies as a woman (yes, both cis and/or trans) and is primarily emotionally, physically, sexually, and/or spiritually attracted to women.

G represents Gay! The term or identity gay, describes an individual that identifies as a man (yes, both cis and/or trans) and is primarily emotionally, physically, sexually, and/or spiritually attracted to men. The term Gay is also used generally to describe individuals who are primarily emotionally, physically, sexually, and/or spiritually attracted to those of the same sex and/or gender. 

B represents Bisexual (Bi)! The term or identity Bisexual, describes individuals who are emotionally, physically, sexually, and/or spiritually attracted to more than one gender. Those who identify as bisexual aren’t “greedy” or “confused”, their identity is valid.

T represents Transgender (Trans)! The term or identity Transgender, describes individuals whose gender identity is different from the gender assumed at birth. Fun fact, those who identify as a trans female are equally as female as those who identify as a cis female. Transgender refers to gender identity, not sexual orientation or preference. 

Q represents Queer OR Questioning! The term or identity Queer, is an umbrella term for people who don’t identify as heterosexual and/or cisgender. Queer is also used interchangeably with the acronyms LGBT, LGBTQIA, LGBTQIA+, etc., to represent the community as a whole 🏳️‍🌈. However, Queer is not always a preferred term or identity for those within the LGBTQIA+ community, due to is historical use as a derogatory term.


Q is also used to represent the term or identity, Questioning. Questioning represents an individual that is unsure about and/or is exploring their own sexual orientation and/or gender identity.

I represents Intersex! Intersex is a term for a combination of chromosomes, hormones, sex organs, or genitals that differs from the male/female binary. For example, a person might be born appearing to be female on the outside, but having mostly male-typical anatomy on the inside. A person may be born with mosaic genetics, so that some of her cells have XX chromosomes and some of them have XY. Interesting fact: Intersex is often thought of as an inborn condition, though intersex anatomy doesn’t always show up at birth. Sometimes a person isn’t found to have intersex anatomy until they reach the age of puberty, or finds themself as an infertile adult. Some people live and die with intersex anatomy without anyone (including themselves) ever knowing.
Reference: https://isna.org/faq/what_is_intersex/

A represents Asexual! The term or identity Asexual, describes individuals who experienced little or no sexual attraction to others and/or lack of interest in sexual relationships and/or behaviors. Asexual is also used as an umbrella term, for additional identities within the spectrum of sexual orientation. Myth buster: People who consider themselves asexual may have relationships, but they would not have the interest in adding a sexual component to the relationship. Individuals that identify as asexual can and do have romantic relationships with others.

➕ represents the inclusion of all identities within the LGBTQIA+ community! The ➕ represents identities, genders, and orientations that fall under umbrella terms used within and outside of the LGBTQIA+ acronym.
Some (but not all) of the identities represented by the ➕ include: Pansexual, Fluidity, and Demisexual.
Pansexual (Pan) refers someone who is emotionally, physically, spiritually, and sexually attracted to all gender indentured. As @instadanjlevy wrote in @schittscreek episode 10 of season 1 for his character David that identifies as Pansexual, “I like the wine and not the label.” (see next picture from Andrea Van Sickle on fb)
Fluidity (or Gender Fluid) refers to a gender identity that may shift or change over time.
Demisexual is a term or identity that represents an individual that has little or no sexual attraction to another individual, unless there is romantic connection/involvement. This term or identity is mostly considered to be under the umbrella of Asexuality, though some view it separately.

GQ represents Gender Queer! The term or identity Gender Queer, is an umbrella term for those who identify as Gender Non Conforming (GNC) or Non-Binary. It is a gender identity label that is used by those who may identify outside of the societal gender binary (male/female). Gender nonconformity, is an identity or gender expression by an individual that does not match expected/societal masculine or feminine gender norms.
It is important to note that the term Queer is not accepted by all within the community, due to the derogatory use of the term throughout history. A L W A Y S ask an individual, “How would you like to be identified.”

Hello it’s me! Your NB OT! NB represents Non Binary! The term or identity Non Binary describes an individual who does not identify with the assumed gender binary, male or female. It includes a spectrum of gender identities that are not exclusively masculine or feminine. For all of my OT and healthcare friends, think of gender as a spectrum, just as we view some neuro diversities (ASD) as a spectrum. Real talk, what does this identity mean to me? Non Binary means freedom. Freedom from societal pressure to be X or Y. I can wear makeup, have a beard, wear heels, and engage in whatever occupation I want because all of it is ME. I don’t identify as male or female, I am non binary. I do not engage in occupations because they are ‘inherently’ masculine or feminine, I engage in them because they are meaningful to me and hold no relevance to gender or societal expectations. I am comfortable with he/him pronouns but they/them pronouns best represent ME, to the core of my being. I’m still exploring and adding new pieces to my identity puzzle and I have never felt more true to myself in my whole life. It’s okay to still not know who you are, but know I am a safe space for you and am here to protect, love, support, and include you. Your identity matters. Please note that gender identities and sexual orientations can be dynamic and change or evolve over time, even from day to day. Remember to A L W A Y S ask an individual, “How would you like to be identified.” Don’t argue with their identity, honor it.

C represents Cisgender (cis)! The term or identity Cisgender is a gender description for when someone’s sex assigned at birth and gender identity/ personal identity correspond in the “expected” way. Remember, gender identity does not include sexual orientation or identity. An individual could identify as cisgender and heterosexual, or within any identity of the LGBTQIA+ community.