At the recent Exodus International Freedom Conference, a gentleman from a large metropolitan area who runs a ministry center for people who seek healing from various forms of sexual brokenness and struggle asked a very good question. Due to time constraints at the workshop, I did not have time to answer him as fully as I would have liked, so I am posting a more complete answer here.
This minister essentially said that, due to the current political and social buzz surrounding issues related to homosexuality, he has a very difficult time finding counselors in his area who will work with people who come to them declaring that they are seeking healing from homosexuality as one of their counseling goals.
This very question was the inspiration and purpose of our workshop. I for one agree with the removal of homosexuality from the DSM as a psychological diagnosis; it’s not a psychological issue, it’s a spiritual one. And I would issue caution going to a counselor to discuss “Unwanted Same-sex attraction”, even though that “diagnosis” is still listed in the DSM-IV. Reason being that the suggested treatment is not to help someone work through issues and seek a change in orientation. Rather, accepted treatment of unwanted same-sex attraction to help the person accept their homosexuality and learn to embrace and celebrate who they were created to be. That approach will (hopefully) be contrary to the teaching being received in church and discipleship and will, therefore, be counterproductive to the person seeking help. Those working within the counseling and church communities need to be on the same page, working toward the same goals, which should be the goals set forth by the person seeking help and wholeness.
So, to answer his question, I teach that it is the role of a counselor, whether they are biblical or secular in their worldview, to deal mainly with a client’s emotional and psychological struggles. There are myriad issues facing someone who struggles with unwanted same-sex attraction; sometimes it’s the impact of traumatic events early in life. Sometimes a client needs to sort through issues concerning emotional entanglement, overcoming a “victim mentality” or other misconception of self, or an issue of addiction to either people or chemicals. Notice that these are all issues that are separate from sexual orientation itself; many people in unhealthy heterosexual relationships deal with the same issues and move from one unhealthy heterosexual relationship to the next, never correcting their core issues and beliefs concerning themselves and God. It is the role of a counselor to help someone learn new ways of relating to themselves and to others, to work through and heal past wounds.
It would fall under the role of the church (discipleship and accountability partners specifically) to walk alongside someone struggling with homosexuality to teach them how to apply what they are learning with their counselor in a biblically correct manner. Counselors can teach behavior modification and cognitive therapy techniques to help a person see why they’ve made the choices they’ve made and how they can begin to make new, healthier choices. But it is only through intense discipleship and time in the Word can one be transformed through the renewing of their mind (Romans 12). And it is only through the renewing of the mind, the breaking down of strongholds, the revealing of lies believed and the replacement of them with Truth that can bring true peace and healing in Christ. What is beautiful and complex about both the design of humanity and the grace of God is that, as a person sorts through emotional and psychological issues and becomes healthy and balanced in those areas, believing spiritual truth and allowing it to soak to the heart becomes easier as well. Working in all areas, a little bit at a time but all at the same time, allows for continual healing and consistent work towards the goal of conformity to the image of Christ.
So if you are searching for a counselor to help deal with issues related to unwanted same-sex attraction and you do not have an Exodus ministry or counselor in your area (You can find out if you do here), find a counselor you trust to help you identify and improve upon counseling related issues and find someone in your local church you trust who will walk through the spiritual implications of your struggles. Humans are complex beings, and matters of identity and relationship impact us wholly, mind, body and spirit. Surround yourself with competent people who can help you find healing and wholeness in all of those areas.