Overview

This live event takes place Friday, December 11, 3:30 pm-5:30 pm EST (12:30 pm-2:30 pm PST).

A growing number of individuals are coming out as bisexual, or as part of what is generally called the bisexual umbrella that includes other identifiers such as pansexual, omnisexual, or otherwise sexually fluid. Individuals identifying as part of the bisexual umbrella are vulnerable to receiving three messages from society at large: (a) there’s no such thing as bisexuality, (b) you are a confused person who has not yet figured things out, and (c) bisexual people use their sexuality in deviant or manipulative ways. All of these messages carry oppressive cognitions about the self and sense of being in the world that can be explored and discussed as trauma issues. In this course, some of the basic terminology, definitions, and statistics about bisexual mental health are covered to help mental health professionals better get to know this population. The concept of oppressive cognitions as traumatic experiences are discussed, and the ways in which uninformed treatment professionals feed into these shaming cognitions are discussed. Solutions for creating and implementing bi-affirming treatment cultures are also presented.    

Education Category: Webinars
Release Date: 10/15/2026
Expiration Date: 12/20/2026

Table of Contents

Audience

This live webinar is designed for mental health professionals who provide clinical services to bisexual clients and others who identify under the bisexual umbrella.

Accreditations & Approvals

NetCE has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6361. Programs that do not qualify for NBCC credit are clearly identified. NetCE is solely responsible for all aspects of the programs. As a Jointly Accredited Organization, NetCE is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. NetCE is accredited by the International Accreditors for Continuing Education and Training (IACET). NetCE complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, NetCE is authorized to issue the IACET CEU. NetCE is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0021. This course is considered live online by the New York State Board of Mental Health Counseling. NetCE is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0033. This course is considered live online, as defined by the New York State Board for Social Work. Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of licensed master social work and licensed clinical social work in New York. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice for an LMSW and LCSW. A licensee who practices beyond the authorized scope of practice could be charged with unprofessional conduct under the Education Law and Regents Rules. NetCE is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists. #MFT-0015. This course is considered live online by the New York State Board of Marriage and Family Therapy. NetCE is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0240. This course is considered live online by the New York State Board for Psychology.

Designations of Credit

NetCE designates this live event activity for 2 continuing education clock hours. NetCE designates this live event continuing education activity for 2 NBCC clock hour(s). Social workers participating in this intermediate to advanced course will receive 2 Cultural Competency continuing education clock hours. NetCE is authorized by IACET to offer 0.2 CEU(s) for this program. NetCE designates this live continuing education activity for 2 credit(s).

Individual State Behavioral Health Approvals

In addition to states that accept ASWB, NetCE is approved as a provider of continuing education by the following state boards: Alabama State Board of Social Work Examiners, Provider #0515; Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling, CE Broker Provider #50-2405; Illinois Division of Professional Regulation for Social Workers, License #159.001094; Illinois Division of Professional Regulation for Licensed Professional and Clinical Counselors, License #197.000185; Illinois Division of Professional Regulation for Marriage and Family Therapists, License #168.000190;

Course Objective

The purpose of this course is to enhance learners' knowledge of bisexual identities and related experiences of stigma and trauma, strengthen their ability to recognize and address oppressive cognitions in treatment, and promote self-awareness and affirming clinical practices that support positive client outcomes.

Learning Objectives

Upon completion of this course, you should be able to:

  1. Define bisexuality and the bisexual umbrella using several well-accepted definitions from the LGBTQ+ literature.
  2. Discuss the concept of oppressive cognitions as a trauma issue and explain how such cognitions can complicate recovery for bisexual clients.
  3. Articulate a basic trauma-focused treatment strategy for working with bisexual clients.
  4. Evaluate one's own personal biases surrounding bisexuality and working with bisexual clients.

Faculty

Jamie Marich, PhD, LPCC-S, REAT, RYT-500, RMT, (she/they) travels internationally speaking on topics related to EMDR therapy, trauma, addiction, expressive arts, and mindfulness while maintaining a private practice and online education operation, the Institute for Creative Mindfulness, in her home base of northeast Ohio. She is the developer of the Dancing Mindfulness approach to expressive arts therapy and the developer of Yoga for Clinicians. Dr. Marich is the author of numerous books, including EMDR Made Simple, Trauma Made Simple, and EMDR Therapy and Mindfulness for Trauma Focused Care (written in collaboration with Dr. Stephen Dansiger). She is also the author of Process Not Perfection: Expressive Arts Solutions for Trauma Recovery. In 2020, a revised and expanded edition of Trauma and the 12 Steps was released. In 2022 and 2023, Dr. Marich published two additional books: The Healing Power of Jiu-Jitsu: A Guide to Transforming Trauma and Facilitating Recovery and Dissociation Made Simple. Dr. Marich is a woman living with a dissociative disorder, and this forms the basis of her award-winning passion for advocacy in the mental health field.

Faculty Disclosure

Contributing faculty, Jamie Marich, PhD, LPCC-S, REAT, RYT-500, RMT, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Division Planners

Kimberly Byrd, EdD, PMSW

Scott Deatherage, PhD

Division Planners Disclosure

The division planners have disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Director of Development and Academic Affairs

Sarah Campbell

Director Disclosure Statement

The Director of Development and Academic Affairs has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

About the Sponsor

The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.

Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.

Disclosure Statement

It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

Technical Requirements

Supported browsers for Windows include Microsoft Internet Explorer 9.0 and up, Mozilla Firefox 3.0 and up, Opera 9.0 and up, and Google Chrome. Supported browsers for Macintosh include Safari, Mozilla Firefox 3.0 and up, Opera 9.0 and up, and Google Chrome. Other operating systems and browsers that include complete implementations of ECMAScript edition 3 and CSS 2.0 may work, but are not supported. Supported browsers must utilize the TLS encryption protocol v1.1 or v1.2 in order to connect to pages that require a secured HTTPS connection. TLS v1.0 is not supported.

Implicit Bias in Health Care

The role of implicit biases on healthcare outcomes has become a concern, as there is some evidence that implicit biases contribute to health disparities, professionals' attitudes toward and interactions with patients, quality of care, diagnoses, and treatment decisions. This may produce differences in help-seeking, diagnoses, and ultimately treatments and interventions. Implicit biases may also unwittingly produce professional behaviors, attitudes, and interactions that reduce patients' trust and comfort with their provider, leading to earlier termination of visits and/or reduced adherence and follow-up. Disadvantaged groups are marginalized in the healthcare system and vulnerable on multiple levels; health professionals' implicit biases can further exacerbate these existing disadvantages.

Interventions or strategies designed to reduce implicit bias may be categorized as change-based or control-based. Change-based interventions focus on reducing or changing cognitive associations underlying implicit biases. These interventions might include challenging stereotypes. Conversely, control-based interventions involve reducing the effects of the implicit bias on the individual's behaviors. These strategies include increasing awareness of biased thoughts and responses. The two types of interventions are not mutually exclusive and may be used synergistically.

#9181L: Working with Bisexual Clients: Foundations and Basic Competencies

INTRODUCTION

Individuals identifying under the bisexual umbrella are some of the most misunderstood folks within the larger LGBTQ+ population, even though they are the largest represented group within the LGBTQ+ community. They are vulnerable to receiving many shaming messages from society at large, such as: (a) there’s no such thing as bisexuality, (b) you are a confused person who has not yet figured things out, (c) bisexual people use their sexuality in deviant or manipulative ways, and (d) because bisexual people have “passing privilege;” they are not as marginalized as others in the LGBTQ+ community and do not fully belong to it. All of these messages carry oppressive cognitions about the self and sense of being in the world that can be explored and discussed as trauma issues. In this workshop, the concept of oppressive cognitions as traumatic experiences are discussed and ways in which uniformed treatment professionals feed into these shaming cognitions are evaluated. The workshop also presents a basic plan for addressing oppressive cognitions as part of quality clinical care. 

 

WEBINAR

SLIDES

The slides from this webinar are available here.

Works Cited

1. American Institute of Bisexuality. (n.d.) Journal of Bisexuality. https://bi.org/en

2. Arnett, J.E. (2016). Experiences of anti-bisexual prejudice in a bisexual adult sample and the impact on mental and physical health. [Doctoral dissertation. University of Tennessee, Knoxville.]

3. Austin, A., Herrick, H., and Proescholdbell, S. (2016). Adverse childhood experiences related to poor adult health among lesbian, gay, and bisexual individuals. American Journal of Public Health, 106(2), 314-320.

4. https://doi.org/10.2105/AJPH.2015.302904 Bauer, B. R., and Brennan, D. J. (2013). The problem with ‘behavioral bisexuality’: Assessing sexual orientation in survey research. Journal of Bisexuality, 13(2), 148-165. https://doi.org/10.2105/AJPH.2015.302904

5. Braveman, P., Egerter, S., Williams, D. R. (2011): The social determinants of health: coming of age. Annu Rev Public Health 32:381-398. https://pubmed.ncbi.nlm.nih.gov/21091195/

6. Chabra, R. Ed. (2025). Queering EMDR therapy. Creative Mindfulness Media.

7. Cross, H., Bremmer, S., Meads, C., Pollard, A., and Llewellyn, C. (2024). Bisexual people experience worse health outcomes in England: Evidence from a cross-sectional survey in primary care. Journal of Sex Research, 61(9), 1342-1350. https://doi.org/10.1080/00224499.2023.2220680

8.   Endicott N. (2015). Biphobia is a destructive force in our community—And it needs to stop. Huffington Post. https://www.huffpost.com/entry/biphobia-is-a-destructive-force-in-our-community_b_7965970

9. Flores, A.R. and Conron, K.J. (2023). Adult LGBT population in the United States. The Williams Institute, UCLA School of Law.

10. ​ https://williamsinstitute.law.ucla.edu/wp-content/uploads/LGBT-Adult-US-Pop-Dec-2023.pdf​

11. Gates, G.J. (2011). How many people are lesbian, gay, bisexual, and transgender? The Williams Institute, UCLA School of Law. https://williamsinstitute.law.ucla.edu/wp-content/uploads/How-Many-People-LGBT-Apr-2011.pdf

12. Haarmann, L., Folkerts, A.-K., Lieker, E., Eichert, K., Neidlinger, M., Monsef, I., Skoetz, N., Träuble, B., and Kalbe, E. (2023). Comprehensive systematic review and meta-analysis on physical health conditions in lesbian- and bisexual-identified women compared with heterosexual-identified women. Women’s Health, 19. https://doi.org/10.1177/17455057231219610

13.   Haarmann, L., Lieker, E., Folkerts, A.-K., Eichert, K., Neidlinger, M., Monsef, I., Skoetz, N., Träuble, B., and Kalbe, E. (2024). Higher risk of many physical health conditions in sexual minority men: Comprehensive systematic review and meta-analysis in gay- and bisexual-identified compared with heterosexual-identified men. LGBT Health, 11(2), 81-102. https://doi.org/10.1089/lgbt.2023.0084

14. House, A.S., Van Horn, E., Coppeans, C., and Stapleman, L. (2011). Interpersonal trauma and discriminatory events as predictors of suicidal and non-suicidal self-injury in gay, lesbian, bisexual, and transgender persons. Traumatology, 17(2), 75-85. https://doi.org/10.1177/1534765610395621

15. Jones, J. (2024). LGBTQ+ identification in the U.S. now at 7.6%. Gallup, Inc. https://news.gallup.com/poll/611864/lgbtq-identification.aspx

16. Klein, F. (1993). The bisexual option. (2nd ed.). Routledge.

17. Levis, R.V., Siniego, L. B. (2016) An integrative framework for EMDR therapy as an anti-oppression endeavor. In Nickerson, M.I. (Ed.), Cultural competence and healing culturally-based trauma with EMDR therapy: Innovative strategies and protocols. Springer Publishing Company.

18. Marich, J. (2015). Validate the bisexual client. Addiction Professional Magazine. https://www.hmpgloballearningnetwork.com/site/addiction/article/validate-bisexual-client

19. Marich, J. (2024). Dance with your world [Short film] Presented at the 3rd Annual Bisexual Research Conference, virtual event.

20. Rahman, et al. (2019). Prevalence of sexual orientation across 28 nations and its association with gender equality, economic development, and individualism. Archives of Sexual Behavior, 49(2), 595-606. https://doi.org/10.1007/s10508-019-01590-0

21. Rankin, S., Morton, J. and Bell, M. (2015). Bisexual people’s experience of and ideas for improving healthcare services. Equality Network Scotland.

22. Ross, L., O’Gorman, L., MacLeod, M., Bauer, G., McKay, J., and Robinson, M. (2017). Bisexuality, poverty, and mental health: A mixed methods analysis. Social Science and Medicine, 156, 64-72. https://doi.org/10.1016/j.socscimed.2016.03.009

23. Schick, V. and Dodge, B. (2012). Bisexual health: Unpacking the paradox. Journal of Bisexuality, 12(2), 161-167.

24. https://doi.org/10.1080/15299716.2012.674849 Shearer, A., Herres, J., Kotish, T., Squiteri, H., James, K., Russon, J., Atte, T. and Diamond, G. (2016). Differences in mental health symptoms across lesbian, gay, bisexual, and questioning youth in primary care settings. Journal of Adolescent Health, 59(1), 38-43. https://doi.org/10.1016/j.jadohealth.2016.02.005

25. Wittgens, C., Fischer, M. M., Buspavanich, P., Theobald, S., Schweizer, K., Trautmann, S. (2022). Mental health in people with minority sexual orientations: A meta-analysis of population-based studies. Acta Psychiatrica Scandinavica, 145(4), 357-372. https://doi.org/10.1111/acps.13405


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