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Cevat Giray Aksoy, Christopher S. Carpenter, Ralph De Haas, Kevin Tran According to recent estimates, in 2017 971 million people worldwide suffered mental health issues (GBD 2017 Disease and Injury Incidence and Prevalence Collaborators, 2018). Among these, 264 million had depression (of which 163 million cases were major ones) and 284 million had anxiety disorders. Mental disorders may have important adverse individual effects including reduced employment and lower earnings (Ridley et al. 2020).  There has existed a substantial mental health gap in sexual orientation that may be attributed to either actual or perceived discrimination against sexual minorities. For a long time, homosexuality was considered to be a disease rather than a way of life. The World Health Organization, for example, published the International Statistical Classification of Diseases and Related Health Problems (ICD) in 1948, in which homosexuality was classified as a mental disorder. Same-sex relationships

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