Photo "Signature" by Sebastien Wiertz. Some Rights Reserved.

SIGN THE CONVERSION THERAPY SURVIVORS' STATEMENT

If you underwent Conversion Therapy (including professional therapy, religious counseling, 'ex-gay' programs, self-help books, or other methods) and agree with the Survivors' Statement, please consider publicly adding your name to the statement. With growing acceptance of LGBTQ rights and equality, many people mistakenly believe Conversion Therapy does not exist or only happened in the distant past. By sharing our names publicly, we foster greater awareness of the harm Conversion Therapy continues to have on the lives of many LGBTQ people. 

In addition, by sharing our stories, we can let former survivors know that they are not alone and Conversion Therapy can be overcome. 

NAME *
NAME
Please enter your name. This will be displayed unless you enter an alias below.
We understand that some survivors may need to use an alias. This alias you enter will be used instead of the name provided above.
Your social media or website URL you would like published with your name (e.g. http://facebook.com/first.last; @username, http://www.website.com, etc.).
Please provide the US state or country where you underwent Conversion Therapy. This information will be displayed with your name.
TYPE (optional)
Please indicate what types of Conversion Therapy you experienced. This information may be displayed with your name.
You are welcome to add a specific program or therapy type that is not included the above list. This may be displayed with your name.
What comment would like displayed with your name?
AFFIRMATION *
SELF CERTIFICATION *
AUTHORIZATION *

Thank you for sharing your story.