SOME FACTORS THAT PREDISPOSE LGBT INDIVIDUALS TO SUBSTANCE ABUSE Internalized homophobia can manifest as increased shame; negative self-concept, and marginalization can foster depression and anxiety, and make people vulnerable to re-victimizations. LGBT people are often isolated and have historically socialized within bars, and especially for those who are newly coming out, or whom live in isolated communities, bars may the source of natural support (D'Augelli, 1996). The coming out process complicates normative lifecycle issues. Adolescence, early couple-hood, and new parenting are stages particularly vulnerable to stress. LGBT people navigating these stages may experience less social supports, and therefore heightened stress. Rainbow Access Initiative is a 501(c)3 tax-exempt organization. These materials were produced through a grant from the New York State Department of Health. You may not use them without the written permission of Rainbow Access Initiative, Inc. Permission may be obtained by contacting the Director.