Hypervigilant Hearts: The Invisible Tax on Queer Existence

How the constant scanning for danger shapes LGBTQ+ mental health—and why understanding it matters more than quick-fix solutions

I was eleven when a teacher's hand landed heavily on my shoulder. "Stop moving like that," she said, not unkindly. I hadn't realized I was moving any particular way at all. But something in my walk, my gestures, my very being in space had registered as wrong. I didn't know what "gay" meant yet, but my body was already being read as such, already being corrected.

My nervous system came out long before I did.

While other kids lived in their bodies, I observed mine from a distance: monitoring, adjusting, performing an acceptable version of myself. I became fluent in the micro-expressions of disapproval before I could name what they were disapproving of. That slight tightening around a relative's eyes when my voice lifted too high. The almost imperceptible step back when my enthusiasm became too much. The split-second calculations before answering any question: Will this reveal too much? Will this make me safer?

I was hypervigilant years before I knew the word existed. What therapists now la…