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Conversion Therapy: Legal Shifts Do Not Change Clinical Reality

conversion therapy

Recent developments at the level of the U.S. Supreme Court (SCOTUS) have created confusion for many people regarding the legality and ethics of so-called conversion therapy. While legal interpretations may shift over time, one fact remains firmly grounded in decades of research and clinical consensus: conversion therapy is harmful, ineffective, and potentially life-threatening.

At the Mindful Ecotherapy Center, we believe it is essential to separate legal discourse from clinical truth. The absence of a ban, or the striking down of one, does not make a practice safe, ethical, or acceptable within professional mental health care.

What Is Conversion Therapy?

Conversion therapy refers to a range of discredited practices aimed at changing an individual’s sexual orientation or gender identity. These approaches may include talk therapy framed around shame, aversion techniques, or spiritual coercion. Despite how they are presented, these interventions are not supported by credible psychological science.

Leading organizations such as the American Psychological Association, American Psychiatric Association, and National Association of Social Workers have all issued clear statements opposing conversion therapy, citing overwhelming evidence of harm and lack of efficacy.

The Evidence of Harm

Research consistently shows that individuals subjected to conversion therapy are at significantly increased risk for:

  • Depression
  • Anxiety
  • Substance use disorders
  • Self-harm
  • Suicidal ideation and attempts

A large-scale study by Ryan et al. (2020) found that exposure to conversion therapy was associated with more than double the likelihood of attempting suicide compared to those who were not exposed. Similarly, Turban et al. (2020) demonstrated that LGBTQ+ youth who underwent conversion efforts had significantly higher rates of severe psychological distress and suicidality.

These findings are not isolated. They reflect a broader pattern: attempts to suppress or alter core identity traits create profound internal conflict, shame, and psychological fragmentation. From a mindfulness and ecotherapy perspective, this represents a forced disconnection from the self. This is an outcome that is fundamentally at odds with healing.

Ethical Violations in Clinical Practice

Any licensed counselor or therapist who implements conversion therapy is violating core ethical principles, including:

  • Nonmaleficence (do no harm)
  • Beneficence (promote well-being)
  • Respect for client autonomy and dignity

Modern therapeutic approaches, including mindfulness-based therapies, trauma-informed care, and ecotherapy, emphasize acceptance, integration, and self-awareness, not suppression or eradication of identity.

Practitioners who continue to use conversion therapy are not practicing evidence-based care. They are engaging in interventions that have been widely discredited and condemned by the mental health community.

What You Can Do

If you become aware of a licensed therapist in your area practicing conversion therapy, it is important to take action:

  • Report them to their state licensing board immediately. Licensing boards exist to protect the public and uphold professional standards.
  • If someone is offering therapy services without a license, report them as well. Practicing psychotherapy without a license is illegal in most jurisdictions and may constitute a felony offense.
  • If you or someone you know has been harmed by conversion therapy, legal recourse may be available, including civil lawsuits.

Taking these steps is not punitive. It is protective. It safeguards vulnerable people from further harm and reinforces ethical standards within the profession.

A Mindful Ecotherapy Perspective

Healing involves reconnection to self, to body, to community, and to the natural world. Conversion therapy does the opposite. It fosters disconnection, self-rejection, and internalized stigma.

Mindfulness-based ecotherapy offers a radically different path:

  • Observing thoughts and feelings without judgment
  • Cultivating self-compassion
  • Reconnecting with natural rhythms and embodied experience
  • Supporting identity integration rather than suppression

From this perspective, the goal is not to change who someone is, but to help them fully inhabit and accept themselves.

Final Thoughts

Legal decisions may evolve, but the science is clear: conversion therapy is harmful. No court ruling can override decades of empirical evidence and clinical consensus. Mental health professionals have an ethical obligation to reject harmful practices and provide care that affirms and supports the whole person.

If you encounter conversion therapy in your community, do not ignore it. Speak up, report it, and advocate for safe, ethical care. Lives quite literally depend on it.


References

American Psychological Association. (2009). Report of the task force on appropriate therapeutic responses to sexual orientation. APA.

Ryan, C., Toomey, R. B., Diaz, R. M., & Russell, S. T. (2020). Parent-initiated sexual orientation change efforts with LGBT adolescents: Implications for young adult mental health and adjustment. Journal of Homosexuality, 67(2), 159–173. https://doi.org/10.1080/00918369.2018.1538407

Turban, J. L., Beckwith, N., Reisner, S. L., & Keuroghlian, A. S. (2020). Association between recalled exposure to gender identity conversion efforts and psychological distress and suicide attempts among transgender adults. JAMA Psychiatry, 77(1), 68–76. https://doi.org/10.1001/jamapsychiatry.2019.2285


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Edinburgh: Ethics and Ecospirituality-Ethical Practice at the Intersection of Mental Health and Nature

Edinburgh

At the Mindful Ecotherapy Center, PLLC, we spend a lot of time talking about healing, presence, and the quiet intelligence of the natural world. What we don’t do is pretend that moving therapy outdoors magically removes the need for ethical rigor. If anything, it raises the stakes.

Ecotherapy and nature-based counseling are gaining momentum as mental health professionals rediscover what should have been obvious all along: human beings are not separate from nature, and psychological healing often deepens when people reconnect with the living world. From forest walks to outdoor mindfulness practices, nature offers regulation, perspective, and a sense of belonging that no office décor can replicate.

But stepping outside the therapy room doesn’t mean stepping outside ethical responsibility. It means expanding it.

Dr. Charlton Hall, MMFT, PhD, founder of the Mindful Ecotherapy Center, addresses this directly in his presentation, Ethics and Ecospirituality: Ethical Practice at the Intersection of Mental Health and Nature. His work reflects a simple but inconvenient truth: good intentions are not enough. Ethical practice requires foresight, structure, and accountability, especially when the setting becomes less controlled and more dynamic.

Edinburgh Conference: Confidentiality

One of the most immediate concerns in ecotherapy is confidentiality. In a traditional office, privacy is engineered. Doors close, white noise hums, and interruptions are minimized. In a park, forest, or shoreline, none of that is guaranteed. Other people exist. Sound carries. The world refuses to cooperate with your treatment plan.

This means therapists must proactively address privacy risks with clients before sessions ever begin. Informed consent becomes more than a formality. Clients need to understand what can and cannot be controlled, and together, therapist and client must decide what level of exposure is acceptable. Ethical ecotherapy doesn’t ignore these risks. It names them clearly and plans around them.

Edinburgh Conference: Boundaries and Dual Relationships

Then there’s the issue of boundaries and dual relationships, which become far less theoretical once you leave the office. Community spaces blur roles. You might run into a client at a trailhead, a farmer’s market, or a meditation group. Suddenly, the clean lines between “therapist” and “person who also exists in the world” start to dissolve.

Dr. Hall emphasizes that maintaining professional boundaries in these contexts requires intentionality. Therapists must establish clear agreements about public interactions, social overlap, and expectations. Without that clarity, what feels like a casual encounter can quickly become ethically murky.

Edinburgh Conference: Risk Management

Risk management is another area where ecotherapy demands maturity. Nature is not a controlled environment, no matter how poetic people get about it. Weather shifts. Terrain changes. People trip, get lost, or underestimate their physical limits.

Ethical practice means anticipating these risks and preparing accordingly. This includes assessing client suitability for outdoor work, having emergency protocols, understanding the environment, and maintaining appropriate insurance and documentation. The goal is not to eliminate risk entirely. That would require locking everyone back indoors. The goal is to manage it responsibly.

Edinburgh Conference: Cultural Humility

Dr. Hall also highlights the importance of cultural humility, especially when working with ecospirituality. Nature-based practices often intersect with Indigenous traditions, spiritual worldviews, and cultural relationships to land that are not interchangeable or up for casual borrowing.

Ethical ecotherapy requires practitioners to examine their own assumptions and avoid appropriating practices without understanding their origins and significance. Respecting the land also means respecting the people and traditions connected to it. This is where ecotherapy moves beyond technique and into responsibility.

Edinburgh Conference: Integration

Finally, there is the question of integration. Just because nature is beneficial doesn’t mean every intervention is appropriate for every client. Ethical clinicians must ground their work in evidence-based practice while thoughtfully incorporating nature-based elements. This isn’t about replacing clinical skill with scenic views. It’s about enhancing therapeutic work in ways that remain accountable, measurable, and client-centered.

Dr. Charlton Hall brings decades of experience as a Marriage and Family Therapist, educator, and developer of mindfulness-based ecotherapy approaches. His work spans counseling, recovery programs, and international teaching, all grounded in the integration of mindfulness, evidence-based psychotherapy, and nature connection. At the Mindful Ecotherapy Center, that integration is not treated as a trend. It’s treated as a discipline.

Edinburgh Conference: The Takeaway

The takeaway is straightforward, even if people prefer to romanticize it: nature can deepen healing, but it doesn’t excuse sloppy practice. Ethical ecotherapy asks more of clinicians, not less. It requires awareness, preparation, and a willingness to hold complexity instead of pretending it isn’t there.

If you’re practicing, or planning to practice, ecotherapy in places like Edinburgh or anywhere else where people and landscapes intersect, the question isn’t whether nature helps. It’s whether you’re prepared to do the work responsibly.

Because the forest doesn’t care about your intentions. Your clients, however, should be able to trust them.


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