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In this conversational excerpt, Antonio Matta and a co‑speaker explore how belonging to a stigmatized group creates an extra layer of chronic stress, likened to a heavy backpack that LGBTQIA individuals must carry. They discuss the journey of identity formation, the isolation that can accompany it, and how this combination of minority stress and loneliness can push some people toward substance use, resulting in a dual diagnosis of mental‑health challenges and addiction. Matta references Minority Stress Theory to frame the unique pressures of discrimination, victimisation, and internalised stigma that shape the well‑being of LGBTQIA community members.

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