Zayna sheds more light on this stigma. "The concealment of sexuality, gender or relationship diversity can occur if a client feels a therapist might pathologise an element of their identity. No one wants a diagnosis of being a sex addict, or accused of being a sexual fetishist, yet clients who visit some therapists are still pathologised by outdated assessment models. Even before you enter the therapeutic setting, you bring with you the shame of inhabiting a sex negative culture that disregards expressions of sexuality, gender and relationship diversity. We are centred on very binary thinking throughout our lives which excludes those relationships, orientations and diverse lifestyles which sit outside of the heteronormative norm. Concealment is one of the number one causes of psychological distress among these minority groups." To overcome such taboos, Zayna says it is vital to understand how a client’s background, language, terminology, ethnicity, belief system and orientation, alongside a therapist’s own culture, influence the client/therapist relationship.