I have described my sexual orientation as bi for most of my life but I think the newer term pansexual is closer for me as well. Wow, it is quite shocking to hear a psychiatrist can be judgmental about LGBTQ issues. I would expect most people to be quite open and accepting these days, and especially someone working on the mental health field... I doubt it is a general way psychiatrists see it, probably just that one person, maybe he got hurt by something like that in the past.

Both of my Ts were actually quite excited when they first heard about my relationship with gender, sexual orientation, and how I handle all of it. I did not talk too much about it in therapy as it's not an area that has ever been challenging or problematic for me, but I did discuss a bit in the context of other things and both were very interested in it. The only area where they seemed a bit judgmental (maybe just clueless) is the fact that I do not practice monogamy as a default in my relationships and am unwilling to conform to such expectations, I see no point in being externally limited in this way. It sounded like the Ts believed polyamory is some kind of issue, which many people do in my experience. But for me, it is just a form of freedom and also a way to establish and maintain different good relationships without having to choose just one. For me, for example, a primary domestic relationship can coexist perfectly with exploring other interests and people, it just has to be done in an honest, respectful and safe way. It definitely requires certain personalities, ability to compromise and be tolerant though, from all parties involved.

I think it can be useful to talk about these things with a T who has interest in and experience with LBGTQ. I have never seen such a specialist as a client but know a couple mental health practitioners like that as friends, many of them have non-mainstream gender identities and sexual orientations themselves and are quite open about it.