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This article explores the process of critical reflection on the development and implementation of a strategy to provide more appropriate access and barrier-free services to lesbian, gay, bisexual, transsexual, transgender, intersex, queer, questioning, 2-Spirited, and allies (LGBTTIQQ2SA) populations at a community-based early psychosis intervention mental health program in Toronto. There is a long history of mental health assessment and diagnostic issues for LGBTTIQQ2SA populations that have been associated with the medicalizing of difference and the pathologization of gender and sexual orientation. The experiences of people of diverse gender identities, gender expressions, and sexual orientations have resulted in unique mental health service needs, requiring affirming and appropriate services that do not participate in the reproduction of Othering through labeling and stigmatization. The strong relationship …