Although the phrase LGBT+ (or GLBT) is often used as an acronym, it only represents a portion of the people who are covered in the sexual and gender diversity categories. For instance, marginalized communities such as intersex [1] men and women are not included in this acronym. In addition, individuals within the LGBT communities do not always use the same identifying terms to refer to their sexual orientation and gender identity. Some people have reclaimed the term ‘queer’, while others do not like the history of the word ‘queer’ as a derogatory and slanderous word used to defame LGBT communities. Other people, such as some LGBT people in aboriginal communities use the term ‘two-spirit’ to describe their sexual orientation/gender identity. These people do not feel that words such as ‘gay’ or ‘lesbian’ are useful in describing their identity.

The acronym ‘GLBTTIQQ2’ (“gay, lesbian, bisexual, transgendered, transsexual, intersex, queer, questioning, two-spirit”) has been used in some materials. However, the more inclusive the acronym, the less information that may be provided about the diversity of all the communities listed. All of these communities have unique histories, and each of them should be discussed in appropriate resources.