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LGBTQ₊ adolescents experience disproportionately high rates of depression globally, yet little is known about how these experiences are shaped by Thailand's unique cultural context. This study addresses this gap by examining how Thai LGBTQ₊ adolescents understand and navigate depression, identity development, and culturally shaped support systems. A qualitative phenomenological study was conducted with a sample of 20 Thai LGBTQ₊ adolescents from rural regions. Thematic analysis identified three interrelated themes: (1) struggles with self-discovery, acceptance, and their relationship to depression; (2) living with depression and moving forward; and (3) the need for acceptance and understanding. Findings demonstrate that cultural norms-particularly family obligations, conditional acceptance, and collectivist expectations-intensify depression and shape help-seeking, coping, and identity development. The study highlights the need for culturally responsive mental-health interventions that integrate gender-diversity awareness, family education, LGBTQ₊-affirming school environments, and confidential support options. These findings suggest new, context-specific evidence for designing culturally responsive mental-health interventions for LGBTQ₊ adolescents in Thailand.