People identifying as lesbian, gay, bisexual, transgender, queer, intersex, or asexual (LGBTQIA+) often face workplace bias or discrimination. Unique dynamics in academic neuroscience, psychology, and psychiatry warrant specific investigation. Participants (N=534) completed an online survey assessing identity and workplace experiences. Many respondents were not out about their identity at work (46%) despite most being out personally (81%). Positive workplace climate was critical to outness (OR=4.13, t=6.78, p<.001), career satisfaction (b=0.47, t=8.57, p<.001), and mental health (b=-1.48, t=-3.50, p=.001). Experiences of exclusionary behavior (24%) and depression (37%) were exceedingly common. Qualitative responses called for explicit LGBTQIA+ inclusion in diversity and classroom curricula, structural and financial support for LGBTQIA+ people, and greater support for intersectional identities and trans individuals. Respondents expressed a pervasive sentiment that academic institutions should avoid putting undue, unpaid burden of diversity work on minoritized individuals while promoting meaningful structural change rather than creating the appearance of inclusivity.