Until recently, the literature on lesbian, gay, and bisexual mental health and that on cognitive-behavioural therapies have followed different trajectories. Clinical training has been similarly divided, so that few clinicians develop expertise in both LGB-affirmative psychotherapy and CBT. Filling a crucial gap, this practical volume synthesizes knowledge from both fields into a comprehensive framework for culturally-sensitive CBT practice with LGB clients. Presented are powerful treatment approaches for problems that are frequently encountered by gay and straight clients alike, together with clear-cut guidance for helping individuals and couples cope with the stresses of sexual minority status. All therapists serving a diverse clientele will find invaluable insights and tools in this accessible, up-to-date book. Following an overview of the specific developmental needs of LGB individuals, the book reviews the basics of cognitive-behavioural assessment and treatment. Chapters then describe evidence-based applications for treating such challenges as depression, anxiety, and couple distress, with particular attention to the ways clients' experiences are shaped by membership in a stigmatized or marginalized group. Effective strategies are outlined for helping clients reevaluate negative core beliefs about the self and develop skills for coping and problem solving. The volume also discusses emerging cognitive and behavioral treatments; ethical and professional issues in LGB-affirmative practice; and much more. Throughout, rich case illustrations bring to life the diversity of LGB communities, highlighting commonalities as well as differences among the issues that clients bring to therapy. Appendices include useful resources and sample client and therapist forms. An important contribution for therapists in a range of settings, from CBT newcomers to experienced practitioners, this book will also be read with interest by students and residents in clinical and counseling psychology, couple and family therapy, psychiatry, clinical social work, and nursing. It is a uniquely informative text for courses in CBT, couple therapy, and clinical work with sexual minority clients.
