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 stig