This book provides a framework for affirmative, empirically supported cognitive-behavioral therapy (CBT) with lesbian, gay, and bisexual clients.

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This book provides a framework for affirmative, empirically supported cognitive-behavioral therapy (CBT) with lesbian, gay, and bisexual clients. Guidelines for competent assessment and treatment are integrated with practical descriptions of widely used CBT applications. In addition to presenting powerful treatment tools for depression, anxiety, and other problems encountered by gay and straight clients alike, the book offers clear-cut guidance on helping individuals and couples cope with the stresses of sexual minority status. Rich case illustrations bring to life the diversity of lesbian and gay communities, highlighting commonalities as well as differences among the issues that clients bring to therapy. Appendices include resources and sample client and therapist forms.

"Martell et al. have done a masterful job of bringing cognitive-behavioral therapy alive for therapists who work with the lesbian, gay, and bisexual community. By centering their discussions of CBT in the lives and experiences of LGB clients, the authors powerfully demonstrate the relevance of this therapeutic paradigm to an LGB-affirmative stance. The discussion of ethics and boundary issues is an extra bonus for the reader....This is 'must' reading for LGB-affirmative practitioners and an excellent text for graduate-level courses."
-Laura S. Brown, PhD, ABPP, Washington School of Professional Psychology at Argosy University--Seattle

"Bravo! This fine, very welcome book represents an important and successful melding of two sometimes separate psychotherapeutic communities. The richness of the CBT model (including important, exciting, new developments therein) is integrated with the growing body of scholarly research and findings on LGB experiences. Specific frameworks utilize myriad examples to address the major issues facing LGB individuals and couples and to illustrate the applicability of CBT with these clients."
-Kevin T. Kuehlwein, PsyD, Center for Cognitive Therapy, University of Pennsylvania

Christopher R. Martell, PhD, maintains a private practice in Seattle and is Clinical Associate Professor of Psychology at the University of Washington. He is a member of the APA Committee on LGB Concerns and a past president of the Washington State Psychological Association. An ABPP diplomate in clinical and behavioral psychology, Dr. Martell is a founding fellow of the Academy of Cognitive Therapy. He has published on behavioral activation, couple therapy, and LGB issues.

Steven A. Safren, PhD, is Assistant Professor of Psychology at Harvard Medical School, Associate Director of the Cognitive-Behavioral Therapy Program at Massachusetts General Hospital, and a research scientist at Fenway Community Health. He has published on LGBT mental health, behavioral aspects of HIV, and mood and anxiety disorders. Dr. Safren is the Principal Investigator of an NIMH-funded study of CBT for depression and HIV medication adherence.

Stacey E. Prince, PhD, is in private practice in Seattle and is a Clinical Instructor at the University of Washington. Dr. Prince recently served as co-chair of the Washington State Psychological Association's Committee on LGBT Concerns. She has been involved in several NIMH-funded studies, and has published on gender issues in depression, CBT for depression, and integrative behavioral couple therapy.

263 Pages, 6x9

Foreword, Marvin R. Goldfried.

1. Specific Developmental Challenges for Lesbian, Gay, and Bisexual Individuals.

2. Cognitive-Behavioral Assessment.

3. The Basics of Cognitive-Behavioral Therapies.

4. Treating Depression.

5. Anxiety Disorders.

6. Couple Therapies.

7. Consideration of Other Disorders and Problems.

8. Emerging Behavioral and Cognitive-Behavioral Therapies.

9. Ethical Considerations and Clinical Judgment.

10. The Past and the Future of Cognitive-Behavioral Therapy with Lesbian, Gay, and Bisexual Clients.

Appendix I: Resources.

Appendix II: Frequency and Acceptability of Partner Behavior.

Appendix III: ICBT Feedback Session Summary Sheet.

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