Cognitive-behavioral Therapies with Lesbian, Gay, and Bisexual Clients

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.

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"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, Washington School of Professional Psychology at Argosy University, Seattle; The combination of highlighting and valuing sexual diversity, while at the same time drawing on methods that normalize and humanize universally experienced problems, is a signal achievement. This is a most useful resource for clinicians familiar with LGB issues who want to learn more about CBT, as well as experienced cognitive-behavioral therapists seeking to better serve their sexual minority clients. It also will serve as a supplemental text for graduate students in a broad range of mental health fields. - Keith S. Dobson, University of Calgary, Canada 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.

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Marvin R. Goldfried, Foreword. Part 1: Specific Developmental Challenges for Lesbian, Gay, and Bisexual Individuals. Part 2: Cognitive-Behavioural Assessment. Part 3: The Basics of Cognitive-Behavioral Therapies. Part 4: Treating Depression. Part 5: Anxiety Disorders. Part 6: Couple Therapies. Part 7: Consideration of Other Disorders and Problems. Part 8: Emerging Behavioural and Cognitive-Behavioural Therapies. Part 9: Ethical Considerations and Clinical Judgment. Part 10: The Past and the Future of Cognitive-Behavioral Therapy with Lesbian, Gay, and Bisexual Clients. Appendix 1: Resources. Appendix 2: Frequency and Acceptability of Partner Behaviour. Appendix 3: ICBT Feedback Session Summary Sheet.

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