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Cognitive–behavioral therapy with gay, lesbian, and bisexual clients

69 citations0/0 files storedJournal of Clinical Psychology

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LGBTQ Health, Identity, and Policy Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychological Treatments and Assessments

Abstract

Cognitive-behavioral therapy (CBT) can be adapted to a wide range of clinical difficulties and presenting problems that face lesbians, gay men, and bisexual persons. The following article presents general guidelines for and two case examples of the use of CBT. The first case is a gay male struggling with social phobia. This case is an example of how to adapt a structured, empirically supported cognitive-behavioral treatment focusing on social phobia to situations that are associated with his sexual orientation. The second is a woman struggling with multiple issues including coming out. This case provides an example of how to add specific cognitive-behavioral techniques to coming-out issues within the context of a more eclectic, longer-term therapy.

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References

2012Diagnostic and Statistical Manual of Mental Disorders 2012Cognitive Therapy for Depression 1979Cognitive Therapy of Depression 1998Development and validation of measures of social phobia scrutiny fear and social interaction anxiety11Editor’s note: This article was written before the development of some contemporary measures of social phobia, such as the Social Phobia and Anxiety Inventory (Turner et al., 1989). We have invited this article for publication because of the growing interest in the scales described therein. S.T.1997A cognitive-behavioral model of anxiety in social phobia 1995Cognitive Therapy: Basics and Beyond 1991Cognitive therapy of personality disorders 1995The effectiveness of psychotherapy: The Consumer Reports study.

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