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

Steven A. Safren, Tracey Rogers

Research output: Contribution to journalReview articlepeer-review

43 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)629-643
Number of pages15
JournalJournal of Clinical Psychology
Issue number5
StatePublished - May 21 2001
Externally publishedYes


  • Bisexual clients
  • Cognitive-behavioral therapy
  • Coming-out
  • Gay
  • Lesbian
  • Social phobia

ASJC Scopus subject areas

  • Clinical Psychology
  • Arts and Humanities (miscellaneous)


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