ABSTRACT

The Affirmative Therapy framework can help build client and therapist rapport, complete lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) sensitive biological-psychological-social assessments, and in choosing interventions for symptom targeting, such as Cognitive-Behavioral Therapy (CBT). There are infinite possibilities regarding the evolution of LGBTQI terminology, bearing it remains inclusive and affirming in nature and tone. Research has demonstrated preliminary support for the first interventions adapted to address the LGBTQI community’s co-occurring health problems at their source in minority stress. An AT therapist works to help the client develop acceptance and a healthy self-identity. It is essential that therapists have cultural humility and knowledge about the LGBTQI community which, allows for treatment to focus on empowerment and validation rather than shame and re-traumatization. The key to cognitive and behavioral change is routine practice and homework to shape new behaviors. CBT is an evidence-based practice that has advanced the practices of many mental health practitioners.