The effects of attitudes and practices that tend to omit, exclude, overlook, or misrepresent lesbian, gay, and bisexual (LGB) people are evidenced in the presenting problems of many LGB clients (Albee, 1995; Uribe & Harbeck, 1991). These problems include (a) feeling disconnected from a sense of identity and community, (b) depression stemming from self-hate or feelings of failure for being someone who is less than societally ideal, and (c) high levels of fear or emotional flatness resulting from having to hide and change one's natural sense of self (Browning, Reynolds, & Dworkin, 1991; Shannon 6r Woods, 1991).Service delivery options typically available to mental health providers include individual, group, and couples counseling approaches (see chapters 7, 8, and 12, this volume, respectively). As is indicated in many of the preceding chapters, working with LGB clients can be developmentally enriching for both client and therapist (Silverstein, 1991). Despite the ben-359