This article addresses the impact of the acquired immune deficiency syndrome (AIDS) phenomenon on psychotherapy with asymptomatic gay men. We discuss specific issues pertaining to psychotherapy with gay men and offer suggestions about how professionals might address these issues in the helping context. We discuss how therapists can help gay clients (a) to develop a positive gay identity, (b) to reevaluatc their patterns of socializing, (c) to learn safe sex techniques and develop positive attitudes toward them, (d) to learn new styles of intimacy, (ej to understand the human immunodeficiency virus (HIV) antibody test and the implications of testing, and (f) to develop coping strategies for dealing with the loss of loved ones and acquaintances.