Abstract
Sexual minorities face unique threats to psychological well-being that are primarily social in nature. These minority stressors include negative social exchanges at both the structural and interpersonal levels. Minority stress results in psychiatric distress; however, sexual minorities display increased self-esteem and decreased anxiety and depression when in proximity to other sexual minorities. This suggests group-based psychotherapy may be a uniquely effective treatment for the mental health of sexual minority clients. Group-based cognitive–behavioral therapies (CBTs), inclusive of traditional and third-wave modalities, enjoy a robust evidence base. This chapter reviews the evidence for group-based CBTs with sexual minorities, and it offers recommendations for the adaptation of group-based CBTs for work with sexual minorities. An illustrative example of a CBT group that was delivered to sexual minority adolescents is provided.
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