SUMMARY It is widely acknowledged that sexuality is often a key area of conflict for individuals who have been traumatized and exploited in childhood. Most treatment regimens for trauma survivors include some focus on enhancing client's capacity to create a healthy adult sexuality, with the goal of replacing rigid, maladaptive beliefs and behaviors, rooted in childhood patterns of oppressive sexuality, with those that enable them to develop a mature and satisfying life. However, though sexuality is emphasized as a significant aspect of human functioning and one in which a traumatized individual frequently needs help, there is often little acknowledgement that there are a range of healthy expressions of sexuality and gender. Though most clients and most therapists are heterosexual, those clients who do not fit the norm in this regard need a therapeutic context in which their expressions of gender identity and sexual orientation are acknowledged and clearly supported, so that their psychotherapy process will enable them to learn to live freely and fully, rather than reinforcing the marginalization they experienced as abused children and as adults who practice sexualities which are not widely accepted and fully supported in our society.