Gays, Lesbians, and Bisexuals

Abstract

This chapter examines some of the unique challenges and opportunities in both research and clinical practice with gay, lesbian, and bisexual individuals experiencing problematic use of addictive substances. It begins with a brief overview of the concept of sexual orientation and some of the challenges facing individuals who do not identify as heterosexual. The chapter then addresses the prevalence of substance misuse and abuse in the gay, lesbian, and bisexual population, some of the unique problems they experience, and the complexity of making accurate assessments in research with this population. The chapter concludes with a discussion of affirmative clinical practice in responding to the treatment needs of gay, lesbian, and bisexual clients.