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Effective psychotherapy for LGBTQ+ patients, including gay men, begins with general psychotherapy practices applicable to all patients. Knowledge about gay men and specific adaptations of psychotherapy for them serve as a complement to, not a substitute for, education about general psychotherapeutic techniques. Gay men come to treatment wishing to work on issues similar to those of other patients, but their problems often are influenced by important factors related to being gay: identity; self-esteem; and interpersonal functioning at work, in relationships with family, friends, and intimate partners, and in social and leisure time activities. Forming or reinforcing an integrated identity that incorporates gay sexual orientation and identity with other aspects of life is likely to be an important goal of psychotherapy (Drescher 2001).
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