This book, a completely revised version of the authors' 1987 Dual Identities, offers insight on the special treatment issues of lesbian, gay, bisexual, and transgender (LGBT) substance abusers. It describes stages of sexual identity transformation, looks at different counseling approaches, and gives practical suggestions for helping clients. Information is accessible to beginning and experienced counselors as well as patients. Finneagan, an alcohol counselor, and McNally, a psychologist and alcohol counselor, are co-founders and current board members of the National Association of Lesbian and Gay Addiction Professionals. c. Book News Inc.

?In this new book, the successor to the classic in the field Counseling Lesbian, Gay, Bisexual, and Transgender Substance Abusers: Dual Identities by Dana G. Finnegan and Emily B. McNally, Michael Shelton reviews the empirical literature and synthesizes what we know about the prevalence of LGBT substance use, abuse, and treatment availability, emphasizing the need for affirmative therapeutic practices. The principles of trauma-informed and culturally competent treatment/intervention are explained and assessed, as well as the challenges of minority stress and microaggressions experienced by the LGBT population. Separate sections focus on the sub-populations of lesbians, gay men, bisexuals, and transgender individuals. Separate chapters focus on LGBT youth, the elderly, family constellations and concerns, criminal justice issues, and rural LGBT substance abuse. This volume provides an introduction to the field that will be useful both as a primary textbook and as a handbook/reference for LGBT-focused and general substance-use disorder clinics and their administrators, clinicians, trainees, allies and volunteers.

Internalized homophobia, alienation, poor support structures, and high levels of depression all contribute to substance abuse among lesbian, gay, bisexual, and transgender individuals, with social activity at bars and clubs reinforcing addictive behavior. The threat of bias in treatment programs also prevents many from seeking help. An essential resource for human service professionals searching for the latest research on these unique issues, this volume features both state of the art practice methods for treating substance use disorders and up-to-date analyses of sexual orientation and gender identity issues, heterosexism, and the ethical challenges of working with the LGBT community. Sandra Anderson discusses practice with individuals, couples, families, and small groups, as well as practice at the program level. Drawing on case studies with her own clients and from social service agencies that treat LGBT clients, Anderson emphasizes evidence-based treatment models, including motivational enhancement therapy, contingency management, the matrix model, and community reinforcement. Packed with recommendations for effective practice, this singular volume confronts the obstacles faced not only by clients with addictions but also by the LGBT population as a whole.

This captivating book contains 31 case studies that focus on what is said and done in actual counseling sessions with LGBTQQI clients, including diagnosis; interventions, treatment goals, and outcomes; transference and countertransference issues; other multicultural considerations; and recommendations for further counseling or training. Experts in the field address topics across the areas of individual development, relationship concerns, contextual matters, and wellness. The cases presented include coming out; counseling intersex, bisexual, and transsexual clients; couples, marriage, and family counseling; parenting issues; aging; working with rural clients and African American, Native American, Latino/a, Asian, and multiracial individuals; sexual minority youth; HIV; sexual and drug addictions; binational couples; work and career; domestic violence; spirituality and religion; sexual issues; and women's health. *Requests for digital versions from ACA can be found on www.wiley.com. *To purchase print copies, please visit the ACA website *Reproduction requests for material from books published by ACA should be directed to [email protected]

This guide for emerging and current practitioners, as well as LGBTI individuals, combines theory, research and practice to help readers become effective counselors. Students and clinicians will gain relevant and up-to-date knowledge about LGBTI clients and prepare them for practice in an increasingly global landscape, the author explores cultural differences around the world and discusses how LGBTI identifies change from region to region. Counseling LGBTI Clients challenges and changes beliefs about and attitudes toward each LGBTI subgroup, while preparing practitioners to provide sensitive, informed, and effective affirmative counseling to this largely misunderstood population.

A timely reference that addresses the unique issues of gay men in recovery. Winner of the 2012 Independent Book Publishers Association Benjamin Franklin Award -- GLBT Category! Gay Men and Substance Abuse fills a tremendous void, serving as a valuable resource for gay men, professionals, concerned partners, friends, and family members in need of solid information and guidance.Whether faced with a traumatic coming out process, caught up in personal struggles with body image, engulfed in the club culture, or navigating a family system that does not accept his sexuality, a gay man struggling with substance abuse or addiction often faces cultural and personal challenges unique to his life experiences. Yet many men and their loved ones in search of help are forced to adjust to a traditional treatment system, or self-help groups that center on heterosexual relationships, and family groups that neglect to include partners or address what can be a uniquely challenging family dynamic.By exploring the social and psychological factors that play into homosexual men's addictions, nationally certified treatment counselor Michael Shelton presents a timely, comprehensive look at best practices in meeting the unique needs of gay men in recovery, offering keen insight on a range of issues, including:such common therapeutic approaches as motivational enhancement therapy and 12 Step strategiessuccessful relapse prevention protocolstools for recovery from co-occurring sexual disordersthe importance of a loved one's role with regard to intervention and supportthe complicated relationship between gay male drug use and sexual behaviorhow to talk knowledgeably, and with care and sensitivityAbout the author Michael Shelton, M.S., C.A.C., is a nationally certified treatment counselor and does clinical work with males with substance abuse and sexual disorders at four facilities in Philadelphia. He's the author of four other books, including Boy Crazy: Why Monogamy Is So Hard for Gay Men and What You Can Do About It.