According to a 2002 article published by the American Psychological Association, some common themes practitioners encountered when working with LGBT individuals include gender identification, relationship concerns, post-coming-out problems, parenting dynamics, aging concerns and health-related issues. While being educated on topics relative to the LGBT community is undoubtedly important, social workers also need to be informed of different treatment modalities that effectively incorporate appropriate therapy models during practice. When working with LGBT individuals, the most common therapies include Gay Affirmative Practice (GAP), Affirmative Therapy and Cognitive Behavioral Therapy (CBT). GAP is increasingly becoming the most widely used model by which to approach treatment with LGBT clients. According to Crisp (2004), “GAP affirms LGBT identity and heterosexual identity as equally positive experiences, actively counteracts the homophobia and heterosexism that LGBT clients have experienced and often internalized, can be applied to a variety of mental health and substance abuse treatment settings and modalities—including individual, couple, family, and group—and is becoming the goal toward which those in the mental health and substance abuse fields are striving.” Similarly, Affirmative Therapy “involves a strong focus on the therapeutic alliance, with the therapist serving as an advocate for the client and being mindful that LGBT persons have a sociopolitical reality that heterosexuals do not have to contend with” (Bieschke, 2012). Using this developmental and culturally sensitive understanding, the therapist also must engage in meaningful self-reflection and exploration, determining how heterosexist biases might inform their work and interpersonal views. Furthermore, affirmative therapists believe their clients sexual