With increasing public acceptance of lesbian, gay, and bisexual (LCB) individuals, therapists can expect to encounter more opportunities to work with LCB clients. As therapists, we need to be certain that we can provide competent care to this population, which has been poorly served in the past by practitioners taught to view homosexuality as pathological. Most therapists have never received training in working affirmatively with LCB clients. We may be unaware of how the pathological view of homosexuality continues to influence our thoughts, feelings, and behaviors in subtle ways. By becoming more aware of our attitudes toward LCB individuals, and by learning more about issues that many LCB individuals face, we can increase our clinical effectiveness with LCB clients. Key words: psychotherapy, psychotherapist attitudes, homophobia, homosexuality, gay, lesbian, bisexual, sexual orientation.