Sage is 19-years-old and requests treatment for depression and anxiety. She tells you that she thinks she is gay but is afraid of what to do about it. She recently came out to her parents and they want her to enter a conversion therapy program. Her brother tells her it won't work and is trying to talk her out of going. She tells you that she is confused, and does not want to let her parents down.

1. Conceptualize this case.

2. Identify issues presented, including minority stress, identity development (use one of the gay/lesbian identity models), homophobia, internalized homophobia and heterosexism.

3. Identify strategies to engage LGBT patients in the clinical environment

4. Discuss methods to sensitively approach history taking

5. Describe verbal or non-verbal strategies to identify sexual orientation and gender identity in the clinical environment

6. Outline techniques for tailoring health promotion strategies to the needs of LGBT patients.