Objective: In this workshop we will address common issues in psychotherapy with LGBT patients: how it is to be in the closet, to come out of the closet -coming out, sexual identity and social stigma. Special attention is paid to self-disclosure of the therapist, yes/no or if... and to the subject of transference and countertransference. Colleagues will learn about: –– the difference between sexual orientation and sexual identity –– coping strategies of LGBTs –– dissociation as a psychological mechanism and its function in hiding a homosexual identity –– the perspective of self disclosure of the sexual identity of the therapist Design and Method: After a 15 minute oral presentation about LGBT specific issues in psychotherapy we will, in the next 60 minutes, discuss our clinical practice of working with LGBT patients. For this purpose members of the audience, our colleagues, are invited to present their clinical cases, so called vignettes. Results: Both the oral presentation about gender and sexual diversity as the clinical discussion amongst colleagues attribute to a better understanding of treating our gender- and sexual minority patients Conclusions: Gender and sexual minority patient characteristics and their health issues vary and differ from heterosexual patients. In general, training of health care professionals is not sensitive to the specific health care needs of LGBT patients. This workshop focusses on the clinical management of LGBT patients by discussing our clinical practices.