Generate a file for use with external citation management software. More than two-thirds of the participants indicated they had a positive therapy relationship with their therapist. Some productive tips to coping with stigma associated with an lgbt orientation include: This study investigated the role of therapy practices and the therapy relationship on lesbian and gay clients’ feelings about their current therapist. Results highlight the important role that therapy practices and the therapy relationship play in lesbian and gay clients perceptions’ of their therapist. This is especially true for those confronted with the double stigma of mental health issues and a lgbt orientation.