A therapist who works primarily with gay and lesbian couples is aware that the same kinds of stress that affect heterosexual relationships also affect gay and lesbian relationships. But the therapist knows that the stress is different with respect to:

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4. With the exception of the stage of coming out, most issues that affect the stability or relationships among heterosexual and nonheterosexual couples are the same. Extended family involvement, inequalities of power, and disparity in income tend to have the same effect on gay and lesbian relationships.

A Therapist Who Works Primarily with Gay and Lesbian Couples