Lesbians and cancer support: clinical issues for cancer patients.

In this article, I discuss clinical issues addressed while conducting support groups for lesbians with cancer. For group participants, issues relating to sexual orientation affected comfort levels with treatment interventions, communication with health care providers, ability to obtain emotional support, and coping. For example, assistance in information processing, decision making, and emotional support during treatment are typically provided by spouses of individuals with cancer. However, many women reported experiencing additional anxiety because of their decision to reveal their sexual orientation to medical providers. Fear of stigmatization and the possibility of compromised care contributed to anxiety about disclosure of sexual orientation. Whenever possible, differences in women's experiences based on race are also highlighted. The findings can begin to inform our assessment, problem conceptualization, and treatment approaches for lesbians with cancer.