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. Author manuscript; available in PMC: 2021 Mar 1.
Published in final edited form as: Psychotherapy (Chic). 2019 Aug 1;57(1):35–49. doi: 10.1037/pst0000243

Table 1:

Key components of a minority stress intervention

Structure
Brief format
Structured and directive sessions
Between session assignments to encourage generalization of
skills, behavioral experiments, and tracking of events,
thoughts, feelings, and behaviors
Minority stress processes
Discrimination/mistreatment/microaggressions
Anticipation of discrimination or mistreatment/ hypervigilance
Concealment or openness about identity
Internalized stigma
Specific methods and processes
History gathering about minority statuses and pertinent
minority stress experiences
Psychoeducation about minority stress and its impacts on
physical and mental health
Psychoeducation about the cognitive behavioral model
Reduction of avoidance behaviors
Identification and evaluation of cognitions
Thought replacement
Matching coping to the situation
Skills for relaxation and distress tolerance
Accurate assessment of safety in the present
Acceptance
Values clarification
Conscious decision making in line with values
Mindfulness: focused attention
Mindfulness: thought observation
Confrontation of others or speaking up
Getting emotional support from others
Reappraising events to identify positive benefits
Attending to positive emotional experiences
Summarization