This paper presents suggestions for therapists working with women who are having difficulty accepting their attractions to other women, lesbian behavior and identity, or both, with the goal of promoting self-acceptance and reducing internalized homophobia. After a discussion of the therapeutic relationship, several coping strategies which have been used successfully by many women are described and therapeutic applications are offered. These strategies include cognitive restructuring, avoiding a negative identity, adopting an identity label, self-disclosure, meeting other lesbians, and habituation to lesbianism. Finally, behavioral indications of success or failure to achieve the goal of self-acceptance are presented.