Substance Use Disorder affects the LGBTQ community at a higher rate than the general population. Unique challenges like stigma, shame, and lack of support can impede access to treatment. As a service provider, it's important to create a welcoming and accepting environment, reduce stigma, and tailor treatments to the needs of LGBTQ individuals. Abstinence based recovery may be the key for some, where harm-reduction strategies may be more appropriate for others. By providing culturally competent treatment, we increase our clients’ chances of achieving lasting recovery.