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able addiction African American client African American community African American family African American gay African American HIV/AIDS African American women alcohol AlDS Americans with HIV/AIDS and/or anger areas avoid become Better Quality bisexual caregiver church clean pain condom counseling process counselor Croteau culturally sensitive deal denial depression developed difficult disclosure discrimination disease drug abuse Early Intervention effective emotional exposure categories fear feelings friends gay White helper helping professional heterosexual HIV and AIDS HlV/AlDS Holistic Model homophobia homosexuality ical Impact and Causes impacted by HIV/AIDS important individual with HIV/AIDS institutional racism issues Jue & Kain lesbian lives locus of control male mental health counseling multiple partner person with HIV/AIDS physical population profes programs psychological racial identity racism relapse relationship reported risk seek sexual shame social stigma stress substance abuse therapy tion uncommon understand viduals virus White disease