Fundamentally, couples therapy is about relationship skills, and those don't depend on sexual orientation, a specific relationship model, or the partners’ locations on the gender spectrum.People are more likely to need specific things from therapy as a result of their past and present experiences; their experiences of belonging, of attachment, of pressure to conform to society or of being excluded from it.Some groups of people, for example, share experiences of significant structural discrimination. They face similar challenges and repeatedly find themselves embedded in a societal context that does not meet their needs. Understandably, that has an impact on how these people experience relationships and how they act within them.The fact that the spectrum of relationship configurations in the LGBTQ community is more varied than it is for mainstream heteronormative society can be both a relief and a challenge. Furthermore, outsiders’ perceptions and their associated acceptance or non-acceptance of different relationship types influence the internal dynamics of the relationship.The ways in which these lived experiences affect the therapy process vary from case to case. In all cases, however, the most important factor is that the clients feel safe with their therapist, and that the therapist is able to help them process their lived experiences with the necessary sensitivity.