Hays' popular bestseller invites readers to move beyond a one-dimensional view of identity to a nuanced understanding of the overlapping cultural influences that affect us all. This fourth edition features new chapters featuring culturally adapted cognitive behavioral tools and techniques, and trauma due to racism and other systemic forms of oppression. It remains richly illustrated with case material, with many new vignettes and examples demonstrating the ADDRESSING framework in both counseling and clinical practice. Other new material includes updated discussion of gender identity, with attention to clinically relevant research regarding transgender and nonbinary people, more on people with disabilities (the largest minority group in the U.S.), the latest terminology and language regarding diverse minority groups, and a special section on social justice and its relationship to therapeutic practice. In an increasingly diverse society, mental health providers must be able to work effectively with a wide variety of clients. The ADDRESSING framework shows clinicians and counselors how to take into account age and generational influences, developmental or other disabilities, religion and spirituality, ethnic and racial identity, Indigenous heritage, national origin, socioeconomic status, sexual orientation, and gender. Each chapter includes Key Ideas summaries and practice exercises, making this book ideal for personal education or group use.