This paper examines sexual identity development and the integration of art therapy in counseling with lesbian, gay, bisexual, and transgendered (LGBT) clients. Especially during the coming out process for LGBT clients, research has shown that levels of emotional and physical well-being decrease considerably. However, there is growing evidence in support of a relationship between personal creative expression and sexual identity, as well as between expressiveness and physical and emotional health. This paper argues that the use of art therapy during the coming out process increases wellbeing in the LGBT population. (Contains 2 footnotes.)