%0 Journal Article %T Acculturation Experiences Among Lesbian, Gay, Bisexual, and Transgender Immigrants in Canada %A Jack De Stefano %A Nate Fuks %A Nathan Grant Smith %A Sandra Pel¨˘ez %A Tyler L. Brown %J The Counseling Psychologist %@ 1552-3861 %D 2018 %R 10.1177/0011000018768538 %X In the current study, we used a grounded theory methodology to understand the acculturation process of LGBT immigrants in Canada. Results revealed two parallel themes: Cultural Identity Development and Sexual and Gender Identity Development. Heterosexism and cissexism in the culture of origin was a central phenomenon in the development of the cultural, sexual, and gender aspects of LGBT immigrant identity. Moreover, LGBT immigrantsĄŻ culture of origin and Canadian culture influenced their sexual and gender identity development before and after immigration. Results suggest that many LGBT immigrants assume a Western orientation as a coping response to heterosexism and cissexism in their culture of origin, even before immigration occurs. The current study identified the perceived challenges and advantages that LGBT immigrants experience during the acculturation process as well as various acculturation outcomes. We discuss clinical implications and future research directions in light of the results %K ethnic identity %K grounded theory %K sexual identity %K gender identity %K qualitative research %U https://journals.sagepub.com/doi/full/10.1177/0011000018768538