Currently, there are two approaches to the provision of psychotherapeutic assistance to homosexual ego-dystonics (those homosexuals who reject their sexual orientation). In accordance with the first, they should be adapted to the orientation of their own sexual desire and help them adapt to life in a society with heterosexual standards. This is the so-called supportive or gay affirmative therapy (English affirm - to affirm, confirm). The second approach (conversion, sexually reorienting, reparative, differentiating therapy) is aimed at helping homosexual men and women change their sexual orientation. The first of these approaches is based on the assertion that homosexuality is not a mental disorder. It is reflected in ICD – 10 and DSM – IV.