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Abstract
LGBT international students have unique issues and needs in coping with their student life in the United States. Their primary issues include developing their own sexual identity, coming out in a variety of academic and social settings, forming relationships, returning to home countries, and differing health-related issues from domestic students. Therefore, mental health professionals must be aware of these issues, provide support that fits the person's individual needs, and serve as advocates for these students in their campuses and local communities. Four challenges and key concepts for mental health professionals are provided.