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The mental health professions have a long, complicated, and often contradictory relationship with LGBT issues and individuals. Initially, psychology, psychiatry, and counselling professionals viewed LGBT individuals as trangressive and mentally disordered. In a historic reversal, all of the major mental health and medical professional organizations in both the United States and United Kingdom now reject such biased and prejudicial conceptualizations; affirming LGBT people have a sexual orientation and/or gender identity that is normal, healthy, and legitimate. Furthermore, the American Psychological Association (2012) and British Psychological Society (2012) recently developed clear professional guidelines for the ethical treatment of LGBT individuals. These standards of care represent monumental advancements, but considerable work remains to redress LGBT mental health disparities. My research efforts have raised concerns about practitioner and trainee competence with LGBT clients, especially for those holding conservative religious and sociopolitical beliefs. As such, we must continue developing more effective ways to advance ethical and competent LGBT psychotherapy vis-à-vis theory, assessment, and training, along with innovative ways to spark the personal growth and development of mental health practitioners. This article is based on a keynote address (Treating Transgressors: Mental Health Providers and LGBT Issues) given at the 2015 Regent's University London Conference, and draws on both my professional and personal experiences.