Although the length and quality of life for people living with HIV/AIDS has improved dramatically in recent years because of antiretroviral medications, these individuals still need to make significant psychosocial adjustments in order to improve their quality of life and the HIV trajectory. Mental health professionals can play an important role in this process. The present study investigated the experiences of 12 gay men living with HIV or AIDS who received counselling and peer support services. The findings are drawn from a larger phenomenological study that explored participants' experiences of receiving counselling and peer support services. This paper offers a description of these services and the participants' reactions. The authors report several important considerations for mental health professionals in relation to counselling and peer support programs.Thousands of people in Canada live with the Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS); the numbers are increasing (Health Canada, 2003;Siushansian, Nguyen, & Archibald, 2000), and there is no cure. In particular, men who have sex with men are overrepresented within HIV prevalence statistics, with this group accounting for 51% of reported cases in 2005 (Boulos, Yan, Schanzer, Remis, & Archibald, 2006). In addition, gay men and men who have sex with men are often faced with several unique issues such as extra stigmatization, externalized and internalized homophobia, and identity issues associated with sexual orientation and HIV (Alderson, 2000;Cadwell, 1994). Recent pharmaceutical advances have created antiretroviral treatments, sometimes referred to as the "AIDS cocktail" (Wong-Staal, 1997). These new treatments have significantly improved the length and quality of life for people infected with HIV by delaying the onset of AIDS through inhibiting viral replication. The effectiveness of these new HIV treatments means that the work of therapists as well as other health and social service professionals has changed from helping people through the process of dying of AIDS-related complexes to helping people live with HIV.With HIV infections increasing throughout the world and with the increased longevity resulting from medical advances, therapists and mental health professionals will continue to be called upon to