Receiving an HIV-positive diagnosis is a unique stressor which may cause significant emotional distress. Particular themes may be associated with the diagnosis including an altered self-view, concerns about physical health, relationship issues, a revised view of the future, and a search for meaning. Cognitive therapy is an effective, shortterm model, appropriate for addressing these challenges. Specific therapeutic techniques for alleviating distress will be outlined.The AIDS epidemic has expanded in the past decade and the role of clinicians in treating this population has also grown. As more individuals become infected, clinicians will be increasingly called upon to offer services. Some empirical studies have found cognitive and behavioral therapies are efficacious with this population (Chesney & Folkman, 1994). However, no writings have systematically described the techniques and strategies involved in conducting cognitive therapy with HIV-positive clients. In addition, HIVpositive individuals may present for treatment at many points in their illness. Different stages of the illness may be associated with unique challenges. Initial notification of an HIV-positive diagnosis may be a particular stressor for which clients seek treatment. This article will review the issues of clients newly diagnosed as HIV-positive and will outline cognitive therapy interventions for this population.