Although many workshops on sickle cell anemia have been held, it is still difficult to implement a comprehensive training program for sickle cell anemia clients in many communities. Research data on the topic are somewhat nebulous and insufficient political and social pressure have been exerted to change attitudes and take action towards the disease. Research has found no cure for the disease and treatment is palliative. Because sickle cell anemia is said to disrupt mental processes through environmental stresses, as associated with racism, the client may blame his physical attributes for the problems and societal pressures he faces. The 1978 questionnaire survey conducted (by this author) in South Bend, Indiana, indicates the need for counseling on the subject. In group counseling, the facilitator should be flexible enough to adapt to the needs of the client. The more verbal interaction that takes place, the more effective the counseling process will be. Current medical knowledge pertaining to sickle cell anemia shows that changes are occuring. The disease and the accompanying physiological crisis and complications can now be talked about. (Author/WI)