Lesbian, gay, bisexual, and transgender (LGBT) youth and their caregivers often describe coming out as a process that impacts the family unit. Oftentimes, caregivers may experience a range of emotions in response to the youth coming out. Caregivers of LGBT youth who seek counseling may benefit from collaborative treatment that addresses their potential ambivalence to the coming out process. In this article, motivational interviewing (MI) is presented as an approach for use with caregivers of LGBT youth. A hypothetical case illustrates the application of MI to this population.