Sex worker affirmative therapy is a model for therapists to engage with sex workers in a supportive and strengths-based way to mitigate the many impacts of distal and proximal stressors. As with any client-centered therapeutic approach, these guidelines should be tailored to the individual and their presenting problem(s) in therapy, and therefore, all guidelines may not be applicable to every sex worker client. The following outline is part of our published paper, Sex Worker