A new analysis of the biannual Consumer Survey of Health Care Access finds that gay, lesbian, and bisexual individuals experience elevated mental health challenges compared with heterosexual individuals, with this disparity particularly evident among women. Survey participants provided information about their mental health, need for treatment, and service indicators like satisfaction with care when received. Overall, bisexual women reported the worst mental health and most barriers to care compared to heterosexual men. Notably, bisexual men also reported worse mental health than heterosexual men, but did not face more barriers to care, suggesting sex may uniquely interact with sexuality to affect mental health and the experience of treatment services. To learn more, see the study in Psychiatric Services.