This article aims to raise awareness of some of the psychosocial, emotional, and sociocultural challenges faced by many of the youth who have gravitated to the Ruth Ellis Center and Affirmations Center, both in the Detroit area. Those identifying as Black lesbians express their struggles of negotiating several identities at one time, without the advantage of access to convenient resources and role models. These personal stories may help mental health youth service providers gain insights into the impact of these stressors so that they can adjust their practices toward culturally competent treatment with Black lesbian adolescents and their families. Recommendations for youth-serving professionals will be summarized.