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In the United States, the interplay of racism, sexism, and acculturation creates psychological and social stressors that may affect the development of positive ethnic/sexual identities among Asian and Pacific Islander (API) adolescents. This article proposes a new model of identity formation theory for API gay, lesbian, bisexual, and transgender (GLBT) youth in order to increase understanding of the diversity of the “new gay teenager.” Our model presents a spectrum of identities to which API sexual-minority youth belong. Sixteen possibilities (4 Å~ 4) were generated from the four stages of a sexual-development model (Initiation, Primacy, Conflict, and Identity synthesis) and the four strategies of J. W. Berry’s (1980) acculturation model (Assimilation, Integration, Separation, and Marginalization). Our model also reflects how minority stress impacts API sexual minorities and sets them apart from Western GLBT communities. The Eurocentric model of “coming out” and the sexual-identity process ascribed to herein are reconsidered to include social norms from within the API cultures that govern discourse on sexuality and other taboo topics. The mental-health risk implications for research, practice, and policy are also discussed.