The purpose of this study was to examine the hypotheses that the external factors of family environment, gender, and clinical status and the internal factors of self-esteem and impression management would have either a positive influence or a negative influence on individuals' congruence between their sexual attitudes and their sexual behavior. The hypotheses that the external and internal factors would be significant predictors of congruence between sexual attitudes and behavior were not supported by regression analyses. Clinical status and impression management were significant predictors of congruence but in the opposite direction than hypothesized. When age was factored out of the regression equation, clinical status was no longer a significant predictor of congruence. However, impression management remained a significant predictor of congruence.