Bachmann's comments come following claims by patients who visited the clinic, Bachmann & Associates, that counselors tried to convert them from gay to straight. One man, posing as a patient seeking to be converted to straight, brought a hidden camera into a session at the clinic and recorded a counselor saying "God has created you for heterosexuality." (The counselor added that "God designed our eyes to be attracted to the woman's body, to be attracted to everything, to be attracted to her breasts.") Conversion therapy is opposed by the American Psychiatric Association and the American Medical Association and been called ineffective and harmful.

He also addressed an audio recording in which he appears to describe gay people as "barbarians" who need to be "educated" and "disciplined," suggesting the recording was doctored. He said the notion that he "ever called a homosexual a barbarian" is a "myth."