lore m dickey – Transgender & Gender Non-Binary (TGNB) Clients, Clinical Issues and Treatment Strategies
Early in my career, I recognized that without training in affirmative practice, mental health providers are at risk of causing harm to their transgender & gender non-binary (TGNB). As a result, mistakes are frequently made by using outdated treatment strategies and having a lack of education of how to work with gender diverse clients.
Today, I know that providing affirmative care practices are critical to ensure the safety of your TGNB clients. I will give you an insider’s perspective and guide you step-by-step through navigating the challenges your clients face that are often overlooked by mainstream clinical approaches.
Objectives
- Appraise the complexities that transgender clients face daily including physical, mental, and social discomfort and how to address these in clinical practice.
- Develop a deep comprehension of the ways that a client’s own identity can create a trusting, effective relationship, and how their identity can negatively affect the clinical relationship.
- Apply concepts of affirmative clinical practice with gender diverse clients.
- Appraise the various gender diverse identifies and analyze the ways that intersecting identities create further challenges in daily life.
- Assess your current clinical practice to determine how affirmative your practice is for gender diverse clients.
- Create a transition timeline and goals with your client.
- Prepare letters for clients seeking feminizing and masculinizing hormone therapy and gender confirmation surgeries.
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Affirmative Clinical Practice
- Ethical responsibilities
- Clinical application of affirmative practice
- Work with clients across the lifespan
- Children
- Adolescents
- Emerging adults
- Older adults
- Elements of support for transition care
Gender Identity and Diversity
- Coming out
- Transition experiences (e.g., social, medical, and legal)
- Diagnosis
- Historical perspectives
- Current conceptions of gender diversity
- Challenges with keeping up with identify labels
Challenges Faced by Gender Diverse People
- Intersecting identities
- Discrimination and violence
- Clients seeking asylum
- Clinical concerns
- Trauma
- Depression
- Anxiety
- Substance abuse
- Suicidal ideation
- Family considerations
- Parenting
- Adoption
- Value of support
- Legal concerns
Interrogating One’s Gender Beliefs
- Why is this important
- What is involved in this process
- How does a clinician integrate this information into their practice?
Practice Assessment
- What aspects of one’s practice need to be assessed
- Simple ways to address practice short comings
Assessment with Gender Diverse Clients
- Best practice for addressing clinical concerns with assessment
- How to complete assessments that require binary sex indicators
- The purpose of assessment in clinical practice with clients
- Challenges with personality assessments
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