Table of Contents
Foreword vii
Preface ix
Introduction 1
Part 1 Trans Communities and Health in Context
1 Challenge Your Gender Training 9
2 Respect Client Self-Determination 19
3 Understand Cultural Landscapes of Gender Diversity 35
4 Know the History of Trans Health Care in the U.S. 45
5 Consider Diverse Genders and Sexualities 57
Part 2 Foundations for Affirming Mental Health Care
6 Understand Your Role as a Mental Health Provider 69
7 Develop Trans-Affirming Mental Health Diagnostic Skills 81
8 Identify Barriers and Challenges 89
9 Cultivate Resilience 99
10 Assess Mental Health Needs 109
Part 3 Transition-Related Care
11 Know Options for Social, Medical, and Legal Transition 125
12 Assess and Refer for Gender-Affirming Medical Care 141
13 Collaborate with Interdisciplinary Providers and Trans Communities 169
Part 4 Counseling and Psychotherapy
14 Practice Affirming Individual Counseling 181
15 Support Trans Clients in Relationship and Family Counseling 195
16 Connect Clients to Group Support 205
17 Affirm Trans Clients Across the Lifespan 211
18 Support Gender Expansive Youth 223
Part 5 Special Topics and Concerns
19 Create Trans-Affirming Practice Environments 239
20 Be a Strong Trans Advocate 249
21 Empower Trans Counselors 257
Final Remarks 269
Acknowledgments 270
Appendices
A Trans-Affirming Glossary-A Quick Reference Guide 273
B Trans-Affirming Counseling Resources 279
References 281
Index 291