Out On The Couch

5 Ways To Create a Welcoming Space for LGBTQIA+ Clients

Posted: 1-18-22 | The Affirmative Couch

Are you a mental health professional wondering how to make your office an LGBTQIA+ friendly space? Providing an inclusive space where LGBTQIA+ clients feel welcome can help them open up and feel comfortable seeking care. To help you craft an open environment where your clients can freely be themselves, here are five ways to create a welcoming space for LGBTQIA+ clients.

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Defining Power for Affirmative Therapists

Posted: 8-4-21 | Melissa Dellens

Clinics, treatment centers, and group practices play an important role in the communities they serve. Power flows through every relationship from the individual dyad in treatment to a community clinic’s relationship with federal policy (Hess & Schultz, 2008).  Moreover, these dynamics can be seen as both a commodity and resource (Peterson & Zimmerman, 2004) in [...]

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4 Barriers to Affirmative Clinic Change

Posted: 6-9-21 | Melissa Dellens

Gerald Caplan is seminal in developing some of the early theories of consulting work (Caplan, 1960). Caplan worked in Israel after World War II providing mental health support to 16,000 displaced and orphaned teens in overwhelmed residential and refugee facilities (Mendoza, 1993). Caplan’s resources were limited, and his team had no way of serving the [...]

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Telepsychotherapy Protects Queer Communities From COVID-19

Posted: 3-15-20 | The Affirmative Couch

Telehealth offers psychotherapists a way to provide quality mental health services while still practicing and promoting extreme social distancing. This practice, instituted early, can help save lives during the COVID-19 pandemic (Pueyo, 2020; Stevens, 2020). Psychotherapists who work with queer communities should be switching to telehealth in order to decrease the risk faced [...]

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Relationship Boundaries From a Queer Femme Therapist: Common Barriers & Helpful Tips

Posted: 1-16-20 | Briana Shewan

This is the final installment in a three-part series on boundaries. In the first article, I discussed what boundaries are and why they’re important, and in the second article, I dispelled misconceptions about boundaries. In this last piece, I will name common barriers that femmes may experience in setting boundaries, and will share [...]

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Relationship Boundaries From a Queer Femme Therapist: Misconceptions

Posted: 1-8-20 | Briana Shewan

In my previous article on boundaries, I talked about definitions and why setting boundaries can be difficult and important for femmes. In this, the second part of a three-part series on the topic, I’ll clarify misconceptions and broach avoiding confusion and shaming when it comes to discussing boundaries.

If the boundaries discussed here are [...]

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Relationship Boundaries From a Queer Femme Therapist: Definitions and Examples

Posted: 1-2-20 | Briana Shewan

It’s your right to tell someone that you love them and you want to have a relationship with them. That they get to say, do, and believe whatever they want because that’s their business. But not with you. It’s your right to tell them the harm that their actions are causing you, the way that [...]

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Helping Queer and Trans Clients Navigate Fatphobia During the Holidays

Posted: 11-27-19 | addyson tucker, Psy.D.

As we approach winter and prepare for “hibernation,” diet culture and fatphobia often kicks into high gear.  Family meals, holiday parties, and New Year’s resolutions surround us, regardless of whether we celebrate, and become fertile ground for fat shaming. The “holiday season” is already hard enough for many LGBTQIA+ folx*. It can also be an [...]

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Trans Women ARE Women

Posted: 8-26-19 | Rachel Jones

By Rachel Jones, MA

NOTE: Throughout this article, I will refer to different gender identities including non-transgender women and transgender women. Every person has a gender identity, which is separate from the sex assigned at birth. Non-transgender or non-trans describes a person whose gender identity is the same as the sex assigned at birth–for example, [...]

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Are you Femme? What Femme Isn’t and What it is.

Posted: 2-15-19 | Briana Shewan

By Briana Shewan, MFT

In order to prioritize femme voices, all quotes in this article are from femmes.

Positionality makes a big difference in femme identity: Please note I am a cisgender, white, thin, millenial femme from an upper-middle class background formally trained as a psychotherapist.

Have you ever wondered if you’re femme? Have you [...]

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