Join us June 2, 2023 for From Gender Dysphoria to Gender Euphoria (3 CEs) with Cadyn Cathers, PsyD.

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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Self Disclosure of the Polyamorous Therapist

Posted: 1-12-22 | Mandy Simmons

As the mental health field makes inroads toward inclusive and equitable practice, efforts to understand the needs of polyamorous people are expanding beyond the basics (Johnson, 2013). Moreover, it is important to ensure polyamorous therapists are included in that discussion. As practitioners, we are examining ourselves for opportunities to better meet the needs of [...]

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5 Essential Self-Care Tips for Psychotherapists

Posted: 12-17-21 | The Affirmative Couch

Being an affirmative psychotherapist is an important and selfless job, but when you’re so caught up in caring for others, it’s easy to overlook your own well-being.

For your sake and the sake of your clients, it’s crucial to take the occasional step back to focus on your own needs. Here are five essential self-care [...]

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Non-binary Microaggressions in Psychotherapy

Posted: 9-24-21 | Nicholas Moran

COVID-19 & (Re)claiming Gender

As a non-binary, genderqueer, and trans femme therapist myself, I have encountered my own fair share of microaggressions related to gender identity. During the pandemic, I have witnessed many people for the first time in their lives take a break from performing gender in a way society deems acceptable. As [...]

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Making the most of your clinic’s power

Posted: 9-1-21 | Melissa Dellens

Organizational empowerment is an active and participatory process through which individuals, organizations, and communities gain greater control, efficacy, and social justice (Peterson & Zimmerman, 2004). Firstly, we explored Brofenbrenner’s ecological model (Hess & Schultz, 2008), and Prillelensky’s (2008) understanding of power dynamics.  Secondly, we will introduce organizational empowerment theory (Peterson & Zimmerman, 2004) and [...]

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Therapy with Black Gay Men addicted to meth

Posted: 8-18-21 | Jerry St. Louis, LGSW

To be a Black Gay Man with an addiction to crystal meth, is to be stuck between to worlds. This article will explore ways that psychotherapists can provide affirmative therapy with Black Gay men addicted to methamphetamines. The first two articles of this series, Affirmative Therapy: Crystal Meth in the Black Gay Community and [...]

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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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Bisexual Polyamorous Clients in Therapy

Posted: 7-21-21 | Stephanie Sullivan

Before getting into this article, I would like to locate myself. I am a white, bisexual, able-bodied, ambiamorous, cisgender woman with anxiety and a chronic illness who has been in both monogamous and polyamorous relationships. As someone who identifies as bisexual, has navigated both polyamorous and monogamous relationships, and specializes in working with these [...]

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Kink-Aware Therapist: Challenging Your Awareness

Posted: 7-7-21 | Rachel Gombos

Please note that this article contains content related to sexual trauma.

Together, we have journeyed through the previous articles in this series towards becoming a kink-aware therapist, Depathologizing Kink in Therapy and Kink-Aware Therapy: Consent and Negotiation to discuss kink practices and understand the consent and negotiation tactics that govern them. Buehler (2017) [...]

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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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Black Gay Men and Crystal Meth: My Story

Posted: 5-25-21 | Jerry St. Louis, LGSW

I am Black, gay, and a social worker. I work in a recovery center where I help individuals attain and maintain their sobriety.  I have had experience on both sides of the “social service” table, and my personal and professional experience has given me access to the elusive community of crystal meth users.

A friend [...]

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Clinician Resources for Internalized Transphobia

Posted: 5-11-21 | Mikey Anderson

(Re)imagining gender through stories 

In my first article in this two-part series, I explored and reviewed works created by queer and trans clinicians who approached internalized transphobia from a clinical perspective, and offered actionable steps to dismantle it in the therapeutic space with clients. In this second and final installment, I explore memoirs from [...]

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Depathologizing Kink in Therapy

Posted: 4-17-21 | Rachel Gombos

Please note that this article contains content related to sexual trauma.

Surviving sexual trauma can change the way that sexual contact is experienced and enjoyed, and the prevalence of posttraumatic stress disorder symptoms in sexual assault survivors is outrageously high, at around 94% (Chivers-Wilson, 2006). At the same time, rediscovering enjoyable physical contact as a [...]

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Mono-Poly Relationships in Therapy

Posted: 4-1-21 | Stephanie Sullivan

Ask Us Anything: How does a therapist deal with a couple where one partner prefers monogamy and the other wants to be polyamorous?

 First, we can consider the many ways in which one might ask this question, which can change its meaning. There are several situations when this will come up in the therapy room, and [...]

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Decolonizing Your Practice with Trans Clients: Actions Steps and Resources

Posted: 3-17-21 | addyson tucker, Psy.D.

As a reminder, my goal in writing this two-part series is to reflect on the ways in which TGNB-affirming* clinicians contribute to colonization (Part 1), while also offering, in this article, actionable ways of moving toward decolonization and gender liberation.

You may be familiar with what is now called the Multicultural & Social Justice [...]

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Misgendering a Client in Therapy

Posted: 3-4-21 | The Affirmative Couch

Ask Us Anything: How to navigate moments of rupture and repair in the therapeutic relationship when a therapist missteps re: a client’s gender identity or expression? Important to acknowledge and apologize to the client and strive to do better – other things to keep in mind if/when this happens?

Wonderful question! You are definitely on [...]

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Why LGBTQIA+-Affirmative Primary Care Matters

With the global COVID-19 pandemic continuing into its second year, the conversation around access to healthcare has never been more relevant. For many people, going to a doctor for an annual physical was not feasible before the pandemic, whether due to lack of insurance coverage, financial cost, taking time off from work, transportation issues, or [...]

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Affirmative Therapy: Crystal Meth in the Black Gay Community

Posted: 2-10-21 | Jerry St. Louis, LGSW

Crystal Meth & the Gay Community

Crystal meth has had a devastating effect on the gay community. Over the last 20 years, meth has grown into a catastrophic force, contributing to about 15% of all drug death overdoses (NIDA, 2019). Gay and bisexual men use methamphetamines at a higher rate than heterosexual men (Lea et [...]

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Therapists Facing Internalized Transphobia

Posted: 1-20-21 | Mikey Anderson

Moving Towards Trans and Nonbinary-Affirmative Therapy Practice

As psychotherapists, we know that transphobia’s pervasive social impact affects our clients and our own internal worlds. This results in transgender and gender nonbinary (TGNB) folx internalizing society’s gender-normative attitudes and lays the groundwork for them to develop negative attitudes about themselves and their communities, which can ultimately [...]

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13 Signs You Need to Decolonize Your Practice with Trans Clients:  Paying Attention to Your Colonization-Connected Behaviors

Posted: 1-7-21 | addyson tucker, Psy.D.

This two-part series is intended to first reflect on the ways in which transgender and gender nonbinary (TGNB)-affirming clinicians perpetuate harm connected to colonization, then to present actionable ways of moving toward decolonization and gender liberation. I am a queer, white, able-bodied, and “cis-ish” person (i.e., I do not feel discomfort in my [...]

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Kink-Aware Therapy: Consent and Negotiation

Posted: 12-16-20 | Rachel Gombos

By Rachel Gombos MSW, LISW

Please note that this article contains content related to sexual trauma.

In this article, the first in a three-part series about kink-aware therapy, I will lay the groundwork for practitioners to gain an understanding of BDSM and key concepts such as consent and negotiation. Many may believe that BDSM represents [...]

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