Transgender & Gender Nonbinary | The Affirmative Couch

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Decolonizing Your Practice with Trans Clients

Posted: 3-17-21 | M. Tucker (they/she)

Decolonizing Your Practice with Trans Clients:

Actions Steps and Resources

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.

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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

Posted: 2-17-21 | Madeline Hodgman

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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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

Posted: 1-7-21 | M. Tucker (they/she)

13 Signs You Need to Decolonize Your Practice with Trans Clients: 

Paying Attention to Your Colonization-Connected Behaviors

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 [...]

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Psychotherapy with Unsupportive Parents of Transgender and Gender Nonbinary Clients

Posted: 12-9-20 | The Affirmative Couch

Ask Us Anything: How should I handle the pronouns of and name for adolescent trans clients when their parents refuse to use the correct ones? Obviously I want to support my client by using their pronouns and name, but I also feel like it is a fine line between that and making parents angry so [...]

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Why LGBTQIA+ Affirmative Therapy is Critical During the Pandemic

Posted: 11-25-20 | The Affirmative Couch

LGBTQIA+ Affirmative Mental Health During the Pandemic

The stress and anxiety wrought by the COVID-19 pandemic may be universal–so many of us face fears of the virus itself, not to mention job loss, illness striking our loved ones, and myriad missed social, professional, and financial opportunities–but all of us experience these differently. Just as everyone’s [...]

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Substance Abuse Treatment Needs to Affirm LGBTQIA+ Clients

Posted: 11-18-20 | Madeline Hodgman

“Grant me the serenity to accept the things I cannot change, the courage to change the things that I can, and the wisdom to know the difference.”

In 12-step treatment settings, the Serenity Prayer often makes an appearance at the beginning or end of a group session in substance abuse treatment. Drawn from the Christian [...]

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How to Help Clients with Queer Impostor Syndrome

Posted: 8-19-20 | Madeline Hodgman

Keywords: queer, LGBTQ, LGBTQIA, impostor syndrome, impostor, cognitive behavioral therapy, CBT, core beliefs

I thought I identified one way, but now I’m not sure. What if this really was just a phase?

I’m afraid I won’t like all of the changes medical transition will cause to my body. What if I’m not really trans?

Can [...]

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A COVID-Era Review of Five Fabulous LGBTQIA+ Adult Coloring Books

Posted: 7-11-20 | Stephanie Sullivan

Coloring Books in Therapy

Coloring books aren’t just for children anymore: adult coloring books have gained great popularity in the last few years. They have been found to reduce symptoms of anxiety and depression; increase perseverance; and provide short-term stress relief (Eaton & Tieber, 2017; Flett et al., 2017; Rajendran et al., 2020; Simmons, 2016). [...]

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Maintaining Hope & Self-Compassion for LGBTQIA+ Clients During Covid-19

Posted: 4-22-20 | M. Tucker (they/she)

By now, we are all experiencing the impact of the ubiquitous trauma and stress surrounding COVID-19 in some way. What might have started with a distal awareness of the problem quickly snapped to a reality that the world will forever be changed by this virus. You might have also noticed the varying “stages of

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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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Helping Queer and Trans Clients Navigate Fatphobia During the Holidays

Posted: 11-27-19 | M. Tucker (they/she)

As we approach winter and prepare for “hibernation,” diet culture 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 exceptionally dangerous [...]

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Listening to our Transgender Clients: The Fear is Real

Posted: 11-20-19 | Jacob Rostovsky

November 20th has been known since 1999 as the Transgender Day of Remembrance (TDOR). On this date, across the world, ceremonies and vigils are held to remember transgender individuals we lost to murder and suicide in the past year. Often somber and emotionally  triggering, TDOR allows the community to gather and honor individuals whose stories [...]

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Caring for LGBTQ+ Caregivers of Older Adults

Posted: 11-13-19 | Teresa Theophano

Caring for LGBTQ+ Caregivers of Older Adults

Teresa Theophano, LCSW

LGBTQ+ caregivers of older adults (generally people age 60+) are a special population in need of support and affirmative care. These family members and friends provide unpaid physical and/or emotional assistance to spouses and partners, parents, friends–some of whom were former partners–siblings, and neighbors. [...]

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Intimate Partner Violence in the LGBTQIA+ Community

Posted: 10-30-19 | Muria Nisbett

Written by: Muria Nisbett, LCSW

Edited by: Manny Kemphues, MA. AMFT

Prevalence

As we recognize October as national domestic violence awareness month, and we hold vigil for the 24 people per minute who experience rape, physical violence or stalking by an intimate partner in the United States (NDVH, 2019), let’s not forget the [...]

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Who Helps the Helpers? 8 Tips for Therapists After Client Suicide

Posted: 9-15-19 | Rachel Jones

By Rachel Jones, M.A.

Keywords: Suicide, Grief/Loss, Self-Care

No matter the degree earned or license held, everyone who works in the mental health field shares an important common interest: preventing suicide. Suicide prevention requires a well-rounded approach, including education on risk factors, properly assessing for safety, increasing patients’ protective factors and support, and providing support [...]

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LGBT Aging: Tips for Terminology

Posted: 9-11-19 | Teresa Theophano

By Teresa Theophano, LCSW

For about six years, I have relished my experiences as a queer social worker providing services to lesbian, gay, bisexual, and transgender (LGBT) older adults–often defined as people ages 60+. I am committed to the idea of taking care of our own community members who rarely see their lives and needs [...]

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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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Treating LGBT Older Adults with TLC

Posted: 8-19-19 | Teresa Theophano

By Teresa Theophano, LCSW

National Senior Citizens Day is August 21st, and what better time to talk about how to honor and support older adults? A significant, though frequently overlooked, segment of the aging population identifies as lesbian, gay, bisexual, and transgender (LGBT): at present there are nearly 3 million LGBT adults over age 50 [...]

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How The Gay Trans Male Community Is Redefining Penis Envy

Posted: 7-22-19 | Jacob Rostovsky

By Jacob Rostovsky, MA

Keywords: Gay, Transgender, Penis

For some individuals, to be a transgender male (someone who is assigned female at birth and identifies as male) in this time is hard enough. But when you add in identifying as gay (attracted to men and identifying as male), it can make life even more difficult. [...]

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