CE hours: 2
Date: June 16, 2022 1-3 Pacific; 4-6 Eastern

Presenter: Cadyn Cathers, PsyD

CE hours: 2

Date: June 16, 2022 1-3 Pacific


Transgender and nonbinary people seek out therapy at higher rates than cisgender people, but frequently report that they struggle to find an affirmative therapist (Singh & dickey, 2017). The working alliance, also called the therapeutic alliance, is one of the most important factors in predicting positive therapeutic outcomes (Krause et al., 2011). The working alliance includes agreement around therapeutic goals and therapeutic tasks and the quality of the bond between the therapist and the client (Bordin, 1979). Based on Cathers (2019) and more current research, this course will explore some of the factors that impact the therapeutic alliance with transgender or nonbinary clients. By exploring how the working alliance may be affected by the client’s transition status, client’s experiences with gender minority stress, therapist’s perceived gender, the client’s perception of the therapist’s experience and training, and other factors, therapists can work towards building stronger therapeutic alliances with their gender expansive clients.

Learning Objectives:

  1. Describe the factors of the gender minority stress model
  2. Describe at least 2 ways gender minority stress factors may affect the working alliance
  3. Describe how the factors impacting therapeutic alliance for those living in their affirmed gender may be different than those not living in their affirmed gender


$50 for licensed

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$25 for pre-licensed (use code WATGPL25)

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Continuing Education Approvals

APA ApprovedThe Affirmative Couch, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. The Affirmative Couch, LLC maintains responsibility for this program and its content.


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