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Gender diversity is now recognised as simply part of human diversity, rather than being pathological. This shift calls for a need for mental health professionals to adapt their practice when working with trans and non-binary people. Written by two clinicians with significant experience in this field, this book provides practical, everyday advice on what to do when seeing gender-diverse people in both inpatient and outpatient settings. It avoids focusing on academic theory or being overly political and, instead, offers straightforward, useful guidance on common issues clinicians may face, such as which ward to accommodate someone on or which name to use when. Topics include common drug interactions, differential diagnoses, complex case formulation, autistic spectrum conditions, the spectrum of sexualities, surgeries, legal and religious matters, forensic assessment, psychotherapy and mental health diagnoses. Fully relevant to contemporary practice, this is a much-needed guide for busy clinicians seeking immediate, practical and authoritative answers.
Adult Transgender Care provides an overview of transgender health and offers a comprehensive approach to training mental health professionals in transgender care. The book takes an interdisciplinary approach to transgender care, emphasizing the complementary contributions of psychiatry, psychology, and social work in providing transgender care within an integrated treatment team. Included in this text are overviews of how to conceptualize and provide treatment with complex and difficult clinical presentations and considerations for understanding how to address system-level challenges to treatment. Adult Transgender Care meets a unique need by providing detailed information, clinical interventions, case studies, and resources for mental health professionals on transgender care.
This book addresses the emerging field of genderqueer or non-binary genders - that is, individuals who do not identify as male or female. It considers theoretical, research, practice, and activist perspectives; and outlines a basis for good practice when working with non-binary individuals. The first section provides an overview of historical, legal and academic aspects of this phenomenon. The second section explores how psychotherapeutic, psychological and psychiatric theory and practice are adapting to a non-binary model of gender, and the third section considers the body related aspects, from endocrinology to surgery. This work will appeal to a wide readership, from practitioners working with non-binary individuals - including psychologists, surgeons, social workers, nurses, psychiatrists, endocrinologists, psychotherapists and counselors, lawyers, and healthcare workers - to researchers interested in the study of gender identities, to students and gender activists.
Exploring clinical examples of the lived experiences of trans people across the lifespan, this unique and authoritative book addresses topics such as attending school, puberty, employment issues, suicide, bullying, autism and intersecting identities. Divided into three sections, childhood, adolescence, and adulthood, the book brings the case studies to life and dispels common myths by including short responses from leading professional experts. By enabling a greater knowledge of work with trans people and therefore filling an important gap in available literature, Case Studies in Clinical Practice with Trans and Gender Non-Binary Clients allows mental health providers to understand the nuanced differences of handling clinical concerns for their trans clients.
Creating worthy patients, 1950-1970 -- Legitimacy wars between physical and mental healthcare providers -- Making it up : evidence in contemporary trans medicine -- Medical uncertainty : working with trans patients -- Uncertain expertise in trans medicine -- Conclusion: Rethinking the treatment of gender.
This unique resource offers an in-depth, comprehensive look at different types of mental health needs of transgender and gender diverse youth, how these intersect with gender identity, gender expression, and sexual orientation, and provides practical information on how to ethically, responsibly, and sensitively care for these patients. Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide begins with three introductory chapters which contain practical information regarding assessment, psychological interventions, and the potential medical and surgical interventions that are indicated for youth with gender identity concerns. The remaining chapters are illustrated by multiple cases build around overarching chapter themes. Each case chapter opens with broad questions applicable to clinical practices, while the cases themselves focus on a particular co-occuring mental health condition. The case chapters are structured with intersectionality in mind, including elements of ethnic, racial, and cultural diversity, and the patients range over the full developmental spectrum, from pre-pubertal children to older adolescents. Chapter cases range in complexity as well, to provide readers with the tools they need to evaluate patients, and to assist in the decision of which presenting factors to prioritize in treatment at which time. Ending each chapter are clinical take-home messages, closing with additional practical knowledge that can be applied to other cases providers may see in their own practices. Written by expert clinicians in the field, Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide is an ideal resource not only for child and adolescent psychiatrists, but for clinicians across all mental health disciplines working with gender non-conforming youth, and who are interested in providing informed, affirmative, and intersectional care.
This book serves as a guide to key topics regarding pediatric gender identity to help clinicians better care for transgender and gender diverse youth. Written by experts in the field, it covers critical considerations for child health providers from a variety of disciplines in a range of clinical settings. Patients, families and other community agencies can also find useful information about current practices and recommendations for care and support. The text begins by overviewing terminology, epidemiology, gender identity development, and relevant neurobiology. Next, the text focuses on the emergence of affirmative treatment paradigms using a patient-centered, consent based framework. Topics include psychotherapeutic support, gender-affirming medical and surgical care, management of co-existing psychiatric conditions, sexual health and fertility, legal considerations, international considerations, and more. Pediatric Gender Identity can be used as a framework to address core clinical issues and offers practical considerations for gender-affirming care. Using the growing science and understanding of gender development, this book is an excellent resource for all professionals working with gender diverse youth, including child and adolescent psychiatrists, pediatricians, pediatric surgeons, psychologists, therapists, researchers, school and educational leaders, and students.
Transgender and gender nonconforming (TNGC) clients have complex mental health concerns, and are more likely than ever to seek out treatment. This comprehensive resource outlines the latest research and recommendations to provide you with the requisite knowledge, skills, and awareness to treat TNGC clients with competent and affirming care. As you know, TNGC clients have different needs based on who they are in relation to the world. Written by three psychologists who specialize in working with the TGNC population, this important book draws on the perspective that there is no one-size-fits-all approach for working with TNGC clients. It offers interventions tailored to developmental stages and situational factors—for example, cultural intersections such as race, class, and religion. This book provides up-to-date information on language, etiquette, and appropriate communication and conduct in treating TGNC clients, and discusses the history, cultural context, and ethical and legal issues that can arise in working with gender-diverse individuals in a clinical setting. You’ll also find information about informed consent approaches that call for a shift in the role of the mental health provider in the position of assessment and referral for the purposes of gender-affirming medical care (such as hormones, surgery, and other procedures). As changes in recent transgender health care and insurance coverage have provided increased access for a broader range of consumers, it is essential to understand transgender and gender nonconforming clients’ different needs. This book provides practical exercises and skills you can use to help TNGC clients thrive.
Working with Autistic People in the Criminal Justice and Forensic Mental Health Systems: A Handbook for Practitioners is the first book to focus specifically on best practice for working with autistic people in criminal justice and forensic mental health settings. Integrating current theory, research, and clinical practice, this book provides a practical guide for multidisciplinary practitioners working with autistic people who have offended, at all stages in their pathway, regardless of the nature of offending. The book draws together contributions from leading scholarly and clinical experts in the field of autism and forensic issues as well as the views of autistic people under the care of forensic services. Each chapter focuses on understanding the impact of autism throughout the criminal justice and forensic mental health system pathways, including how these systems are experienced by autistic people and their families and carers. Case studies and practical approaches are provided to demonstrate the application of best practice to working with autistic people in secure settings. This book appeals to a wide audience within the fields of psychology, psychiatry, nursing, occupational therapy, speech and language therapy, as well as criminal justice staff (e.g., prison and probation), and will be the first of its kind to amalgamate theory, research, and practice in the area of autism and offending.
“I welcome this book because it reminds therapists to engage deeply in reflexive interrogation of clinical privilege, and to centre the narratives and wisdom of the trans and non-binary people we serve.” Matthew Mills (he, him), President of the British Association of Gender Identity Specialists, Lead Consultant Speech and Language Therapist “This book is compulsory reading for anyone, personally and/or professionally, seeking to support trans and non-binary individuals and community groups.” Dr Paul Simpson (he, him), Lecturer in Sociology, University of Manchester, UK and extensively published in gender and sexuality in later life. "This book is a welcome and much needed resource on Gender Affirmative Therapy to guide therapists and practitioners to ensure best clinical practices when working with gender.” Christiane Sanderson, Independent Counsellor, Author and Educator, London, UK Increasing numbers of people openly identify as transgender and non-binary and questions of gender identity and diversity are coming up more frequently in psychological therapy. Gender Affirming Therapy takes you on a journey to discover the inner lives and challenges of gender-diverse people, seeking to spark compassion and build confidence in working with these communities. Assuming no prior knowledge and accessibly written, this book aims to bridge the gap to ensure that more mental health professionals are better prepared to support gender-diverse clients in a way that is effective, ethical and affirmative. Key features of this book include: • ‘In their Own Words’ sections containing interviews directly from transgender and non-binary individuals • Key point summary and reflection boxes • Coverage of new advancements in the field Drawing on research and clinical experience, Gender Affirming Therapy has been devised as an open conversation between colleagues which centres transgender and non-binary individuals as the experts and at the very heart of the book. Laura Scarrone Bonhomme (she/her), is a Consultant Clinical Psychologist who specialises in Gender, Sexual, and Relationship Diversity. She provides assessment, psychotherapy, and training to other professionals through www.affirm.lgbt. Skye Davies (she/they) is a Peer Support Worker at TransPlus, a gender dysphoria service. They also work as a Volunteer Counsellor at Metro, helping LGBTQ+ people. Dr Michael Beattie (he/him) is a Counselling Psychologist in private practice with research interests in the psychology of men and masculinities. In addition to psychotherapy, Michael provides training in Gender, Sexual, and Relationship Diversity through www.affirm.lgbt.