Counseling Transgender Clients

The issues surrounding working with clients who experience a disconnect between their gender identity and their designated sex at birth are discussed. Gender and gender identity terminology are thoroughly discussed, including terminology that should be avoided. The complex issues surrounding terminology, gender, and changing terms are explored. The cultural history of third gender people, as well as the impacts of colonization, are discussed. Authors also present the prevalence and identity development of transgender persons. Transgender persons face a significant risk of experiencing bias incidents, indicating a significant increase in minority-based stress. Focusing specifically on transgender persons who wish to transition, the authors explore physical and mental health challenges that clients may face. Special considerations with the DSM and use of the Gender Dysphoria diagnosis, are explained. Affirmative counseling strategies, including preparation and counseling practices, with transgender persons are examined. Special attention is given to intersectional issues, such as age and ethnicity. © 2017 by the American Counseling Association. All rights reserved.

Journal Abbreviation: Affirm. Couns. With LGBTQI+ People