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Guidelines for Therapists Working With Transgender Clients
by Arlene Istar Lev
See also Being
a GOOD Gender Therapist
- Therapists working with transgender clients must have a thorough understanding of
gender identity issues, including information on the differences between gender and sexual identity, and the social
construction of gender dimorphism. Therapists must be knowledgeable about the current DSM diagnosis of Gender Identity
Disorder, and the most recent Standards of Care developed by the Harry Benjamin International Gender Dysphoria
Association.
- Therapists must be aware of the issues being raised within the Transgender Liberation
movement regarding the socio-political forces in the construction of gender identity and the limitations of a bipolar
gender system, as well as the diversity of gender expressions.
- Therapists must have a general knowledge of mental health issues and training in
eclectic psychotherapeutic techniques. Therapists must be able to assess for mental illness, as well as addictions
and trauma related symptomology.
- Therapists must be cognizant of the impact of stress on gender dysphoria and not
pathologize the clients' stress related symptoms. Therapists must have a humanistic perspective that supports the
empowerment of client self-identification.
- Therapists should be knowledgeable about issues related to gender identity, sexuality,
sexual identity and gender role development, and be comfortable talking about these issues.
- Therapists should be sensitive to the impact of family systems concerns including
family of origin, and current partners and children, and able to provide services or referrals for family members.
- Therapists should have resources available for clients, including referrals to endocrinologists
and/or psychiatrists, gender clinics, and support groups, as well as recommendations for bibliotherapy and Internet
sites.
Copyright ©1998, Arlene Istar Lev
Arlene Istar Lev CSW-R, CASAC is a family therapist who specializes in working
with the gay, lesbian, bisexual, and transgender communities. She is the founder and Clinical Director of Choices
Counseling & Consulting, and adjuncts at SUNY Albany, and Vermont College of Norwich University. She can be
reached at 321 Washington Ave., Albany, NY 12206. 518-463-9152.
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