In the last 20 to 30 years, we have come a long way when it comes to practicing with sexual minority clients (King, Semlyn, Killaspy, Nazareth, & Osborn, 2007). Lesbian, gay, and bisexual (LGB) identities are affirmed and celebrated rather than pathologized, and affirmative psychotherapy is now the preferred practice approach for working with this […]

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Psychotherapy with Lesbian, Gay and Bisexual Clients Psychotherapy is a complex and often vulnerable experience for clients, and the therapy relationship is vital to the process and success of psychotherapy (Gelso & Carter, 1994). The therapy relationship has been conceptualized as a Tripartite Model (Gelso, 2014) which posits that the therapy relationship consists of three […]

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Consider the following scenario: a client you have been working with for over a year comes into your office and says “I have something to tell you—I’ve been waiting to let you know for a long time. I am a trans man and I would like your help to transition.” Of course, first reactions from […]

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Abstract In order to receive medically necessary gender-affirming treatments, transgender individuals are required to provide evidence of their readiness for gender transitioning. Most often, this evidence includes 1 letter for hormone therapy and 2 letters for surgery. According to the World Professional Association for Transgender Health (WPATH) Standards of Care (SOC), psychotherapists or other eligible […]

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“… when all four levels of the systems contextual framework were accounted for, and when training involved active learning (e.g., practice in delivery of interventions, feedback, coaching), therapist adherence to EBP was improved and client change occurred.”

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