Tag Archives: transgender

Supporting Transgender and Gender Nonconforming Colleagues and Clients: Why It’s Essential and How to Start

By Liz Deibel, APAGS Committee on Sexual Orientation and Gender Diversity Member

(Curious to learn more about this topic? Check out the APAGS upcoming webinar: Impact with Pride: Leveraging Political Resources to Thwart Anti-LGBT Laws. Register here.

The United States can be a really scary place for individuals of sexual orientation and gender diversity, particularly in the current political climate and rise of anti-trans legislation sweeping the country. It can be difficult for Transgender and Gender Nonconforming (TGNC) students to continue going about their daily responsibilities, as well as the clients we are working with. During this stressful time, it is important that both those of us in the LGBTQ+ community and our allies come together to support each other and advocate for equal rights. With each day, more states are attempting to strip the rights of LGBTQ+ people, particularly transgender and nonbinary individuals. If you know of a colleague or classmate who is being affected by the changing legislation, it may be helpful to reach out to them and ask if there is anything you can do to support them. 

How to Support TGNC Colleagues?

Graduate school is tough enough as it is without political strife piled on top of everything else. It is important that allies or privileged members of the LGBTQ+ community participate in advocacy to help protect their peers’ rights and safety. Emailing your representatives, signing petitions, and sharing resources can be a quick way to contribute to building protections for transgender and nonbinary community members. Additionally, encouraging professors or program directors to incorporate education on LGBTQ+ psychology can increase the number of gender-affirming psychologists going into the field, leading to more support and strength in numbers in the years to come.

Outside of the professional sphere, it can be really encouraging to simply check in with individuals in your life who identify as LGBTQ+ and ask how they are doing and if they need a supportive friend to talk to. Many queer folks feel frustrated with how little these discussions are occurring outside of LGBTQ+-majority spaces, and showing awareness of what is going on and how much it is affecting people’s mental health can provide validation to their experiences.

How to Support TGNC Clients?

The American Psychological Association has released a list of guidelines for working with LGBTQ+ clients, divided into sexual orientation diversity and gender diversity. Many of these guidelines touch on understanding the differences between biological sex, gender identity, and gender expression. They also acknowledge intersectionality, the way that gender and sexual orientation intersect with other facets of identity such as race, ethnicity, religion, and socioeconomic status. It is essential that psychologists understand the ways in which their implicit biases and the power dynamics in society influence the way of life for TGNC people. 

Psychology as a field needs to continue adapting to the changing times to ensure that we can provide affirming and compassionate care. In addition, individuals within our field should continue to address their own unconscious biases and prejudices about gender and sexual orientation to avoid bringing them into the room with a client. At practicum sites, students can initiate conversations about gender-affirming care and ways to ensure the site is adhering to professional guidelines and standards of care for TGNC clients.

In the same way that showing awareness of the situation with colleagues can be validating, it can have the same effect with clients. If the clinician can take the onus to approach the topic, even though it can be uncomfortable to bring up, it removes that additional responsibility from the client’s plate and acknowledges that you see them as a piece of a larger system. Clients do not exist in a vacuum, and being able to address macro-level issues or concerns can instill a feeling of being seen that the client may really need at this time.

References:

Liz Deibel (she/her/hers)
Clinical Psychology Doctoral Student, Roosevelt University

The Gift of They!

As a second-year practicum student in clinical psychology in San Francisco, California, I was honored to encounter people from diverse backgrounds. The location greatly enriched my experiences in multicultural counseling—but it only went so far. I very quickly became aware of the lack of onsite training and the failure of the English language in providing appropriate services to the transgender population in our clinic.

One particular incident with a client opened my eyes to the bias that not only exists in popular culture but also in the therapeutic world. During my last two months at the practicum, I received a referral for psychological assessment from a therapist who was working with a person who identified as genderqueer.

In our first session, the client told me that they prefer the neutral gender pronoun. The client told me that they don’t like to be referred to as “he” or ”she.” After our initial interview, I went to see my supervisor to ask her for guidance regarding creating a proper battery of assessments and writing a report with gender-neutral pronouns. My supervisor looked at me with surprise and told me she needed to consult with her mentor.

I was surprised that this lack of clear guidelines related to language had not come up before in her experience with clients. I consulted further by talking with an assessment professor who informed me that she, too, had never experienced a client who preferred gender neutral pronouns. This made me feel lost and in a very ambiguous, uncomfortable situation.

I deeply believe that clients are the masters of their experience. I realized that the field of psychology has largely ignored the needs of gender-variant and gender-nonconforming clients, and that, like homosexuality, the biases that exist in pop culture dominate our clinical work.

“The biases that exist in pop culture dominate our clinical work.”

With the help of my clinical supervisor and with my client’s generous offer to connect me with available resources on gender nonconformity, I was able to write my first psychological assessment, fully using the they, them, their pronouns as a singular neutral pronoun.

During my last session with the client, I gave the client their report. As part of my training in therapeutic assessment, I wrote the report using a format that non-clinicians and clinicians could understand. I saw tears on the face of the client as they read the report. They told me that it was the first time they had felt understood and respected regarding their gender identity by a clinician.

To this date, I remain very grateful for the client’s kind words, and for the wonderful insight I was given into the power of language, through the gift of they.

Editor’s Note: Khashayar Farhadi-Langroudi is a student at the American School of Professional Psychology at Argosy University – San Francisco Bay Area. Khashayar is also a member of the APAGS Committee on Sexual Orientation and Gender Diversity.