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Bridging the Gap Between Practice Guidelines and the Therapy Room: Community-Derived Practice Adaptations for Psychological Services With Transgender and Gender Diverse Adults in the Central United States

机译:弥合实践指南和治疗室之间的差距:美国中部跨性别和性别多元化成年人心理服务的社区衍生实践调整

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Public Significance Statement This paper provides several recommendations for mental health clinicians to adapt their therapeutic approach for affirming services with transgender and gender diverse (TGD) adult clients. The adaptations are accompanied by practical guidance for clinicians about how to work with TGD clients in the therapy room. The recommendations are particularly applicable for clinicians working in geographic locations with limited resources for TGD communities. Individuals who identify as transgender and gender diverse (TGD) are presenting at mental health clinicians' offices with increasing frequency. Many TGD clients are seeking care related to affirming their gender identity but also may present with anxiety, depression, trauma, substance abuse, or other problems for which a clinician may commonly provide services. Some clinicians may hesitate to accept TGD clients into their practice if they have little specialized training to work with this population in an affirming manner, especially in more underserved areas where a generalist practice is the norm. Numerous professional associations and experts have developed guidelines for affirmative behavioral health care for TGD people. However, what is needed are community-informed recommendations to bridge from the official guidelines to clinicians' in-session activities. The Trans Collaborations Practice Adaptations for Psychological Interventions for Transgender and Gender Diverse Adults are derived from iterative interviews with TGD community members and affirming mental health clinicians in the Central United States. The 12 practice adaptations are intended to guide clinicians to adapt their usual treatment approach to be TGD affirming, especially in underserved and rural areas. The practice adaptations cover numerous aspects of practice including the office setting and paperwork, understanding gender identity and incorporating it into the case conceptualization, therapist's self-awareness, and referrals. The Trans Collaborations Practice Adaptations will help clinicians work confidently and competently with adult TGD clients, regardless of the presenting problem, to ensure TGD communities receive the best interventions for their behavioral health concerns.
机译:本文提供了公共意义的语句几条关于心理健康的建议临床医生调整其治疗方法确认服务和变性性别多样化(TGD)成人客户。适应有实际指导对临床医生如何使用TGD客户在治疗的房间。特别适用于临床医生工作地理位置与有限的资源TGD社区。变性和性别多样化(TGD)表现在心理健康临床医生的办公室越来越频繁。求医,肯定他们的性别有关身份,也可能会出现焦虑、抑郁、创伤、滥用药物,或其他一般临床医生的问题提供服务。如果他们接受TGD客户进入他们的实践没有专业的培训与工作吗这个人口以一种肯定的方式,尤其是在更缺医少药的地区通才实践是常态。专业协会和专家发展积极的行为指南卫生保健对TGD人。需要community-informed建议桥的官方指南临床医生在会话活动。合作实践适应心理干预对变性和性别多样化的成年人是来自迭代采访TGD社区成员肯定心理健康临床医生在中央美国。旨在指导临床医生调整其平常治疗方法是TGD肯定,尤其是在农村地区缺医少药,。实践适应覆盖的众多方面包括办公室和练习文书工作,性别认同和理解将它纳入概念化,治疗师的自我意识和推荐。反式合作实践适应帮助临床医生自信地胜任地工作与成人TGD客户,无论提出问题,以确保TGD社区收到最好的干预措施的行为健康问题。

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