Non-transgender Resources for Therapists

Autism in Females

Female Autism: Why It’s Different and What Should I Look Out For?

Autism is a condition that affects both men and women. However, studies have shown that up to five times as many men are diagnosed with autism than women.

Link: https://www.highspeedtraining.co.uk/hub/autism-females/

Aspienwomen: Moving towards an adult female profile of Autism/Asperger Syndrome

The unique characteristics, traits and gifts of adult females on the autism spectrum.

This blog was written to address the autistic female crisis and does not mean that other genders do not or will not identify with this work.

Link: https://taniaannmarshall.wordpress.com/2013/03/26/moving-towards-a-female-profile-the-unique-characteristics-abilities-and-talents-of-asperwomen-adult-women-with-asperger-syndrome/

Guidelines for the Evaluation and Treatment of Dissociative Symptoms in Children and Adolescents

The ISSD Task Force on Children and Adolescents is pleased to present the Guidelines for the Assessment and Treatment of Dissociative Symptoms in Children and Adolescents.

Link: https://www.isst-d.org/wp-content/uploads/2019/02/childguidelines-ISSTD-2003.pdf 

Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision

Over the past 30 years, the diagnosis, assessment, and treatment of dissociative disorders have been enhanced by increased clinical recognition of dissociative conditions, the publication of numerous research and scholarly works on the subject, and the development of specialized diagnostic instruments.

The information in these Guidelines represents current and evolving principles that reflect current scientific knowledge and clinical consensus developed over the past 30 years with regard to the diagnosis and treatment of DID. Given that ongoing research on the diagnosis and treatment of dissociative disorders and other related conditions such as PTSD will lead to further developments in the field, clinicians are advised to continue to consult the published literature to keep up with important new information.

Link: https://www.isst-d.org/wp-content/uploads/2019/02/GUIDELINES_REVISED2011.pdf

Research Articles, Guides, and Inclusive Education Materials

A Comparison of Gender-Affirming Chest Surgery in Nonbinary Versus Transmasculine Patients

Increasingly more nonbinary patients are obtaining better access for gender-affirming chest surgery (top surgery), representing an important subset of patients who undergo such surgery.

This study demonstrated that more nonbinary patients requested nonflat chests relative to their transmasculine counterparts. Both groups in our sample displayed comparable rates of complications after top surgery.

Link: https://pubmed.ncbi.nlm.nih.gov/32032108/ 

A Practitioner’s resource Guide: Helping Families to Support Their LGBT Children

Research findings that show the critical role of family acceptance and rejection – and earlier ages of coming out – call for a paradigm shift to serve LGBT children and adolescents in the context of their families.

This resource guide was developed and is being disseminated throughout health and social service systems to help practitioners who work in a wide range of settings to understand the critical role of family acceptance and rejection in contributing to the health and well-being of adolescents who identify as lesbian, gay, bisexual, and transgender.

Link: https://familyproject.sfsu.edu/sites/default/files/FamilySupportForLGBTChildrenGuidance.pdf

Education and Resources for Healthcare Professionals

This page has been developed to support your commitment to ensuring transgender and gender-diverse youth have access to lifesaving, gender-affirming care.  You will find information ranging from how to make a referral to our Gender Clinic, to local and national educational resources to support your commitment, to providing quality care to transgender and gender-diverse youth. 

Link: https://www.seattlechildrens.org/clinics/gender-clinic/education-resources-healthcare-professionals/ 

For nonbinary patients, seeking health care can be a painful task

When gender nonbinary patients interact with health care providers, they often feel “misunderstood, disrespected and frustrated,” according to a new study.

“Best practices for all health care staff include avoiding assumptions about patients’ gender identities, asking for information about name and pronouns in order to adopt these consistently throughout the clinical setting, and describing anatomy and related terms with gender-inclusive language.”

Link: https://www.nbcnews.com/feature/nbc-out/nonbinary-patients-seeking-health-care-can-be-painful-task-n941341

Gender Minority Stress and Resilience (GSMR) Measure

The Gender Minority Stress and Resilience (GMSR) Measure was developed to assess aspects of minority stress and resilience faced by people whose gender identity or expression is different in any way from that socially expected based on their sex assigned at birth.

Link: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwj37fbG2bn3AhWJKzQIHTiEBFIQFnoECAYQAQ&url=https%3A%2F%2Fwww.paloaltou.edu%2Fsites%2Fdefault%2Ffiles%2FGender%2520Minority%2520Stress%2520and%2520Resilience%2520Measure.pdf&usg=AOvVaw07vLjxBuPrg-sf5lDZrTsN 

Healthcare Experiences Among Young Adults Who Identify as Genderqueer or Nonbinary
Research on healthcare among gender-diverse populations has largely focused on people who describe their gender in binary terms, either as trans men or trans women. This qualitative study examined the healthcare experiences of young adults who identify as genderqueer or nonbinary (GQ/NB).

GQ/NB young adults have unique healthcare needs but often do not feel understood by their providers. There is a need for existing healthcare systems to serve GQ/NB young adults more effectively.

Link: https://pubmed.ncbi.nlm.nih.gov/29641314/

How the Healthcare System Screws Over Non-Binary People

Increasing numbers of non-binary people are seeking treatment for gender dysphoria in the UK. But they say that the National Health Service is dramatically failing to adequately or efficiently support their needs.

“Non-binary people I know have found it very, very hard to access services. I found it like I had to jump through hoops and I had to behave myself and I had to wait for somebody to tell me that I was trans. I didn’t feel like I was being listened to or that things weren’t happening fast enough. I was worried that I wouldn’t be able to cope.”

Link: https://www.vice.com/en/article/vv59my/how-the-healthcare-system-screws-over-non-binary-people

Is Top Surgery Medically Necessary?

Top Surgery is the most commonly performed gender-affirming surgery for trans masculine people and evidence shows that it improves quality of life and reduces the symptoms of gender dysphoria.

“Generally accepted standards of medical practice means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, Physician Specialty Society recommendations and the views of Physicians practicing in relevant clinical areas and any other relevant factors.”

Link: https://www.topsurgery.net/top-surgery-medically-necessary.htm

Non-Binary Standards of Care

Dr. Mosser is a Board-Certified plastic surgeon who has a deep and long-lasting commitment to gender confirmation surgery.

We believe the standards of healthcare for transgender and gender expansive patients are considerably lower than ideal, and the existing standards can even be even lower when someone identifies as non-binary. This content has been developed to help prospective patients understand that Dr. Mosser performs non-binary top surgery and he also has processes in place at his practice that are aimed at creating a safe and gender affirming environment throughout the entire top surgery experience.

Link: https://www.genderconfirmation.com/non-binary-standards-of-care/

Patterns of Healthcare Discrimination Among Transgender Help-Seekers
Affirmative health care is imperative to address health and mental health disparities faced by transgender communities.

Experiences of healthcare discrimination are not homogeneous across transgender help-seekers. Predictors of the latent classes indicated that transgender help-seekers holding an additional marginalized identity may be at higher risk for healthcare discrimination or care from providers with limited trans-competence. Targeted engagement and education interventions might improve these transgender help-seekers’ access to and connections with care.

Link: https://pubmed.ncbi.nlm.nih.gov/32001051/

The Hive Poetry Collective: Dion O'Reilly interviews Finn V. Gratton

Dion O’Reilly interviews Finn V. Gratton, LMFT about their poetry, their work as a somatic psychotherapist, and their book, Supporting Transgender Autistic Youth and Adults.

Link: https://hivepoetry.org/2020/01/06/dion-oreilly-interviews-finn-gratton/ 

The National LGBTQIA+ Health Education Center

The National LGBTQIA+ Health Education Center is part of the Division of Education and Training at The Fenway Institute, Fenway Health.

The National LGBTQIA+ Health Education Center aims:

  • To advance health equity for LGBTQIA+ people and the populations which may intersect with the LGBTQIA+ community
  • To address and eliminate health disparities for the LGBTQIA+ community
  • To optimize access to cost-effective health care for the LGBTQIA+ community
  • To improve the quality of care for LGBTQIA+ people by providing training and technical assistance to health care providers and staff across the globe

Link: https://www.lgbtqiahealtheducation.org/

Transgender Health

Healthcare should be a right, not a privilege.

Fenway offers several drop-in, staff-facilitated, peer-led, short-term, therapy and one-time social group activities and options for transgender and gender nonconforming (TGNC) people as well as for non-transgender partners, parents or guardians of TGNC individuals.

Link: https://fenwayhealth.org/care/medical/transgender-health/

Unanticipated: Healthcare Experiences of Gender Nonbinary Patients and Suggestions for Inclusive Care
Transgender populations face substantial barriers to healthcare access, exacerbated by a lack of inclusive research.

Suggestions for improved care include increased education of providers on trans and gender nonbinary identities and health needs, inclusion of non-binary gender and pronoun options on intake forms and medical records, and de-emphasizing gender in healthcare.

Link: https://elischolar.library.yale.edu/ysphtdl/1197/

US Trans Survey

2015 U.S. Transgender Survey Report

The 2015 U.S. Transgender Survey (USTS) was the largest survey ever devoted to the lives and experiences of transgender people, with 27,715 respondents across the United States. The 2022 US Trans Survey (USTS) aims to be even larger, with a targeted participation of more than 40,000 respondents across the United States.

Link: https://www.ustranssurvey.org/reports

What does the scholarly research say about the effect of gender transition on transgender well-being?

The scholarly literature makes clear that gender transition is effective in treating gender dysphoria and can significantly improve the well-being of transgender individuals.

This search found a robust international consensus in the peer-reviewed literature that gender transition, including medical treatments such as hormone therapy and surgeries, improves the overall well-being of transgender individuals. The literature also indicates that greater availability of medical and social support for gender transition contributes to better quality of life for those who identify as transgender.

Link: https://whatweknow.inequality.cornell.edu/topics/lgbt-equality/what-does-the-scholarly-research-say-about-the-well-being-of-transgender-people/

What is "Nonbinary" and What Do I Need to Know? A Primer for Surgeons Providing Chest Surgery for Transgender Patients
This was an observational study of nonbinary patients who underwent “chest-affirming surgery” from 2012 to 2017.

We sought to describe a single-institution experience of chest-affirming procedures performed in nonbinary patients, including patient characteristics, surgical techniques, practice pearls, and outcomes.

Link: https://pubmed.ncbi.nlm.nih.gov/30007346/

WPATH Standards of Care

Volume 7 of the Standards of Care is available in 18 different languages.

The World Professional Association for Transgender Health promotes the highest standards of health care for individuals through the articulation of Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People. The SOC are based on the best available science and expert professional consensus.

Link: https://www.wpath.org/publications/soc