
Contents
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Overview of Experiences Among Transgender Individuals Overview of Experiences Among Transgender Individuals
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Transgender-Specific Stressors and Sources of Well-Being Transgender-Specific Stressors and Sources of Well-Being
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The Impact of Living Authentically on Well-Being The Impact of Living Authentically on Well-Being
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Barriers to Living Authentically Barriers to Living Authentically
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Overview of Transgender Affirmative Cognitive–Behavioral Therapy Overview of Transgender Affirmative Cognitive–Behavioral Therapy
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Clinical Application of Transgender Affirmative Cognitive–Behavioral Therapy Clinical Application of Transgender Affirmative Cognitive–Behavioral Therapy
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Transgender Affirmative Case Formulation Transgender Affirmative Case Formulation
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Integrated Approach to Psychoeducation Integrated Approach to Psychoeducation
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Developing Coping Skills to Promote Transgender Affirming Change Developing Coping Skills to Promote Transgender Affirming Change
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Identifying and Modifying Negative Core Beliefs Identifying and Modifying Negative Core Beliefs
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Promoting Resilience Promoting Resilience
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Case Example Case Example
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Emerging Trends and Future Directions Emerging Trends and Future Directions
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Conclusion Conclusion
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References References
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4 C4Transgender Affirmative Cognitive–Behavioral Therapy
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Published:March 2019
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Abstract
Although there is growing cultural awareness of transgender identities, transgender people continue to be marginalized and subject to identity-based discrimination and victimization resulting in disproportionate rates of psychological distress and particularly high rates of suicidality. Mental health clinicians can effectively support the mental health needs of transgender clients through the use of empirically supported, trans-affirmative interventions. This chapter focuses on transgender affirmative cognitive–behavioral therapy (TA-CBT), an evidence-informed intervention rooted in the unique needs and experiences of transgender individuals. TA-CBT is a version of CBT that has been adapted to ensure (1) an affirming stance toward gender diversity, (2) recognition of transgender-specific sources of stress and resilience, and (3) the delivery of CBT content within an affirming and trauma-informed framework. Clinical examples are utilized to elucidate affirmative delivery of several important components of TA-CBT: transgender affirmative case conceptualization, psychoeducation, and the development of coping skills to promote identity-affirming changes.
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