314 – Advanced Issues in Gender-Affirmative Therapy

Co-occurring Disorders, Detransitioners, and Other Dilemmas
Margaret Nichols & Laura Jacobs

For even the most knowledgeable gender-affirmative therapist, work with transgender clients can sometimes be complex and difficult. There are parents who assume their gender-atypical child is transgender and prematurely insist on social transition. There are also a number of young transgender adults who decide to “detransition.” Across age groups, co-occurring mental disorders can muddy treatment priorities for some. And it can be hard for some therapists to sort through their own countertransferential feelings about transgender clients. In this workshop, you’ll discover how to:

  • Identify common co-occurring conditions of gender dysphoria, including autism spectrum disorder, major depressive disorder, and PTSD
  • Assess when parental anxiety or problems are driving the referral and when gender dysphoria may be temporary
  • Know when countertransference with transgender clients is normal, and when it’s an impediment to ethical treatment


Note: This workshop fulfills many state board requirements for training in cultural competency.

Margaret Nichols, PhD, is a licensed psychologist and AASECT certified sex therapy supervisor working in the LGBTQ community. She’s the founder of New Jersey’s Institute for Personal Growth.

Speaker Disclosures:
Financial: Margaret Nichols is the founder, president and executive director of the Institute for Personal Growth.
Non-financial: Margaret Nichols has no relevant non-financial relationship to disclose.

Laura Jacobs, LCSW-R, is a transgender and genderqueer-identified psychotherapist, activist, speaker, and author.

Speaker Disclosures:
Financial: Laura Jacobs is in private practice.
Non-financial: Laura Jacobs is Chair of the Board of Directors for the Callen-Lorde Community Health Center.

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