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In Congress Workshops

LGBTQIA+

In-Congress Workshop 15 - CANCELED- CBT Adaptations for Affirming Care for Transgender and Gender Diverse Clients

Friday, June 26, 2026
2:00 PM - 5:00 PM PDT
Location: Pacific A, 4th Floor
Earn 3 Credit
Keywords: Unified Treatment, Gender Minority Mental Health, Resilience
Recommended Readings: Hope, D.A., Holt, N. R., Woodruff, N., Mocarski, R., Meyer, H. Puckett, J. A., Eyer, J., Craig, S., Feldman, J., Irwin, J., Pachankis, J., Rawson, K.J., Sevelius, J., Butler, S. (2022). Bridging the gap between practice guidelines and the therapy room: Community-derived adaptations for psychological services with transgender and gender diverse adults in the Central United States. Professional Psychology: Research and Practice 53, 351-361. doi: 10.1037/pro0000448,   Holt, N. R., Huit, T. Z., Shulman, G. P., Meza, J. L., Smyth, J. D., Woodruff, N., Mocarski, R., Puckett, J. A., & Hope, D. A. (2019). Trans Collaborations Clinical Check-in (TC 3 ): Initial Validation of a Clinical Measure for Transgender and Gender Diverse Adults Receiving Psychological Services. Behavior Therapy, 50(6), 1136–1149. doi: 10.1016/j.beth.2019.04.001,   dickey, l. m. & Puckett, J. A. (2022). Affirmative Counseling for Transgender and Gender Diverse Clients. Hogrefe Publishing.,   ,  
The recent increase in empirical research on the transgender and gender diverse (TGD) people’s mental health concerns and affirmative mental health services offer CBT therapists an opportunity to serve these clients with an evidence-based approach for the first time. This workshop is based on the work our community-based participatory research (CBPR) collaborative that centers the voices and lived experience of transgender and gender diverse adults, especially in underserved areas. After a brief introduction to terminology and TGD communities’ lived experience, this workshop will emphasize practical applications that clinicians can use immediately to transform their practice and clinical work to be affirming for TGD adults. Presenters will describe the community-based, empirically-derived Trans Collaborations Adaptations for Psychological Services as applied to case-formulation driven CBT for adults. Topics will include incorporating TGD intersectional identities into case formulations, adaptations for common CBT interventions, affirming use of cognitive restructuring around experiences of marginalization, therapists’ implicit assumptions about gender, and progress monitoring tools. The emphasis will be on CBT for common outpatient mental health concerns, but we will briefly discuss the CBT therapist’s potential contribution to social, legal, and medical gender affirmation according to the international standards of care. Consistent with the CBPR approach, presenters represent both the academy and community and will engage with the participants about their local climate for TGD clients. Teaching methods will include didactics, inventory of participants’ current practice settings, roleplays, video demonstrations, and Q&A.

Learning Objectives:

  • Implement affirming cognitive restructuring with transgender or gender diverse adults seeking treatment for common outpatient concerns.
  • Adapt at least two common CBT interventions (e.g., exposure) to be affirming of the lived experience of transgender and gender diverse adults.
  • Incorporate gender and other identities within an intersectional framework into case formulation for all clients.
  • Implement affirming progress monitoring tools.