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Gender-Affirming Psychiatric Care

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Integrating cutting edge neuroscience, clinical research, evidence based best practices, mental health systems design, and mental health policy, GenderAffirming Psychiatric Care is the first textbook in the field to provide an affirming, intersectional, and evidence informed approach to caring for transgender, nonbinary, and/or gender expansive (TNG) individuals. Contributors offer an expert view from fields that include psychiatry, psychology, social work, nursing, pharmacy, public health, law, business, community activism, and more. And because each of the 26 chapters features at least one TNG author, wisdom gleaned from lived experience bolsters the professional perspective provided throughout the book. After an introductory discussion of epidemiology, the neuroscience of gender, and psychopharmacological considerations for prescribing with TNG people, the book engages in an in-depth examination of


  • Providing intersectional, gender affirming care for marginalized communities such as TwoSpirit and Indigenous, Black, Asian American, and Pacific Islanders, disabled persons, migrants, refugees, and unhoused individuals.
  • Developmentally appropriate care for TNG people, from childhood and adolescence to older age.
  • Affirming gender identity in the context of eating disorders, substance use disorders, pregnancy, and serious mental illness.
  • Addressing the specific care needs of populations who have experienced the traumas of incarceration and gender identity conversion efforts.


Gender Affirming Psychiatric Care is a rigorous—and timely—resource. It is indispensable for mental health and primary care clinicians looking to deliver evidence based and affirming care for TNG patients, and it is informative for neuroscientists and clinical researchers seeking to better understand translational frameworks linking scientific research, genderaffirming clinical practice, and mental health policy.

Foreword Chapter 1. Epidemiologic Overview of Mental Health Outcomes among TNG People Chapter 2. Stigma and Mental Health Inequities: The Gender Minority Stress and Resilience Framework Chapter 3. (Rethinking) the Neuroscience of Gender Identity Chapter 4. Psychopharmacological Considerations for TNG People Chapter 5. Affirming and Intersectional Psychiatric Care for Two-Spirit People: Adaptation, Cultural Resilience, and Indigenous Identities Chapter 6. Intersectional Approaches to Affirming Mental Health Care for Black TNG People in North America Chapter 7. Overview of Asian American and Pacific Islander Gender-Affirming Psychiatric Care Chapter 8. DoubleQueer: Being Neurodiverse and Gender Diverse Chapter 9. Disability Justice and Access Needs for Disabled TNG People Chapter 10. Caring for the Displaced: Mental Health Concerns for Transgender and Gender Expansive Individuals Chapter 11. Trauma-Informed Mental Health Care With TNG Communities Chapter 12. How Cis? Recognizing and Managing Transphobic Countertransference in Psychotherapy Chapter 13. Working with TNG Youth and Their Families Chapter 14. Caring for the Mental Health Needs of TNG Older Adults Chapter 15. Eating Disorders and Body Image Satisfaction in TNG People Chapter 16. Substance Use Disorders Within TNG Communities Chapter 17. Perinatal Psychiatry and Affirming Gender Identity in the Setting of Pregnancy Chapter 18. Affirming Gender Identity in the Setting of Serious Mental Illness Chapter 19. Affirming Gender Identity in the Setting of Incarceration Chapter 20. Addressing the Adverse Impacts of Gender Identity Conversion Efforts Chapter 21. Psychiatric Evaluations in Support of Gender-affirming Surgical Procedures Chapter 22. Standardized Language and Nonstandard Identities: Sex and Gender Taxonomies and Data Collection, Storage, and Use Chapter 23. Collecting and Analyzing Gender Identity Data to Enhance Your Practice Chapter 24. Cultivating Inclusive and Gender-Affirming Mental Health Care Environments Chapter 25. Legal and Policy Considerations for Gender-Affirming Mental Health Care Chapter 26. TNG Leaders

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