Gender-Affirming Psychiatric Care

Teddy G. Goetz, Alex S. Keuroghlian, Teddy G. Goetz, Alex S. Keuroghlian

• Publisher: American Psychiatric Association Publishing
• Year: 2023
• eBook ISBN: 9781615374731
• Topic: Medicine
• Subtopic: Psychiatry & Mental Health

Integrating cutting-edge neuroscience, clinical research, best practices, mental health systems design, and mental health policy, Gender-Affirming Psychiatric Care is the first textbook in the field to provide an affirming, intersectional, and evidence-informed approach to caring for transgender, non-binary, and/or gender-expansive (TNG) people.

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 • Intersectional, gender-affirming care for marginalized communities such as Two-Spirit and Indigenous, Black, Asian American, Pacific Islander, disabled, migrant, refugee, and unhoused people• Developmentally appropriate care for TNG people, from childhood and adolescence to older age• Gender identity affirmation in the context of eating disorders, substance use disorders, pregnancy, and serious mental illness• The specific care needs of populations who have experienced the traumas of incarceration and gender identity conversion efforts• The necessity of systems-level change, including collecting gender identity information in electronic health records, building gender-affirming clinical environments, and mental health law and policy considerations

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

Table of contents

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