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Updated: Jan 19, 2026
Psychotherapy
Working with gender-expansive clients in psychotherapy
Melanie E Brewster1, Wei Motulsky1, Elizabeth Glaeser1
1Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, New York.
Gender expansive individuals face higher health risks and require specialized mental healthcare. This article provides essential terminology, case studies, and considerations for competent care for gender-expansive clients.
Area of Science:
- Psychology
- Sociology
- Gender Studies
Background:
- Gender expansive individuals experience elevated mental and physical health risks compared to the general and LGB populations.
- A significant gap exists in mental healthcare provider preparedness due to limited research on competent care for this demographic.
Observation:
- The article addresses the need for increased understanding and specialized training for mental health professionals.
- It introduces key themes and terminology vital for effective therapeutic engagement with gender-expansive clients.
Findings:
- Three case studies (two individuals, one family) illustrate the complexities and nuances of providing care to gender-expansive clients.
- The study highlights specific areas requiring focused attention from healthcare providers.
Implications:
- Findings underscore the necessity for enhanced clinical training and culturally competent practices in mental healthcare.
- Improved understanding and application of these principles can lead to better health outcomes for gender-expansive individuals.
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