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13 Feb, 2018
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DIANNE GOTTLIEB, MS, LMFT, gender therapist, has been working with transgender and gender non-binary individuals and their families for over 15 years. She is dedicated to being a resource and advocate for her clients and is a respected educator of therapists and medical professionals in Arizona.
A former film studio publicist and national television producer, Dianne has a private practice in Scottsdale, AZ, where she specializes in gender therapy, premarital counseling, love relationship problems, life and career transitions, self-esteem issues, and LGBTQ counseling.
A graduate of Seton Hall University with a Masters of Science in marriage and family therapy, she is a member of the World Professional Association for Transgender Health (WPATH), a Clinical Fellow of the American Association for Marriage and Family Therapy, and a past board director of the Arizona Association for Marriage and Family Therapy. For nine years, Dianne also taught college courses in abnormal psychology and the psychology of human sexuality.
Financial: Dianne Nicolls is in private practice. She receives a speaking honorarium from PESI, Inc.
Non-financial: Dianne Nicolls is a Clinical Fellow for the American Association for Marriage and Family Therapy; and the Arizona Association for Marriage and Family Therapy. Speaker is the ex-wife of an individual who identifies as transgender.
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- Communicate the complexities that transgender clients face daily including physical, mental, and social discomfort and how to address these in clinical practice
- Develop a deep comprehension of the ways that a client’s own identity can create a trusting, effective relationship, and how their identity can negatively affect the clinical relationship.
- Apply concepts of affirmative clinical practice with gender diverse clients.
- Ascertain the various gender diverse identities and understand the ways that intersecting identities create further challenges in daily life.
- Assess your current clinical practice to determine how affirmative your practice is for gender diverse clients.
- Individualize and create a transition timeline and goals with your client.
- Prepare letters for clients seeking feminizing and masculinizing hormone therapy and gender confirmation surgeries.
- Distinguish Between Sex and Gender
- Difference between sex and gender
- How gender identity is formed
- Phenomenon of being intersexed and transgender
- Challenge the Binary Gender Spectrum
- Examine the traditional binary gender spectrum by challenging traditional views of gender
- Gender identity vs gender expression
- Latest terminology
- Physical, mental, and social discomfort
- 4 Keys to Create a Gender-Affirming
- Therapeutic Environment
- Gender-Affirming Therapy Model
- Prepare inclusive intake forms
- Create a gender-neutral setting and safe environment
- Gender-appropriate, respectful language
- Mental Health in Gender Dysphoric Clients
- Distinguish between Gender Dysphoria and other mental health diagnoses
- Possible causes of transgenderism
- Evaluate for possible co-existing disorders found in transgender clients: Anxiety, Depression, eating disorders, substance abuse, and body dysmorphia
- Suicidality and self-mutilation
- History of gender identity and self-realizations
- Explore feelings of internalized transphobia
- Early Stages of Transition
- Identify transition goals: non-medical, medical, legal, and social
- Create a transition timeline
- Coming Out Process
- Who, when and how to tell others
- Help families process the coming out of a loved one
- Transitioning on the job
- Feeling unsafe in America
- Create a support system
- Address Medical & Legal Transition Goals
- Medical transition goals - WPAT H Standards of Care
- Therapist’s role as a “Gatekeeper”
- Informed Consent Model of treatment
- Prepare letters for feminizing/masculinizing hormone therapy and gender confirmation surgeries
- Effects of cross-gender hormones
- Basics of gender-related surgeries
- Prepare clients for legal name, gender marker and birth certificate changes
- Gains & Losses of Transitioning
- Social impact of coming out and transition goals on intimate relationships, family and friends
- Help families and significant others navigate their own reactions
- Changing roles in love relationships and families
- Positives of living an authentic, accepted life
- Potential negatives
- Loss of relationships
- Impact on children
- Dealing with others’ unacceptance
- Confusion or grief
- Loss of employment
- Changes in societal status and privilege
- Financial and legal burdens
- Socially Living an Authentic Life
- Learning new gender roles
- Dating as my true self
- Passing concerns
- Living a stealth life
- Become a Resource for Transgender Clients
- Referral resources in the medical community
- Local and national trans-friendly resources
- Support groups and Gender-Affirming organizations
- Build the therapist’s competency - WPAT H’s Global Education Initiative: The Path to Certification
Counselors, Social Workers, Psychologists, Psychotherapists, Case Managers, Marriage & Family Therapists, Speech-Language Pathologists, Occupational Therapists, Occupational Therapy Assistants, Nurses, Addiction Counselors, Other Mental Health Professionals
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