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What is Minority Stress, and How Does it Affect Transgender and Gender-diverse Youth?

Giselle Levin, PsyD

July 1, 2024

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Question

What is minority stress, and how does it affect transgender and gender-diverse youth?

Answer

Minority stress is a concept that explains the higher rates of mental and physical health issues seen in LGBTQ+ individuals, particularly transgender people. This theory, developed by Meyer, identifies two main types of stressors: distal and proximal. Distal stressors are external pressures like discrimination, family or peer rejection, and non-affirmation (e.g., misgendering). These stressors have direct links to severe mental health outcomes, including heightened rates of suicide among transgender youth. Proximal stressors are internal, such as internalized transphobia and negative expectations about the future, which lead to low self-esteem and a reluctance to disclose one's gender identity. These stressors collectively contribute to the high mental health disparities seen in transgender and gender-diverse youth.

 

This Ask the Expert is an edited excerpt from the course, Supporting Transgender and Gender-Diverse Youth, presented by Giselle Levin, PsyD.


giselle levin

Giselle Levin, PsyD

Giselle Levin, PsyD (they/she/he), is a licensed psychologist in the state of California specializing in transgender healthcare and sex therapy. Giselle completed their doctorate at Pace University in New York, NY, and trained as a postdoctoral resident in LGBT mental health at the San Francisco VA Medical Center. They currently work as a gender specialist at the University of California San Francisco –Child and Adolescent Gender Center. Giselle is a member of UCSF’s Mind the Gap consortium of gender-affirming providers for youth and is in the process of completing their AASECT sex therapy and WPATH transgender healthcare certifications. 


Related Courses

Working with Transgender and Gender Diverse Youth: Navigating the Current Political Climate, Clinical Practice Guidelines, and Ethical Considerations
Presented by Giselle Levin, PsyD
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Giselle Levin, PsyD
Course: #1644Level: Intermediate2 Hours
  'Presenters knowledge and clinical experience'   Read Reviews
With increased anti-trans legislation directed toward transgender and gender-diverse youth, it is especially imperative that mental health providers support this vulnerable population. This course describes current research on transgender and gender-diverse youth and describes WPATH standards for gender-affirming care of youth. The course provides clinical guidelines with an emphasis on helping transgender and gender-diverse youth manage stressors associated with the current political climate. Last, the course investigates ethical considerations when working with trans and gender-diverse youth.

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  'Expertise and clinical experience of the presenter'   Read Reviews
This intermediate course provides therapists with foundational knowledge and skills for opening up conversations about sex with children and adolescents. The course outlines sexual development in children and adolescents, discusses fundamentals of effective sex education with youth, and describes methods for ensuring that sex education is both trauma-informed and LGBT-inclusive. Ethical considerations and guidelines for clinical practice are discussed.

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This course highlights the need for an increasing focus on evidence-based practices (EBPs) in psychological treatment, emphasizing their effectiveness and empirical basis. It also addresses the need to adapt EBPs for transgender and gender-diverse (TGD) patients to ensure ethical and effective care, identifying adapted EBPs and their application to common issues faced by TGD individuals.

Conducting Gender-Affirming Hormone Evaluations for Adults Using the Informed Consent Model
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Gender-affirming care including hormones and surgery are evidence-based treatments that reduce gender dysphoria in transgender and gender non-conforming people, but many face barriers accessing this care. Clinicians need training on appropriately diagnosing gender dysphoria, assessing readiness for hormones per WPATH guidelines, and managing comorbid psychiatric conditions. This course provides comprehensive information and practice guidelines for providing gender-affirming hormone therapy to transgender adults.

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