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Assessment and Treatment of the Gender Dysphoric Patient

Presented by Sallie Hunt, LMFT, FAPA and Thomas S. Satterwhite, MD - 3 CE Hours

Workshop Description:
This introductory to advanced level workshop is designed as a brief overview of the history of gender dysphoria. Misconceptions will be explored regarding the etiology of gender dysphoria which lead to ineffective theoretical paradigms that are abusive to the patient. At present, the medical paradigm is prevalent in research and quite likely the most efficacious treatment approach for the amelioration of gender dysphoria, which in and of itself is a very unique form of depression that is unresponsive to widely applied remedies for clinical depression, such as the SSRI's and SRI's. Therapists must use extreme caution while treating the gender dysphoric patient and follow the professional protocol of the International Standards of Care formerly known as the Harry Benjamin Standards of Care. We will review the "Ten Tasks of Mental Health Professionals" to achieve competency and promote the optimum outcome for dysphoric individuals. Also, during this presentation, sensitivity to the high ratio of suicide among this population will be examined.

Dr. Satterwhite will discuss peri-operative aspects of sex reassignment surgery for the male-to-female (MTF) and female-to-male (FTM) patient. MTF procedures include vaginoplasty, breast augmentation, and facial feminization surgery. FTM procedures include mastectomy with nipple areolar reconstruction and sex reassignment surgery—metoidioplasty and phalloplasty. Dr. Satterwhite will touch upon the pre-operative, intra-operative, and post-operative course for these procedures. Upon the end of the presentation, the attendee will have a clearer understanding of surgical options for transgender patients.

Learning Objectives:
1. Identify and analyze the elements of Richard K. James (2012) six-step model of crisis intervention and explain the importance of each one;
2. Demonstrate Robert R. Carkhuff’s HRD model through role-playing in dyads;
3. Name Elizabeth Kubler-Ross’s (Kubler-Ross & Kessler, 2007) five stages of grief—shock/denial, anger, guilt, depression, acceptance--and give examples of how these apply to traumatized youth;
4. Recognize the complicated web of identities a client brings to therapy with cultural competency as the most important goal;
5. Apply their therapeutic interactions with clients with more concrete understanding of what they’re doing and how effective they are.