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Exploring clinical examples of the lived experiences of trans people across the lifespan, this unique and authoritative book addresses topics such as attending school, puberty, employment issues, suicide, bullying, autism and intersecting identities. Divided into three sections, childhood, adolescence, and adulthood, the book brings the case studies to life and dispels common myths by including short responses from leading professional experts.

By enabling a greater knowledge of work with trans people and therefore filling an important gap in available literature, Case Studies in Clinical Practice with Trans and Gender Non-Binary Clients allows mental health providers to understand the nuanced differences of handling clinical concerns for their trans clients.


lore m. dickey, Ph.D., has completed an amazing feat with this volume. First, he brings to bear his own extensive experience, expertise, and personal reflections on the variety of cases and clinical concerns that may appear over the lifespan for trans individuals. Secondly, Dr. dickey's own observations are commented on, enhanced, and explored by a variety of expert clinicians offering their own unique contexts and observations. This type of person-centered, case-oriented approach to gender affirming care is the book that I wish I had access to as a beginning clinician, and has immediately become the first book I will recommend to colleagues seeking an orientation to what they should know and ideas they must explore to gain competence in this area. Dr. dickey's book is required reading for anyone aspiring to culturally competence care.
Matthew D. Skinta, Ph.D., ABPP, Assistant Professor, Roosevelt University, Chicago, IL., Author of Contextual Behavior Therapy for Sexual and Gender Minority Clients
Among the many writers of psychotherapy literature, it is unusual to find an author that is able to achieve a blend of science with an empathic window into the experience of the people with whom we are likely to work. Dr. Lore Dickey has achieved this very thing. This book fills a huge gap in the field, providing comprehensive perspective on the experience of transgender individuals across the lifespan. It belongs on a reachable bookshelf so that it can be accessed easily and often!
Christopher R. Martell, Ph.D., ABPP, Author of Cognitive and behavioral therapies with lesbian, gay and bisexual clients, Editor of the Clinician’s Digest in the journal Psychology of Sexual Orientation and Gender Identity
lore's book reads like a novel while teaching essential lessons to professionals, administrators, and others encountering trans/nonbinary individuals. lore portrays realistic and complex life situations masterfully interwoven with applied research, principles of care, and insightful pragmatism in supporting and affirming trans/gender diverse people and their loved ones. (As a transman, practicing psychologist, and educator, I) Thank you, lore, for addressing a wide scope of issues plus varied roles and demands for professionals while illuminating many experiences of intersectionality.
Ren Massey, Ph.D. Licensed Psychologist, Past President, Georgia Psychological Association, Adjunct Assistant Professor, Dept of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Faculty, WPATH Global Education Initiative
lore dickey brings a multitude of therapy spaces, unique intersectional identities and diverse concerns of transgender and non-binary people to the hands of any provider from the chair of the private practitioner to the community healthcare center. In an unprecedented format, these case studies give a provider access to novel and meaningful clinical experiences when we do not have the luxury of being a proverbial fly on the wall in someone else's therapy room! This book is a direct yet nuanced and honest call to competent clinical care. Truly a desktop resource for years to come!
Sarah Burgany, PsyD, PhoenixRISE, Denver, CO
What does affirmative counseling really look like? Case Studies in Clinical Practice with Trans and Gender Nonbinary Clients shows us by integrating the most advanced knowledge of our fields with the personal experiences of gender diversity using a brilliant range of clients, mental health professionals, and social locations. Affirmative counseling is rooted in common principles but in practice, it is as varied as our clients-in-context are. dickey and his team of experts are the guides so many mental health professionals and students have been hoping to find to support their work with transgender, nonbinary, and gender diverse clients and their families. By applying core affirmative counseling tenets through a fantastic variety of clinical encounters, dickey's evidence-based and warm approach with the reader makes affirmative therapy feel as possible and practical as it really is.
Melissa J. Grey, PhD, Professor of Psychology, Monroe County Community College, Staff Psychologist, Integrative Empowerment Group, Saniyah Center, Ypsilanti, MI