Letter Writing: Advocacy and Ally-ship with Trans/Non-binary Communities
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More therapists are being asked to support clients moving through a gender transition that requires writing letters for medical treatment. This brings up questions and feelings for clinicians including fears of being sued, not knowing enough medically, or not understanding their role or requirements. Despite good intentions, the clinical field has been fraught with discriminatory gate-keeping, de-humanizing, and dis-empowering treatment when accessing letters. We offer a model that is co-created and re-centers self-efficacy, including history, clinical considerations, and example letters.
● Discuss the DSM criteria and historical frameworks of writing letters from the medical standards of care (WPATH) ● Identify three ways therapists can serve as partners and allies with trans/non-binary communities through letter writing advocacy ● Develop the knowledge to complete a letter that meets the requirements for insurance and medical providers ● Explore clinical implications when writing letters and consider how to bring this awareness into the clinical relationships