Psychology Commons^™

Blessing Or Bs? Examining The Therapy Experiences Of Transgender And Gender Nonconforming Clients Obtaining Referral Letters For Gender Affirming Medical Treatment, Holly Brown

Theses and Dissertations--Educational, School, and Counseling Psychology

Transgender and gender nonconforming (TGNC) people who pursue gender affirming medical interventions, such as hormone therapy and surgery, are required to supply their physicians with referral letters from mental health professionals (Coleman et al., 2012). The process by which TGNC people are required to obtain referral letters before accessing gender affirming care is often referred to as gatekeeping in the TGNC literature (Budge, 2015; Cavanaugh, Hopwood, & Lambert, 2016). Despite implications that the current gatekeeping system may have for the relationship between TGNC clients and their therapists, few studies have examined TGNC individuals’ experiences related to obtaining referral letters in …