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This unique resource offers an in-depth, comprehensive look at different types of mental health needs of transgender and gender diverse youth, how these intersect with gender identity, gender expression, and sexual orientation, and provides practical information on how to ethically, responsibly, and sensitively care for these patients. Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide begins with three introductory chapters which contain practical information regarding assessment, psychological interventions, and the potential medical and surgical interventions that are indicated for youth with gender identity concerns. The remaining chapters are illustrated by multiple cases build around overarching chapter themes. Each case chapter opens with broad questions applicable to clinical practices, while the cases themselves focus on a particular co-occuring mental health condition. The case chapters are structured with intersectionality in mind, including elements of ethnic, racial, and cultural diversity, and the patients range over the full developmental spectrum, from pre-pubertal children to older adolescents. Chapter cases range in complexity as well, to provide readers with the tools they need to evaluate patients, and to assist in the decision of which presenting factors to prioritize in treatment at which time. Ending each chapter are clinical take-home messages, closing with additional practical knowledge that can be applied to other cases providers may see in their own practices. Written by expert clinicians in the field, Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide is an ideal resource not only for child and adolescent psychiatrists, but for clinicians across all mental health disciplines working with gender non-conforming youth, and who are interested in providing informed, affirmative, and intersectional care.

Introduction: Transgender persons with gender dysphoria can be treated using hormones based on estradiol and testosterone. The long-term cardiovascular effects of these therapies are not fully known. Objective: To verify the impact of gender-affirming hormone therapy on risk factors for cardiovascular events (lipid profile, glucose, and blood pressure) and cardiovascular events (acute myocardial infarction [AMI], stroke, and venous thromboembolism [VTE]) in transgender persons. Methods: A systematic review of scientific articles was performed using the PubMed/MEDLINE, Scopus, Embase, and Web of Science platforms. Results and Discussion: The search resulted in 1040 articles, of which 154 duplicates were discarded. Of the remaining 886, 837 articles were excluded, leaving 49, which were read in full. Among these, after confrontation of two researchers, 14 were selected for interpretation and final data extraction. Regarding the data obtained, 11 articles considered transgender women (TW), resulting in a population of 7154 people, with a mean age of 29 years. When interpreting the results, there was an increase in VTE and stroke events in TW compared to cis men and women. The cardiovascular risk factors did not show significant changes in the evaluated studies. Twelve studies were considered for transgender men (TM), generating a population of 4393 people, with a mean age of 26 years. A worsening of the lipid profile in TM and an increase in AMI were observed in comparison with cis women. Conclusion: Review data showed that transgender persons have a risk of increased cardiovascular outcomes and may require early intervention as a preventive measure.

Senior colonial officer from 1813 to 1859, Inspector General James Barry was a pioneering medical reformer who after his death in 1865 became the object of intense speculation when rumours arose about his sex. This cultural history of Barrys afterlives in Victorian to contemporary (neo-Victorian) life-writing ('biographilia) examines the textual and performative strategies of biography, biofiction and biodrama of the last one and a half centuries. In exploring the varied reconstructions and re-imaginations of the historical personality across time, the book illustrates that the 'real James Barry does not exist, any more than does the 'faithful biographical, biofictional or biodramatic rendering of a life in a generically 'stable and discrete form. What Barry represents and how he is represented invariably pinpoints the speculative and the performative: reflections and refractions in the looking glass of genre. Just as 'James Miranda Barry, as a subject of cultural inquiry, comes into being and remains in view in the act of crossing gender, so neo-Victorian life-writing constitutes itself through similar acts of boundary transgression. Transgender thus finds its most typical expression in transgenre.

This captivating book contains 31 case studies that focus on what is said and done in actual counseling sessions with LGBTQQI clients, including diagnosis; interventions, treatment goals, and outcomes; transference and countertransference issues; other multicultural considerations; and recommendations for further counseling or training. Experts in the field address topics across the areas of individual development, relationship concerns, contextual matters, and wellness. The cases presented include coming out; counseling intersex, bisexual, and transsexual clients; couples, marriage, and fam