A Clinician's Guide to Gender-Affirming Care

Download A Clinician's Guide to Gender-Affirming Care PDF Online Free

Author :
Publisher : New Harbinger Publications
ISBN 13 : 1684030544
Total Pages : 186 pages
Book Rating : 4.6/5 (84 download)

DOWNLOAD NOW!


Book Synopsis A Clinician's Guide to Gender-Affirming Care by : Sand C. Chang

Download or read book A Clinician's Guide to Gender-Affirming Care written by Sand C. Chang and published by New Harbinger Publications. This book was released on 2018-12-01 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transgender and gender nonconforming (TNGC) clients have complex mental health concerns, and are more likely than ever to seek out treatment. This comprehensive resource outlines the latest research and recommendations to provide you with the requisite knowledge, skills, and awareness to treat TNGC clients with competent and affirming care. As you know, TNGC clients have different needs based on who they are in relation to the world. Written by three psychologists who specialize in working with the TGNC population, this important book draws on the perspective that there is no one-size-fits-all approach for working with TNGC clients. It offers interventions tailored to developmental stages and situational factors—for example, cultural intersections such as race, class, and religion. This book provides up-to-date information on language, etiquette, and appropriate communication and conduct in treating TGNC clients, and discusses the history, cultural context, and ethical and legal issues that can arise in working with gender-diverse individuals in a clinical setting. You’ll also find information about informed consent approaches that call for a shift in the role of the mental health provider in the position of assessment and referral for the purposes of gender-affirming medical care (such as hormones, surgery, and other procedures). As changes in recent transgender health care and insurance coverage have provided increased access for a broader range of consumers, it is essential to understand transgender and gender nonconforming clients’ different needs. This book provides practical exercises and skills you can use to help TNGC clients thrive.

Transgender Mental Health

Download Transgender Mental Health PDF Online Free

Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1615371133
Total Pages : 342 pages
Book Rating : 4.6/5 (153 download)

DOWNLOAD NOW!


Book Synopsis Transgender Mental Health by : Eric Yarbrough, M.D.

Download or read book Transgender Mental Health written by Eric Yarbrough, M.D. and published by American Psychiatric Pub. This book was released on 2018-03-08 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Designed to educate clinicians on how to address the basic needs of the TGNC community, and thus increase access to mental health care for TGNC individuals, which has been sorely lacking to this point.Four sections address topics such as the history of the TGNC experience, mental health factors particular to the TGNC community, physical health including hormones of TGNC individuals, and gender-affirming surgical procedures, as well as nonsurgical interventions" --publisher.

Gender-affirming Psychiatric Care

Download Gender-affirming Psychiatric Care PDF Online Free

Author :
Publisher :
ISBN 13 : 9781615374731
Total Pages : 0 pages
Book Rating : 4.3/5 (747 download)

DOWNLOAD NOW!


Book Synopsis Gender-affirming Psychiatric Care by : Teddy G. Goetz

Download or read book Gender-affirming Psychiatric Care written by Teddy G. Goetz and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Gender-Affirming Psychiatric Care is dedicated to providing affirming, intersectional, and evidence-informed psychiatric care for transgender, non-binary, and/or gender-expansive (TNG) people. The handbook discusses epidemiology, the neuroscience of gender, and psychopharmacological considerations. The minority stress model is invoked throughout, with attention to multiply marginalized communities: those who are Two-Spirit, Black, Asian American, and Pacific Islander; those who are neurodivergent and disabled; and migrants, refugees, and unhoused people. Clinical discussions cover trauma-informed care; developmentally appropriate care across the lifespan; gender affirmation in the context of eating disorders, substance use disorders, pregnancy, and serious mental illness; care in the settings of incarceration and gender identity conversion efforts; systems-level change; collecting gender identity information in electronic health records; and building gender-affirming clinical environments"--

Affirmative Mental Health Care for Transgender and Gender Diverse Youth

Download Affirmative Mental Health Care for Transgender and Gender Diverse Youth PDF Online Free

Author :
Publisher : Springer
ISBN 13 : 3319783076
Total Pages : 214 pages
Book Rating : 4.3/5 (197 download)

DOWNLOAD NOW!


Book Synopsis Affirmative Mental Health Care for Transgender and Gender Diverse Youth by : Aron Janssen

Download or read book Affirmative Mental Health Care for Transgender and Gender Diverse Youth written by Aron Janssen and published by Springer. This book was released on 2018-05-22 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

Download Diagnostic and Statistical Manual of Mental Disorders (DSM-5) PDF Online Free

Author :
Publisher : American Psychiatric Publishing
ISBN 13 : 9781955245180
Total Pages : pages
Book Rating : 4.2/5 (451 download)

DOWNLOAD NOW!


Book Synopsis Diagnostic and Statistical Manual of Mental Disorders (DSM-5) by : American Psychiatric Association

Download or read book Diagnostic and Statistical Manual of Mental Disorders (DSM-5) written by American Psychiatric Association and published by American Psychiatric Publishing. This book was released on 2021-09-24 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Gender-Affirming Psychiatric Care

Download Gender-Affirming Psychiatric Care PDF Online Free

Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1615374728
Total Pages : 422 pages
Book Rating : 4.6/5 (153 download)

DOWNLOAD NOW!


Book Synopsis Gender-Affirming Psychiatric Care by : Teddy G. Goetz, M.D., M.S.

Download or read book Gender-Affirming Psychiatric Care written by Teddy G. Goetz, M.D., M.S. and published by American Psychiatric Pub. This book was released on 2023-11-08 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Pediatric Gender Identity

Download Pediatric Gender Identity PDF Online Free

Author :
Publisher : Springer Nature
ISBN 13 : 303038909X
Total Pages : 285 pages
Book Rating : 4.0/5 (33 download)

DOWNLOAD NOW!


Book Synopsis Pediatric Gender Identity by : Michelle Forcier

Download or read book Pediatric Gender Identity written by Michelle Forcier and published by Springer Nature. This book was released on 2020-03-27 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book serves as a guide to key topics regarding pediatric gender identity to help clinicians better care for transgender and gender diverse youth. Written by experts in the field, it covers critical considerations for child health providers from a variety of disciplines in a range of clinical settings. Patients, families and other community agencies can also find useful information about current practices and recommendations for care and support. The text begins by overviewing terminology, epidemiology, gender identity development, and relevant neurobiology. Next, the text focuses on the emergence of affirmative treatment paradigms using a patient-centered, consent based framework. Topics include psychotherapeutic support, gender-affirming medical and surgical care, management of co-existing psychiatric conditions, sexual health and fertility, legal considerations, international considerations, and more. Pediatric Gender Identity can be used as a framework to address core clinical issues and offers practical considerations for gender-affirming care. Using the growing science and understanding of gender development, this book is an excellent resource for all professionals working with gender diverse youth, including child and adolescent psychiatrists, pediatricians, pediatric surgeons, psychologists, therapists, researchers, school and educational leaders, and students.

Understanding the Well-Being of LGBTQI+ Populations

Download Understanding the Well-Being of LGBTQI+ Populations PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309680816
Total Pages : 437 pages
Book Rating : 4.3/5 (96 download)

DOWNLOAD NOW!


Book Synopsis Understanding the Well-Being of LGBTQI+ Populations by : National Academies of Sciences, Engineering, and Medicine

Download or read book Understanding the Well-Being of LGBTQI+ Populations written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2021-01-23 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increase in prevalence and visibility of sexually gender diverse (SGD) populations illuminates the need for greater understanding of the ways in which current laws, systems, and programs affect their well-being. Individuals who identify as lesbian, gay, bisexual, asexual, transgender, non-binary, queer, or intersex, as well as those who express same-sex or -gender attractions or behaviors, will have experiences across their life course that differ from those of cisgender and heterosexual individuals. Characteristics such as age, race and ethnicity, and geographic location intersect to play a distinct role in the challenges and opportunities SGD people face. Understanding the Well-Being of LGBTQI+ Populations reviews the available evidence and identifies future research needs related to the well-being of SDG populations across the life course. This report focuses on eight domains of well-being; the effects of various laws and the legal system on SGD populations; the effects of various public policies and structural stigma; community and civic engagement; families and social relationships; education, including school climate and level of attainment; economic experiences (e.g., employment, compensation, and housing); physical and mental health; and health care access and gender-affirming interventions. The recommendations of Understanding the Well-Being of LGBTQI+ Populations aim to identify opportunities to advance understanding of how individuals experience sexuality and gender and how sexual orientation, gender identity, and intersex status affect SGD people over the life course.

Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities

Download Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities PDF Online Free

Author :
Publisher : Oxford University Press
ISBN 13 : 0190669314
Total Pages : 480 pages
Book Rating : 4.1/5 (96 download)

DOWNLOAD NOW!


Book Synopsis Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities by : John E. Pachankis

Download or read book Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities written by John E. Pachankis and published by Oxford University Press. This book was released on 2019-04-01 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: Historically, mental health clinical research has taken inadequate account of psychosocial disorders experienced by those who identify as sexual and gender minorities, however, researchers have recently begun developing and adapting evidence-based mental health treatment approaches for use with these groups. Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities offers a comprehensive array of evidence-based approaches for treating sexual and gender minority clients' mental health concerns. The interventions detailed here span a diverse spectrum of populations, including sexual and gender minority youth, transgender populations, same-sex couples, sexual minority parents, and bisexual individuals. Chapters also address numerous mental and behavioral health problems, including anxiety disorders, depression, substance abuse, trauma, body image disturbance, and sexual health. In addition to an overview of the research evidence supporting each clinical presentation and approach, chapters contain practical how-to guidance for therapists to use in their clinical practice. This book reflects a true integration of the best of sexual and gender minority research and the best of evidence-based practice research, presented by the leading experts in the field. As such it is essential reading for mental health professionals who work with these groups, as well as trainees in social work, counseling, and clinical psychology.

The Queer and Transgender Resilience Workbook

Download The Queer and Transgender Resilience Workbook PDF Online Free

Author :
Publisher : New Harbinger Publications
ISBN 13 : 1626259488
Total Pages : 224 pages
Book Rating : 4.6/5 (262 download)

DOWNLOAD NOW!


Book Synopsis The Queer and Transgender Resilience Workbook by : Anneliese A. Singh

Download or read book The Queer and Transgender Resilience Workbook written by Anneliese A. Singh and published by New Harbinger Publications. This book was released on 2018-02-02 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can you build unshakable confidence and resilience in a world still filled with ignorance, inequality, and discrimination? The Queer and Transgender Resilience Workbook will teach you how to challenge internalized negative messages, handle stress, build a community of support, and embrace your true self. Resilience is a key ingredient for psychological health and wellness. It’s what gives people the psychological strength to cope with everyday stress, as well as major setbacks. For many people, stressful events may include job loss, financial problems, illness, natural disasters, medical emergencies, divorce, or the death of a loved one. But if you are queer or gender non-conforming, life stresses may also include discrimination in housing and health care, employment barriers, homelessness, family rejection, physical attacks or threats, and general unfair treatment and oppression—all of which lead to overwhelming feelings of hopelessness and powerlessness. So, how can you gain resilience in a society that is so often toxic and unwelcoming? In this important workbook, you’ll discover how to cultivate the key components of resilience: holding a positive view of yourself and your abilities; knowing your worth and cultivating a strong sense of self-esteem; effectively utilizing resources; being assertive and creating a support community; fostering hope and growth within yourself, and finding the strength to help others. Once you know how to tap into your personal resilience, you’ll have an unlimited well you can draw from to navigate everyday challenges. By learning to challenge internalized negative messages and remove obstacles from your life, you can build the resilience you need to embrace your truest self in an imperfect world.

Diversity and Inclusion in Quality Patient Care

Download Diversity and Inclusion in Quality Patient Care PDF Online Free

Author :
Publisher : Springer
ISBN 13 : 3319927620
Total Pages : 478 pages
Book Rating : 4.3/5 (199 download)

DOWNLOAD NOW!


Book Synopsis Diversity and Inclusion in Quality Patient Care by : Marcus L. Martin

Download or read book Diversity and Inclusion in Quality Patient Care written by Marcus L. Martin and published by Springer. This book was released on 2018-09-28 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition focuses on bias in health care and provides a variety of case examples related to the timely topics of unconscious bias and microaggressions encountered by patients, students, attending and resident physicians, nurses, staff, and advanced practice providers in various healthcare settings. The proliferation of literature on unconscious bias and microaggressions has raised public awareness around these concerns. This case compendium discusses strategies and addresses professional responses to bias in health care and extends beyond the individual patient and healthcare provider into the communities where biased assumptions and attitudes exist. Recognizing that ethnic minorities, the elderly, the poor, and persons with Medicaid coverage utilize the emergency department at higher rates than the general population, this compendium also builds upon the case studies from the first edition to cover a broader array of underserved minority groups. Diversity and Inclusion in Quality Patient Care: Your Story/Our Story – A Case-Based Compendium, 2nd Edition is an essential resource for attending and resident physicians, nurses, staff, advanced practice providers, and students in emergency medicine, primary care, and public health.

Transgender Medicine

Download Transgender Medicine PDF Online Free

Author :
Publisher : Springer
ISBN 13 : 303005683X
Total Pages : 481 pages
Book Rating : 4.0/5 (3 download)

DOWNLOAD NOW!


Book Synopsis Transgender Medicine by : Leonid Poretsky

Download or read book Transgender Medicine written by Leonid Poretsky and published by Springer. This book was released on 2019-02-22 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although transgender persons have been present in various societies throughout human history, it is only during the last several years that they have become widely acknowledged in our society and their right to quality medical care has been established. In the United States, endocrinologists have been providing hormonal therapy for transgender individuals for decades; however, until recently, there has been only limited literature on this subject, and non-endocrine aspects of medical care for transgender individual have not been well addressed in the endocrine literature. The goal of this volume is not only to address the latest in hormonal therapy for transgender individuals (including pediatric and geriatric age groups), but also to familiarize the reader with other aspects of transgender care, including primary and surgical care, fertility preservation, and the management of HIV infection. In addition to medical issues, psychological, social, ethical and legal issues pertinent to transgender individuals add to the complexities of successful treatment of these patients. A final chapter includes extensive additional resources for both transgender patients and providers. Thus, an endocrinologist providing care to a transgender person will be able to use this single resource to address most of the patient’s needs. While Transgender Medicine is intended primarily for endocrinologists, this book will be also useful to primary care physicians, surgeons providing gender-confirming procedures, mental health professionals participating in the care of transgender persons, and medical residents and students.

Adult Transgender Care

Download Adult Transgender Care PDF Online Free

Author :
Publisher : Routledge
ISBN 13 : 1315390485
Total Pages : 256 pages
Book Rating : 4.3/5 (153 download)

DOWNLOAD NOW!


Book Synopsis Adult Transgender Care by : Michael R. Kauth

Download or read book Adult Transgender Care written by Michael R. Kauth and published by Routledge. This book was released on 2017-10-12 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adult Transgender Care provides an overview of transgender health and offers a comprehensive approach to training mental health professionals in transgender care. The book takes an interdisciplinary approach to transgender care, emphasizing the complementary contributions of psychiatry, psychology, and social work in providing transgender care within an integrated treatment team. Included in this text are overviews of how to conceptualize and provide treatment with complex and difficult clinical presentations and considerations for understanding how to address system-level challenges to treatment. Adult Transgender Care meets a unique need by providing detailed information, clinical interventions, case studies, and resources for mental health professionals on transgender care.

Irreversible Damage

Download Irreversible Damage PDF Online Free

Author :
Publisher : Simon and Schuster
ISBN 13 : 1684510465
Total Pages : 180 pages
Book Rating : 4.6/5 (845 download)

DOWNLOAD NOW!


Book Synopsis Irreversible Damage by : Abigail Shrier

Download or read book Irreversible Damage written by Abigail Shrier and published by Simon and Schuster. This book was released on 2020-06-30 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: NAMED A BOOK OF THE YEAR BY THE ECONOMIST AND ONE OF THE BEST BOOKS OF 2021 BY THE TIMES AND THE SUNDAY TIMES "Irreversible Damage . . . has caused a storm. Abigail Shrier, a Wall Street Journal writer, does something simple yet devastating: she rigorously lays out the facts." —Janice Turner, The Times of London Until just a few years ago, gender dysphoria—severe discomfort in one’s biological sex—was vanishingly rare. It was typically found in less than .01 percent of the population, emerged in early childhood, and afflicted males almost exclusively. But today whole groups of female friends in colleges, high schools, and even middle schools across the country are coming out as “transgender.” These are girls who had never experienced any discomfort in their biological sex until they heard a coming-out story from a speaker at a school assembly or discovered the internet community of trans “influencers.” Unsuspecting parents are awakening to find their daughters in thrall to hip trans YouTube stars and “gender-affirming” educators and therapists who push life-changing interventions on young girls—including medically unnecessary double mastectomies and puberty blockers that can cause permanent infertility. Abigail Shrier, a writer for the Wall Street Journal, has dug deep into the trans epidemic, talking to the girls, their agonized parents, and the counselors and doctors who enable gender transitions, as well as to “detransitioners”—young women who bitterly regret what they have done to themselves. Coming out as transgender immediately boosts these girls’ social status, Shrier finds, but once they take the first steps of transition, it is not easy to walk back. She offers urgently needed advice about how parents can protect their daughters. A generation of girls is at risk. Abigail Shrier’s essential book will help you understand what the trans craze is and how you can inoculate your child against it—or how to retrieve her from this dangerous path.

CREATING GENDER AFFIRMING INPATIENT PSYCHIATRIC CARE FOR TRANSGENDER TRANSITIONAL AGE YOUTH (TAY): NEW FRONTIERS IN CLINICAL CARE

Download CREATING GENDER AFFIRMING INPATIENT PSYCHIATRIC CARE FOR TRANSGENDER TRANSITIONAL AGE YOUTH (TAY): NEW FRONTIERS IN CLINICAL CARE PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

DOWNLOAD NOW!


Book Synopsis CREATING GENDER AFFIRMING INPATIENT PSYCHIATRIC CARE FOR TRANSGENDER TRANSITIONAL AGE YOUTH (TAY): NEW FRONTIERS IN CLINICAL CARE by : Hyun Jung Kim

Download or read book CREATING GENDER AFFIRMING INPATIENT PSYCHIATRIC CARE FOR TRANSGENDER TRANSITIONAL AGE YOUTH (TAY): NEW FRONTIERS IN CLINICAL CARE written by Hyun Jung Kim and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectives:A deliberate effort is needed to engage all clinicians and staff members in creating a therapeutic environment geared towards recognizing, validating and supporting the gender identities of transgender/gender non-conforming youth.Background:Transgender youth suffer higher rates of internalizing psychopathology and are often marginalized and vulnerable. There is a higher risk of suicide in this population as compared to their age matched controls. Additionally family non-acceptance is highly correlated with greater suicide risk for this population. Due to higher rates of anxiety and depression they are frequently admitted for inpatient psychiatric treatment.Materials and Methods:We propose a framework to help create a validating inpatient environment to deliver optimal psychiatric care for transgender TAY. We will focus on practical considerations that will facilitate and provide guidance for inpatient psychiatric clinicians.Results and Conclusions:Milieu considerations: room assignments, use of communal bathrooms, names on identifying wrist bands based on the preferred gender. Supporting the authentic self: demonstration of non-judgmental curiosity; clinical approach being non-directive and accepting of dynamic gender presentations. Supporting disclosure: appropriate support for the patient to discuss and disclose their TGD identity. Treatment of psychiatric disorders: treatment of underlying psychiatric conditions which are sometimes compounded by other displaced conflicts. Family involvement and engagement: improving family acceptance and cohesion. Comprehensive risk assessment: transgender youth can be marginalized, and at high risk for suicide and exploitation. Coordination of care: social and community supports; further psychiatric treatment. Referral to further gender affirming medical/endocrinological/surgical care.

The Gender Affirmative Model

Download The Gender Affirmative Model PDF Online Free

Author :
Publisher : American Psychological Association (APA)
ISBN 13 : 9781433829123
Total Pages : 0 pages
Book Rating : 4.8/5 (291 download)

DOWNLOAD NOW!


Book Synopsis The Gender Affirmative Model by : Colt Keo-Meier

Download or read book The Gender Affirmative Model written by Colt Keo-Meier and published by American Psychological Association (APA). This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides mental health professionals with a guide to the Gender Affirmative Model, the leading approach to providing culturally competent care to transgender and gender expansive children and their families.

Management of Gender Dysphoria

Download Management of Gender Dysphoria PDF Online Free

Author :
Publisher : Springer
ISBN 13 : 8847056969
Total Pages : 337 pages
Book Rating : 4.8/5 (47 download)

DOWNLOAD NOW!


Book Synopsis Management of Gender Dysphoria by : Carlo Trombetta

Download or read book Management of Gender Dysphoria written by Carlo Trombetta and published by Springer. This book was released on 2015-03-03 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is especially focused on the surgical aspect on Gender Dysphoria. Male to female surgery is widely discussed as well as the female to male conversion. Full information on hormone administration and surgical procedures are provided. Mental health issues are also described, as well as ethics, the law and psychosocial issues. The text is extensively referenced and includes numerous photos, tables and figures to clearly illustrate information. Based on collaboration between international experts in transgender health, this book is an essential guide for health care professionals, educators, students, patients and patients’ families concerning the psychological, hormonal, surgical and social support of transgender individuals.