• Damien W. RiggsEmail author
Part of the Critical and Applied Approaches in Sexuality, Gender and Identity book series (CAASGI)


This final chapter takes up a range of topics not elsewhere covered in the book in terms of clinicians working with transgender young people and their families. First, it examines barriers to affirming care and how they may be addressed. Second, it examines the efficacy of the GENDER mnemonic and its use in training. Third, it considers how practice contexts may change, focusing on both the status quo at present with regard to affirming approaches, but also what may change in the future. Next the chapter briefly considers how clinicians can work together across disciplines to ensure linked up care for young people. Finally, the chapter considers areas that require concerted attention into the future with regard to clinical practice with transgender young people and their families.


  1. Ansara, Y. G., & Hegarty, P. (2012). Cisgenderism in psychology: Pathologising and misgendering children from 1999 to 2008. Psychology & Sexuality, 3(2), 137–160.CrossRefGoogle Scholar
  2. Bartholomaeus, C., & Riggs, D. W. (2017). Transgender people and education. New York: Palgrave Macmillan.CrossRefGoogle Scholar
  3. Braun, V. (2000). Heterosexism in focus group research: Collusion and challenge. Feminism & Psychology, 10(1), 133–140.CrossRefGoogle Scholar
  4. Brown, S., Kucharska, J., & Marczak, M. (2018). Mental health practitioners’ attitudes towards transgender people: A systematic review of the literature. International Journal of Transgenderism, 19(1), 4–24.CrossRefGoogle Scholar
  5. Chaplin, B. (2016). “Why are you crying? You got what you wanted!”: Psychosocial experiences of sex reassignment surgery. Unpublished PhD thesis, Queensland University of Technology.Google Scholar
  6. Clark, B. A., Veale, J. F., Townsend, M., Frohard-Dourlent, H., & Saewyc, E. (2018). Non-binary youth: Access to gender-affirming primary health care. International Journal of Transgenderism, 19(2), 158–169.CrossRefGoogle Scholar
  7. Gridley, S. J., Crouch, J. M., Evans, Y., Eng, W., Antoon, E., Lyapustina, M., et al. (2016). Youth and caregiver perspectives on barriers to gender-affirming health care for transgender youth. Journal of Adolescent Health, 59(3), 254–261.CrossRefGoogle Scholar
  8. Jack, J. (2012). Gender copia: Feminist rhetorical perspectives on an autistic concept of sex/gender. Women’s Studies in Communication, 35(1), 1–17.CrossRefGoogle Scholar
  9. Kennedy, N. (2013). Cultural cisgenderism: Consequences of the imperceptible. Psychology of Women Section Review, 15(2), 3–11.Google Scholar
  10. May, T., Pang, K., & Williams, K. J. (2017). Gender variance in children and adolescents with autism spectrum disorder from the National Database for Autism Research. International Journal of Transgenderism, 18(1), 7–15.CrossRefGoogle Scholar
  11. Meadow, T. (2018). Trans kids: Being gendered in the twenty-first century. Oakland: University of California Press.CrossRefGoogle Scholar
  12. Pullen Sansfaçon, A., Robichaud, M. J., & Dumais-Michaud, A. A. (2015). The experience of parents who support their children’s gender variance. Journal of LGBT Youth, 12(1), 39–63.CrossRefGoogle Scholar
  13. Pullen Sansfaçon, A. P., Hébert, W., Lee, E. O. J., Faddoul, M., Tourki, D., & Bellot, C. (2018). Digging beneath the surface: Results from stage one of a qualitative analysis of factors influencing the well-being of trans youth in Quebec. International Journal of Transgenderism, 19(2), 184–202.CrossRefGoogle Scholar
  14. Riggs, D. W. (2019). An examination of ‘just in case’ arguments as they are applied to fertility preservation for transgender people. In V. Mackie, S. Ferber, & N. Marks (Eds.), The body and the globe: From IVF to global reproductive industry. New York: Lexington Books.Google Scholar
  15. Riggs, D. W., & Bartholomaeus, C. (2015). The role of school counsellors and psychologists in supporting transgender people. The Australian Educational and Developmental Psychologist, 32(2), 158–170.CrossRefGoogle Scholar
  16. Riggs, D. W., & Bartholomaeus, C. (2016). Australian mental health professionals’ competencies for working with trans clients: A comparative study. Psychology & Sexuality, 7(3), 225–238.CrossRefGoogle Scholar
  17. Riggs, D. W., & Bartholomaeus, C. (2017). The disability and diagnosis nexus: Transgender men navigating mental health care services. In C. Loeser, V. Crowley, & B. Pini (Eds.), Disability and masculinities: Corporeality, pedagogy, and the critique of otherness (pp. 67–84). London: Palgrave.CrossRefGoogle Scholar
  18. Riggs, D. W., & Bartholomaeus, C. (2018a). Fertility preservation decision making amongst Australian transgender and non-binary adults. Reproductive Health, 15, 181–191.CrossRefGoogle Scholar
  19. Riggs, D. W., & Bartholomaeus, C. (2018b). Gaslighting in the context of clinical interactions with parents of transgender children. Sexual and Relationship Therapy, 33, 382–394.CrossRefGoogle Scholar
  20. Riggs, D. W., & Sion, R. (2017). Gender differences in cisgender psychologists’ and trainees’ attitudes toward transgender people. Psychology of Men & Masculinity, 18(2), 187.CrossRefGoogle Scholar
  21. Saketopoulou, A. (2014). Mourning the body as bedrock: Developmental considerations in treating transsexual patients analytically. Journal of the American Psychoanalytic Association, 62(5), 773–806.CrossRefGoogle Scholar
  22. Smith, E., Jones, T., Ward, R., Dixon, J., Mitchell, A., & Hillier, L. (2014). From blues to rainbows: The mental health and well-being of gender diverse and transgender young people in Australia. Melbourne: Australian Research Centre in Sex, Health and Society (ARCSHS), La Trobe University.Google Scholar
  23. Strang, J. F., Meagher, H., Kenworthy, L., de Vries, A. L., Menvielle, E., Leibowitz, S., & Pleak, R. R. (2018). Initial clinical guidelines for co-occurring autism spectrum disorder and gender dysphoria or incongruence in adolescents. Journal of Clinical Child & Adolescent Psychology, 47(1), 105–115.Google Scholar
  24. Telfer, M., Tollit, M., Pace, C., & Pang, K. (2017). Australian standards of care and treatment guidelines: For trans and gender diverse children and adolescents. Melbourne: The Royal Children’s Hospital.Google Scholar
  25. Thorne, N., Witcomb, G. L., Nieder, T., Nixon, E., Yip, A., & Arcelus, J. (2018, Online First). A comparison of mental health symptomatology and levels of social support in young treatment seeking transgender individuals who identify as binary and non-binary. International Journal of Transgenderism, 1–10.
  26. Vipond, E. (2015). Resisting transnormativity: Challenging the medicalization and regulation of trans bodies. Theory in Action, 8(2), 21–44.CrossRefGoogle Scholar
  27. World Professional Association for Transgender Health (WPATH). (2011). Standards of care for the health of transsexual, transgender, and gender nonconforming people, 7th version.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.College of Education, Psychology and Social WorkFlinders UniversityAdelaideAustralia

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