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In this workshop, you will learn the competencies that will allow you to support and serve children and adolescents who are gender-questioning, as well as those who identify as transgender and non-binary. We will explore the ethics surrounding the treatment of gender dysphoria in young people, as well as the psychological issues faced by children and adolescents who are questioning their gender. We will discuss the challenges faced by young gender-diverse clients as well as their parents. You will also learn how to write referral letters for youth who are seeking medical intervention to address their gender dysphoria.

Upon completion of this training, participants will be able to:

  • Define the various identities that exist under the umbrella of “gender diversity,” including transgender, non-binary, and gender questioning
  • Assess for gender dysphoria in children and adolescents
  • Learn how to provide a referral letter for medical interventions related to gender dysphoria
  • Implement strategies that best serve young clients who are questioning their gender as well as those who identify as transgender or non-binary.

Syllabus:

Objective #1: Understanding Gender Diversity and Identity

  • Define key terms: transgender, non-binary, genderfluid, agender, bigender, genderqueer, two-spirit
  • Clarify distinctions between gender identity, gender expression, sex assigned at birth, and sexual orientation
  • Recognize the broad spectrum of identities that fall under the gender-diverse umbrella
  • Explore how children and adolescents may express or question their gender identity

Objective #2: Assessing Gender Dysphoria

  • Understand gender variance as distinct from pathology
  • Review DSM-5 diagnostic criteria for gender dysphoria in children, adolescents, and adults
  • Assess duration, consistency, insistence, and persistence of gender identity
  • Explore social and environmental stressors contributing to dysphoria and emotional distress

Objective #3: Treatment Approaches and Clinical Strategies

  • Emphasize client-centered, developmentally appropriate approaches
  • Address the importance of parental support and psychoeducation
  • Manage therapy expectations and provide space for identity exploration
  • Assess the role of internalized homophobia or transphobia in identity development
  • Understand and rule out “rapid-onset gender dysphoria”

Objective #4: Supporting Parents and Caregivers

  • Recognize common parental concerns and fears about gender identity
  • Support parents through grief, guilt, fear of social stigma, and intrafamily conflict
  • Help families navigate cultural, religious, and societal influences on gender norms
  • Offer tools to foster a supportive home and community environment

Objective #5: Creating an Affirming Clinical Environment

  • Use inclusive intake paperwork with open-ended gender and pronoun questions
  • Foster physical safety and visibility through affirming office design (e.g., restroom options, waiting areas)
  • Employ affirming language and curiosity when discussing identity with young clients
  • Normalize fluidity and exploration in child and adolescent development

Objective #6: Navigating the Transition Process

  • Understand types of transition: social, medical, and legal
  • Support social transitioning in home, school, and community settings
  • Explain puberty blockers and their physical, emotional, and developmental impacts
  • Discuss masculinizing and feminizing hormone therapy and surgical options

Objective #7: Addressing Mental Health Risks and Protective Factors

  • Recognize high rates of suicidality, self-harm, and mental health issues among transgender youth
  • Promote protective factors such as family acceptance, affirming environments, and peer support
  • Validate identity while building coping skills for navigating stigma and discrimination

Objective #8: Writing Referral Letters for Medical Interventions

  • Understand the clinician’s role in gender assessments and referrals
  • Follow WPATH guidelines for documentation and informed consent
  • Gather clinical history, identity development, and readiness for medical intervention
  • Include details on family support, emotional impact, treatment understanding, and transition goals

Tools, Resources, and Continued Education

  • Provide access to supportive organizations like PFLAG
  • Share affirming literature, workbooks, and teen-centered guides
  • Offer video and online content to educate clients and families
  • Encourage further clinician training on gender-affirming care and ethical practice

Social workers completing this course receive 3 General Skill Building asynchronous continuing education credits.

For other board approvals, this course qualifies for 3 General Skill Building continuing education training.

Instructor: Dreya Blume, LCSW

Recording Date: September 17, 2024

CEUS On-Demand, LLC, provider #2274, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/7/2026 - 08/6/2027. Social workers completing this course receive 3hrs General continuing education credits.  

CEUs On-Demand, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7091. Programs that do not qualify for NBCC credit are clearly identified. CEUs On-Demand, LLC is solely responsible for all aspects of the programs.

System Requirements: Firefox, Chrome, Brave, Safari, Edge on any modern operating system (Windows, MacOS, Linux, Android, iOS). A desktop browser is recommended. We do not provide support resources for issues encountered using a mobile device.

Request for Special Accommodations: Learners can request special accommodations by contacting the administrative team at admin@ceus-ondemand.com


Course Instructor: Dreya Blume is a licensed clinical social worker, with her MSW from Radford University and an MA in anthropology from the University of Hawaii. Dreya has twenty years of experience working in mental health, from case management to intensive in-home services to leading groups for addicts in recovery. Dreya began a part-time counseling practice in 2004, and as a psychotherapist, her focus has been on serving the LGBTQ+ community. Dreya also has been a teacher for thirty years. Prior to her career in social work, she taught English in places such as Japan, Thailand, Australia, and Hawaii. Since 2010, Dreya has been an adjunct professor for Virginia Western Community College, preparing future social workers for the field. In her spare time, Dreya loves to write. She is the author of a number of books (published under her former name, Andy Matzner), including “Everyone Has a Story: Using the Hero’s Journey and Narrative Therapy to Reframe the Struggle of Mental Illness,” “The Tarot Activity Book: A Collection of Creative and Therapeutic Ideas for the Cards,” and “The Buddha Diet: A Guide to Creating a Positive Relationship with Food and Eating.”

Course Content