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Get the tools to effectively meet the needs of transgender people in your communityGuidelines for Transgender Care is a one-of-a-kind guidebook for training practitioners to meet the healthcare and social services needs of transgender people in their community. Based on a collaboration between community-based health professionals in British Columbia and international experts in transgender health, these guidelines address both the transition-related needs of transsexuals and also the broader health issues of crossdressers, drag kings/queens, androgynous individuals, Two Spirit individuals, and people who are bi- or multi-gendered. This practical handbook is an essential resource for community-based family physicians, nurses, social workers, counselors, speech therapists, and other clinicians with an interest in transgender care.Improving transgender individuals’ access to health and social services takes not only awareness of and sensitivity to transgender health concerns but also clinical competency. Guidelines for Transgender Care explains a wide range of clinical issues practitioners need to consider when providing health and social services for transgender individuals, and suggests evidence-based best practice guidelines relating to primary medical care, mental health care, care of transgender adolescents, hormone therapy, sex reassignment surgery, speech/voice change, and social and medical advocacy. Frameworks for comprehensive training of community-based professionals is also discussed. Each chapter is extensively referenced.Topics in Guidelines for Transgender Care discussed include: primary medical care counseling clinical management of gender dysphoria ethics, the law, and psychosocial issues endocrine therapy sex reassignment surgery (SRS) transgender speech feminization and masculinization case advocacy training community-based cliniciansGuidelines for Transgender Care is crucial, insightful information for health practitioners of all types, social workers, educators, and students.

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Introduction   Walter O. Bockting, PhD and Joshua M. Goldberg	p. 1
Transgender Primary Medical Care   Jamie L. Feldman, MD, PhD and Joshua M. Goldberg	p. 3
Counseling and Mental Health Care for Transgender Adults and Loved Ones   Walter O. Bockting, PhD and Gail Knudson, MD, MPE, FRCPC and Joshua M. Goldberg	p. 35
Clinical Management of Gender Dysphoria in Adolescents   Annelou L. C. de Vries, MD, PhD and Peggy T. Cohen-Kettenis, PhD and Henriette Delemarre-van de Waal, MD, PhD	p. 83
Ethical, Legal, and Psychosocial Issues in Care of Transgender Adolescents   Catherine White Holman and Joshua M. Goldberg	p. 95
Physical Aspects of Transgender Endocrine Therapy   Marshall Dahl, MD, PhD, FRCPC and Jamie L. Feldman, MD, PhD and Joshua M. Goldberg and Afshin Jaberi, BSc (Pharm), RPh	p. 111
Care of the Patient Undergoing Sex Reassignment Surgery   Cameron Bowman, MD, FRCSC and Joshua M. Goldberg	p. 135
Clinical Aspects of Transgender Speech Feminization and Masculinization   Shelagh Davies, MSc, RSLP-C and Joshua M. Goldberg	p. 167
Social and Medical Transgender Case Advocacy   Catherine White Holman and Joshua M. Goldberg	p. 197
Training Community-Based Clinicians in Transgender Care   Joshua M. Goldberg	p. 219
Index	p. 233