� Transgender and gender nonconforming (TGNC) individuals continue to be a highly
marginalized population, subject to transphobia that manifests in the form of stigma,
discrimination, and victimization.
� An affirming and trauma-informed perspective recognizes that traumatic events and experiences,
including non–life-threatening forms of transphobic prejudice, may threaten
TGNC clients’ sense of safety, power, and control over their lives.
� Trans-affirmative clinical practice acknowledges and counters the oppressive contexts of
the lives of transgender individuals.
� Transgender-affirmative cognitive behavior therapy (TA-CBT) is a version of cognitive
behavior therapy (CBT) that has been adapted to ensure (1) an affirming stance toward
gender diversity, (2) recognition and awareness of transgender-specific sources of stress,
and (3) the delivery of CBT content within an affirming and trauma-informed framework.