Exposure Therapy with a First-Generation, Latino Transgender Man: A Dialectical Behavior and Feminist Therapy Framework

Abstract

Transgender and Gender Expansive (TGE) individuals with multiple marginalized identities are at increased risk of minority stress and trauma because of intersecting systems of oppression, such as transphobia and racism. There is limited evidence-based guidance for TGE individuals experiencing trauma, especially TGE individuals of color. This case study describes the implementation of Prolonged Exposure and informal emotion exposure with a first-generation Latino transgender man using a Feminist Therapy and Dialectical Behavior Therapy lens. Seven clinical considerations drawing from the integration of these approaches are discussed, including recognition of the sociocultural context in shaping the client’s behaviors, balancing flexibility and accountability, and balancing exposure with validation of avoidance.

Keywords:

• Dialectical behavior therapy
• exposure therapy
• feminist
• transgender

Notes

1 I know that a therapist’s identity is an important piece of the therapeutic relationship for some clients. I identify as a White, heterosexual, able-bodied, cisgender woman. I was born in the United States, grew up working class, and English is my first language. I try to bring awareness to the privileges that I hold. I aspire to serve as an ally to LGBTQIA+ individuals, people of color, and people with different abilities. I welcome clients from the kink, poly, and BDSM communities.

Additional information

Notes on contributors

Jennifer Staples

Jennifer Staples (she/her/hers) is a White, straight, able-bodied, cisgender woman who identifies as agnostic and is in her 30s. She was born in Vermont on unceded Abenaki land and was a first-generation college student. She received a postdoctoral specialty in LGBTQIA+ mental health and trauma at the VA San Diego Healthcare System and is currently an Associate Professor at Alliant International University.