this post was submitted on 31 Mar 2024
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Hey everyone.

I am working on my masters in clinical mental health counseling, and I want to be multiculturally sensitive, including regarding the LGBTQ+ community.

I am a straight, cisgender male, and I have only had a handful of gay and trans friends/acquaintances. Multicultural awareness is certainly part of my education, but I don't believe it is close to enough. I want to hear from communities themselves, not just textbooks.

If you feel comfortable, I would really appreciate your feedback to make me a more effective counselor working with people in your demographic.

How can I best serve you?

What have you wished a past counselor could have understood?

What really pissed you off in a therapy session?

What is the most important thing for me to try to understand?

I hope this is received well. I genuinely want to be able to effectively serve all people.

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[–] -Emma-@fedia.io 2 points 7 months ago

I maybe got a little carried away in this comment.

What really pissed you off in a therapy session?

TL,DR: lack of privacy, security, communication, and respect

I'm not going to discuss the conservative "therapist" I had. I did eventually get an LGBTQ-friendly therapist.

I discovered that my therapist was typing up her notes on a Windows computer with a keylogger enabled by default, sending the data to Microsoft. The notes were also stored unencrypted on a server accessible by the entire IT department of the clinic.

She didn't understand the issue. This clearly voids patient-doctor confidentiality, and it destroyed my trust in the clinic.

I've experienced another issue while searching for a new therapist.

I found a therapist on the psychology today site that listed a full address. I showed up to make an appointment for a first session just to learn that she doesn't accept new clients without a phone call or email.

The only reason I had considered her was that she listed a full address, implying that phone and email weren't needed.

So I would recommend clearly communicating things like this, be privacy-conscious, and respect patient-doctor confidentiality. Without these fundamentals, there is no foundation of trust and respect.

What is the most important thing for me to try to understand?

I think the most important thing to understand for trans patients is that everyone's transition is unique, including the personal story.

So for instance, some trans girls/women say they were always a girl/woman, while others say they became a girl/woman.

It's important to listen and understand the individual and not get ahead of yourself.

I hope this is helpful, or at least interesting.