From Have to Choose: Language Reframing in ACT for Transgender Clients

Key Points

  1. Reframing language from “have to” to “choose to” empowers clients to act in line with their values, even in the face of anxiety.
  2. Defusion and self-as-context help clients unhook from restrictive societal norms and see their identity from a more flexible, adaptive perspective.
  3. ACT fosters psychological flexibility, encouraging clients to make values-driven choices rather than being constrained by societal expectations.
lock-icon

To unlock this video you need to get Therapy Pro Toolbox.

Earn 1 CE Credits

Shifting Language to Empower Choice

In Ava’s therapy, one recurring theme involved feeling burdened by specific transition-related tasks, such as practicing her voice, making phone calls to providers, navigating healthcare insurance, and disclosing her identity. Ava often framed these tasks as things she “had” to do, which made them feel emotionally draining and overwhelming. For example, she might think, “I have to practice my voice, but it takes so much effort,” or “I can’t make this phone call because I’m too anxious.”

Unlock A Transgender Person With Dysphoria: Treatment From an ACT Perspective course.

Get Therapy Pro Toolbox.

Learn more

Already have an account? Sign in

Download These Materials

Unlock A Transgender Person With Dysphoria: Treatment From an ACT Perspective course.

Get Therapy Pro Toolbox.

Learn more

Already have an account? Sign in