Key ACT Processes in Transgender Therapy: Values, Defusion, and Self-as-Context

Luke-Allen

Meet Your Instructor: Luke R. Allen, Ph.D.

Independent practice

Key Points

  1. ACT helps transgender clients clarify their values and commit to actions aligned with their goals, even when facing difficult emotions.
  2. Defusion from unhelpful thoughts and societal expectations allows clients to move forward with their transition without being held back by anxiety or fear.
  3. Self-as-context enables clients to explore their identity flexibly, recognizing that their personal history and values shape their gender expression.

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    Introduction

    In therapy with transgender and non-binary clients, many of the foundational goals mirror those of typical therapy—setting value-led goals, increasing psychological flexibility, and reducing the impact of unworkable thoughts and feelings. However, working with transgender and non-binary individuals presents unique challenges, such as ensuring they are connected to appropriate medical care and providing support in navigating risks like rejection and discrimination.

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