Helping clinicians and group practices go from cautious to confident in working with trans & gender diverse clients

The most comprehensive program you’ll find on trans-affirming care.

Guaranteed.

Here’s Transcend Competency at a Glance:

This course content goes DEEP, but it also:

  • Provides you with regular Q&A calls to ask questions, practice, make mistakes, & learn with others

  • Gives you personalized feedback on your own website, client-facing materials, and office policies

  • Shows you how to become an effective ally for the queer & trans community

Explore at our website

    • Overview of trans & gender diverse communities & people from ancient times to present day

    • How the gender binary came to be a powerful cultural idea, and WHO and WHAT that served

    • Deeper dive into transgender history from Victorian Era to Stonewall

    • Transgender history continued: US social & medical advances: Stonewall to present day

    • Critical analysis of the problems involved with medicalizing trans identities

    • Exploring our own internal biases & programming about gender from our culture

    • Fundamental understandings about a trans experience

    • Breaking the Binary: Level 1: Sex

    • The Intersex community & the complexities of sex differentiation (By guest lecturer & Intersex activist Hans Lindahl)

    • Breaking the Binary Level 2: Gender

    • Fundamentals of Allyship (includes extensive review of trans & nonbinary terminology)

    • Review and challenge our cis-heteronormative cognitive distortions that serve as roadblocks to progress

    • All things terminology & pronouns, and how to evolve as language inevitably changes

  • This module teaches important attitudes and practices associated with allyship to the LGBTQIA+ community. We go deeper into definitions of terms & how to use them, as well as more direct & actionable advice on what to say, what not to say, & why.

    • Marketing messages: How to make your website & online presence communicate inclusivity & safety

    • Forms Framework: How to create inclusive client registration/intake forms

    • Administrative practices: Optimizing phone, email, and front desk protocols

    • In-person considerations: bathrooms, signage, & employee nondiscrimination (one of the best signs of trans inclusivity is trans/gender diverse staff)

    • How to maintain accurate and affirming client data in electronic health systems

    Direct one-on-one support offered here on:

    • Editing & restructuring your intake forms

    • Comprehensive review & recommendations for website or online presence (Psychology Today, e.g.)

    • Strategizing on how to maintain client data in electronic health systems

    • Taking an inclusive comprehensive health/mental health history

    • What it means to have an LGBTQIA+ trauma-informed approach

    • Consent talk by Radiance Romesberg

    • How to avoid trans broken arm syndrome (and other biases)

    Direct one-on-one support offered here in the form of:

    • Mock client interviews (recorded or non-recorded) with individualized feedback on how you’re coming across

    • Review of nonmedical gender affirmation & common challenges for adults

    • Complete guide to name & gender marker changes (with resources to provide directly to your clients and/or on your website)

    • Introduction to hormone treatment for trans folks

    • Testosterone-based regimens: risks, benefits, common side effects, and expected effects

    • Estrogen and progesterone-based regimens: risks, benefits, common side effects, and expected effects

    • Psychiatric effects of hormone therapy, and how to talk about this with clients

    • For prescribing providers: Deeper dive into HRT - monitoring parameters, typical dosing ranges, drug-drug interactions

    • Comprehensive review of more than 25 gender-affirming surgical procedures

    • Common risks, benefits, outcomes of gender-affirming surgeries

    • Typical processes involved to obtain insurance authorization for surgery

    • Review of nonsurgical (or less invasive medical) interventions for gender affirmation

    • Review WPATH Soc 8 criteria for writing behavioral health letters for gender-affirming surgery

    Resources provided:

    • Behavioral health letter templates for multiple gender-affirming surgeries

    • Multiple patient care documents, informed consents, and information about specific procedures & insurance requirements

    • Supporting trans/gender diverse clients in navigating family relationships

    • How to support gender-expansive youth and their parents/families

    • Special considerations & nuances in working with gender diverse adolescents

    • The science and practice of gender-affirming healthcare for adolescents

    • Discuss prevalence of neurodivergent-identified clients within trans/gender diverse community

    • Discuss what a neurodiversity-affirming paradigm of care means, particularly with autistic clients

    • Special guest lecturer who is an expert clinician and educator on neurodiversity-affirming care paradigms

    • Discuss prevalence of many under-recognized and underdiagnosed medical conditions in the trans/gender diverse population

    • Emphasize history of medical gaslighting in clients’ medical experiences and how to take a medical trauma-informed approach

      Review of the following medical conditions, as well as assessment paradigms, treatment protocols, & how to refer clients to appropriate care:

    • POTS/dysautonomia spectrum conditions

    • Mast Cell Activation Syndrome

    • Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)

    • Ehler’s Danlos Syndrome

    • Fibromyalgia

    • Discuss allyship & activism: how to get involved on a larger scale

    • Media literacy & training - how to spot subtly anti-trans media & best practices for engaging with the media

    • How to communicate your skills and knowledge with other professionals, network effectively, and help the field become more trans-affirming

    • Upon program completion, receive a certificate and unique code to embed on your website, detailing the extensiveness of this program, increasing your credibility to potential clients & colleagues

  • Twice-monthly group Q&A calls with Jess Romeo and other group members. Intentionally-created safe space to:

    • Ask clinical/case questions

    • Practice use of new terminology

    • Learn with (and from) like-minded others

    • Build a network of providers on the same journey as you

    Community discussion forum to:

    • Ask clinical/case questions

    • Connect with colleagues

    • Discuss course content

    • Share your wins & experiences

    Direct Support & Feedback on:

    • Marketing/online presence

    • Structuring intake and all client-facing forms for trans-inclusivity

    • Maintaining client demographic data for inclusivity & accuracy

    • How you may come across in clinical scenarios: mock interviews with course administrators who are experts in working with the trans/gender diverse community

    Resources

    • Access to all templates I use in my trans-affirming psychiatric practice

    • Treatment protocols discussed in above sections

    • Gender-affirming surgery letter templates

    • Complete guide to name/gender marker change

    • Several handouts/references on terminology, what to say/what not to say

    • Books & online sources used in building content for this program

    • PDFs of all slide presentations

    Networking & Outreach

    • Trans-Affirming Provider Resource List: get your practice listed on a coveted resource list of trans-affirming providers

    • Coaching & support on how to network with existing specialists in the LGBTQIA+ community so they can learn that you exist!