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In response to the dearth of family therapy literature addressing transgender issues, this article discusses treatment and ethical considerations in serving transgender children and youth and their families. Historical perspectives, basic language and concepts regarding transgender, and the developmental stages of transgender children are addressed as well as how contemporary research and treatment guidelines interact with ethics. Therapist competencies for working with transgender youth and families, components of supportive therapy, and ethical issues surrounding various gender transition treatments are discussed. Suggestions for therapists to identify and make decisions about common ethical dilemmas when working with this population are examined.
Bernal et al. (Mon,) studied this question.