Psychology

Health care experiences of transgender binary and nonbinary university students

Document Type

Article

Abstract

An increasing number of young adults identify with nonbinary gender identities. Yet health providers and therapists often lack understanding of such identities. In this mixed-methods study of 506 transgender undergraduate and graduate students, most of whom (75%) had nonbinary gender identities, we aimed to understand participants’ mental health and health care experiences, and factors related to misgendering and less affirming treatment by providers. Eighty-five percent of participants reported mental health challenges, and named fear of violence and nonsupport as distal stressors. Experiences with therapists and health providers were mixed. Salient features of negative interactions were invalidation, avoidance, or overemphasis in regard to participants’ nonbinary identities. Participants viewed counseling services as more affirming than health services. Nonbinary students reported more misgendering by therapists and health providers, and less trans-affirming care by health service providers, compared to binary students. Undergraduate students reported more misgendering by therapists and health providers than graduate students.

Publication Title

Counseling Psychologist

Publication Date

2019

Volume

47

Issue

1

First Page

59

Last Page

97

ISSN

0011-0000

DOI

10.1177/0011000019827568

Keywords

health care providers, misgendering, nonbinary, therapists, trans

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