We are all aware that gender diversity is a sensitive subject in society today. For many, our discomfort comes from our misunderstanding of the terminology we hear used. Today’s show begins to scratch the surface in helping people understand transgender, gender queer, and gender diverse people, especially in the perinatal period. We are discussing pronoun use, the stress and anxiety transgender people encounter, and the cultural stressors from even their healthcare providers.
Abbie Rolf is a Master’s level graduate student in Clinical Mental Health Counseling. They are a behavioral health student intern at Metro Inclusive Health in St. Petersburg, FL. Abbie is a member of WPATH, ALGBTIC, and is actively working toward becoming a gender specialist. Abbie’s intersectional identities include being queer. This and other minority identities inform the lens through which they practice. Abbie is sex-positive and kink-aware. Abbie’s areas of interest include gender-inclusive perinatal mental health, grief/loss, trauma, and consensual non-monogamy.
Show Highlights:
Think of “transgender” as an inclusive term to include anyone who lives in a way that their gender is incongruent with their sex assigned at birth Under the umbrella of transgender are binary gender, gender queer, non-binary, and agender---”ways pepole can self-identify their nuanced gender experience” Don’t assume a person’s pronoun based on the way they present The best way to find out someone’s pronouns is to introduce yourself and your pronouns and ask how they want to be addressed To be known authentically, it’s important to use the right language to identify ourselves and others Part of bringing awareness to gender issues is to adknowledge that there can be no assumptions based on the way a person presents How to learn more about appropriate pronouns (see the link in Resources) The language we use in the perinatal period: “maternal” and “maternity,” which focus on womanhood and femininity The fundamentals based on research and common knowledge: transgender people have higher rates for anxiety and depression (30-50%) and suicide (40%) Because there is not enough research about transgender people in the perinatal period, we don’t have clear statistics Gender dysphoria, which some transgender people experience, is persistent discomfort with the sex assigned at birth, sex roles, and the gender that’s perceived vs. their experienced gender How hormones and hormone therapy can affect mood, and the potential for mental health conditions Why it’s essential to have support in place when beginning or discontinuing hormone therapy, because everyone has unique experiences Negative experiences with healthcare and insurance companies, when identities are disrespected The value of a supportive medical worker or birth attendant Ways transgender people can accomplish pregnancy with or without fertility treatments Issues with documents and insurance coverage with legal names and legal gender markers How parents are designated on a child’s birth certificate and other options besides “mother” and “father” The microaggressions in misnaming and misgendering people How transgender people are affected by the constant state of being unseen and unvalidated Unseen stressors in the mental health system and how awareness of gender bias in the postpartum may be a manifestation of gender dysphoria
Resources:
Abbie’s Professional Facebook Page:
https://www.facebook.com/Abbie-Rolf-BA-Graduate-Student-Mental-Health-Counseling-INtern-224253768482880/
Transgender Perinatal Mental Health for Professionals (closed Facebook group)
https://www.facebook.com/groups/TransgenderPerinatalMHForProfessionals/
www.PracticeWithPronouns.com
National Transgender Discrimination Survey:
https://transequality.org/issues/national-transgender-discrimination-survey
Pronoun Options:
http://www.transstudent.org/pronounsgraphic.jpg
Gender Identities Overview:
https://www.genderspectrum.org/the-language-of-gender/
For Birthing People and Professionals:
Facebook Group: Birthing and Breast or Chestfeeding Trans People and Allies:
https://www.facebook.com/groups/TransReproductiveSupport/
Queer Birth Project:
https://www.facebook.com/QueerBirthProject/
The Feminist Midwife
https://www.facebook.com/FeministMidwife/
341: Behind the Sessions: Becoming a Parent When You Had Difficult Parents
340: Perinatal Intensive Outpatient Program (IOP) with Roxanne Rosenberg, LCMHC, PMH-C
339: Perinatal Health Anxiety with Michelle Flynn, MA, MIACP
338: Behind The Sessions: Returning to Work After a Perinatal Mental Health Condition with Dr. Kat
337: Evidence Based Birth®️ with Dr. Rebecca Dekker
336: In Conversation with Alanis Morissette and Postpartum Support International
335: Behind The Sessions: Communication Challenges After Baby Comes Home with Dr. Kat
334: A Therapist’s Postpartum OCD and How Shame Prevents Seeking Help with Ellen Chance, Ph.D.
333: Understanding Why You Feel Rage with Bianca Sprague
332: Behind The Sessions: Emotional Impacts of Infertility and Treatments
331: A Mom's Journey Through Neurodivergence and Perinatal Mental Health
330: How a Mom Can Stop "Doing It All" with Dr. Whitney Casares, MD
329: Behind The Sessions: The Healing Journey: Understanding the Ups and Downs
328: Autism and ADHD Diagnoses in Motherhood with Dr. Kiley Hanish, OTD, OTR/L, PMH-C
327: Mothering Without a Mother with Dr. Olivia Wedel, LPC, NCC, PMH-C
326: Behind The Sessions: Why Are We So Hard On Ourselves?
325: A Free Birth After Birth Trauma with Alexa Ericson
324: Postpartum Psychosis: A Couple’s Experience with Dr. Rowena and Derek Winkler
323: Behind The Sessions: Feeling Loss in the Transition to Parenthood
322: From Business Owner to Survivor: Overcoming Postpartum Depression with Emma Hopkins
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