My teen came out as trans...now what? by Anna Eastman, LMSW

My husband and I received an email from our youngest child on a fall Friday afternoon. We didn’t communicate by email unless we were peppering her with questions about missing assignments. Hence the pit already in my stomach as I read, “I’m transgender. I don’t need to transition right now, but I do need to see a therapist as soon as possible” and “I’m sorry I had to tell you this in an email, but I love you very much.”

Maybe the news came to you in an email, a text, a handwritten note, an awkward, nervous conversation or an emphatic pronouncement. We’ve all heard about the young children who express from an early age that they are, contrary to what we as parents have understood thus far, a boy or a girl. Less often do we hear the stories of teens and young adults coming to their families with this news. Kids who really hadn’t given any signal that they might be grappling with their gender identity. I know I was overwhelmed - even as a person who had been an ally and advocate for the LGBTQ community for years. 

By the time our child got home from school that day, I had already contacted my therapist and another therapist friend who happened to have expertise working with trans kids and their families. We both had appointments the following week. I had book recommendations, trans friends to reach out to, and we had a community with an abundance of resources - but I was still flooded with feelings I did not expect. After telling my child I loved her first and foremost, I checked in to make sure she was ok, not at risk of self harm, and then held her, letting her weight sink into me. 

Thus began the process of our child figuring out how to live on the outside as the person she knew she was on the inside. We were an informed, openminded family - or so we thought. While our daughter had our family’s love and support from the get go, we had to relearn many of the basic assumptions and biases about gender we didn’t even know we’d lived with for so long. Our child had access to support through therapy; a safe, social gathering space with other trans kids; and sound, age-appropriate medical advice, but we needed support, too! 

As with many things, my husband and I received the news differently. It was not easy to find therapists for us that had a good understanding of what it meant to be trans, something critical for us to be able to clarify our feelings and support our child. Parents and family need spaces to ask questions about gender identity, pronouns, social and medical transition and process any overwhelm or fear you may be feeling separate and apart from your child- so you can be present for and with them to live joyfully as their true selves.

Transitioning has always been a profound and largely misunderstood process - but can be trickier - even treacherous - in today’s world. The trans community is under constant political assault in state legislature in Texas, and across the country. It is critical to note that while the recent implementation of SB 14 in Texas prohibits gender affirming medical care, it does not prohibit gender-affirming mental health care and treatment. Public funding, including Medicaid, CHIP, and Medical Assistance Program can still cover gender-affirming mental health care costs, nor does it penalize social workers who help transgender children and their families access gender-affirming medical care out-of-state.*

Every parent has a list of hopes and dreams for their child. Being trans might not have been on that list, but trans people who are loved and accepted by their families live joyful, productive lives. If you are on this journey with your child and find yourself needing support from an affirming therapist, please email me at anna@autumncounseling. I welcome you to call today.

*Sexual Orientation, Gender Identity, and Expression (SOGIE)- Affirming Social Work:BEST PRACTICE – ETHICAL PRACTICE September 2023

Considering Couples Therapy?

By Brittany Burch, LCSW-S , LCDC, CGP - Certified Emotionally Focused Couples Therapist

The decision to start couples therapy is a big one, and it brings up questions like:

·      “Does this mean my relationship is doomed?” or

·      “Are my partner and the therapist going to gang up on me?” and

·      “Am I just going to pay someone to watch us fight? I can do that at home, free of charge!”

True, you can! But it’s not really free, it’s costing you and your partner your emotional and mental wellbeing, and possibly your relationship!

When I get started with a new couple I typically tell them that my goal is to work myself out of a job – the job of being your relationship therapist. I want you out of my office and back into your life feeling revitalized, motivated, with identifiable action items and a stronger sense of hope. But before that can happen, we have work to do.

Getting started with a couples therapist is an important decision to make, and I want to share some key pointers to help in your decision-making process. These ideas are a blend of my own, drawn from my work with countless couples, my training as a certified Emotionally Focused Therapy couples therapist, and the writings of Ellyn Bader, PhD, co-founder of the Couples Institute in California.

Some things to reflect on before your first session:

·      Almost every couple coming into therapy mentions “communication problems.” If this applies to you, what does this mean for you, specifically?

·      If asked, could you name what your partner’s primary complaint/s are about you? Surely you know your frustrations with them, but can you summarize their frustrations?

·      Of course your partner needs to make some changes, but because you’re human, I’m guessing you do too. Can you summarize those as well?

Reflecting on these questions before arriving for your first session can help us get started right away. After all, time, money and your relationship are precious, so let’s get started!

Some thoughts about my approach to working with couples:

·      I see my primary role is to create an environment that supports you saying what you need to say in a way your partner can hear, and to help you really hear what your partner has been trying to tell you.

·      I help you track the cycle of conflict that erupts when the two of you aren’t understanding each other and communication is breaking down.

·      I work with each of you to create new approaches to old problems and see if you can find a new way to “dance” and stop stepping on each other’s toes.

Your job is to create your own individual objectives for being in therapy. Like a good coach, my job is to help you reach them. I have many tools to help you become a more effective partner – they work best when you are clear about how you aspire to be.

Goals and Objectives of Couples Therapy

The overarching goal of therapy is increasing your knowledge about yourself, your partner and the patterns of interaction between you. Therapy becomes effective as you apply new knowledge to break ineffective patterns and develop better ones. Can you identify 2-3 goals you would like to address in therapy?

I often ask. my couples, “If in 3-6 months, your relationship was better (note: not perfect, but definitely better), how would you know? What would be different?”

The Big Picture

Most couples come in to therapy hoping to communicate how much their partner needs to change. Here’s the bad news: the key tasks of couples therapy are increasing your clarity about:

·      The kind of life you want to build together

·      The kind of partner you aspire to be in order to build the kind of life and relationship you want to create

·      Your individual blocks to becoming the kind of partner you aspire to be

·      The skills and knowledge necessary to do the above tasks

The Challenge:

Going through the challenges of life can be really hard. Managing life and maintaining a relationship – much less a healthy, thriving relationship – seems all but impossible to many couples.  And doing more of what you’re already doing seems to just be making it worse. How do you shift from repeating the old patterns to finding new ways to communicate, understand each other, and really connect again?

I sometimes describe relationships like a rock tumbler. What goes in might be a hidden gem hiding within a hard, crusty surface, and relationships rub against our protective coating. Healthy relationships bring out a better version of ourselves – hopefully a shinier, brighter, gorgeous stone. But the polishing hurts, pushes our buttons and brings out the worst in us. Notice that key word? Healthy. I didn’t say EASY. Our work together isn’t easy, your relationship won’t become easy. But it can become healthier.

If you’re ready to take the next step, take a look at the Contact Us page on this website. We’ll set up a free 15-minute consultation call to hear more about what you want to address in our sessions. Talk to you soon! 

Special thanks to The Couples Institute for contributions to this blog. © 2009 - 2020 Copyright The Couples Institute

Interview with ZynneMe

Hello!

I was a guest on the Starting a Counseling Practice podcast with Kelly + Miranda of zynnyme, and the episode is now live! This podcast features inspirational stories like mine, and advice for building and growing a private practice. You can listen to my recent episode at https://www.zynnyme.com/blog/success-story-brittany-b.

If you’d like to share the episode with your friends, family, or colleagues, that would be great! Thanks for listening!

Brittany

They give me hope.

The first time I sought the counsel of a therapist was after my first heartbreak in college. I knew back then that I wanted to be a therapist, but that I had to understand myself before I could begin to understand how to help others. With the support of my counselor's compassion, life experience and encouragement, she assured me that my broken heart would mend, that I could do more to take care of myself, and that eventually life would feel good again.

What I wasn’t sure of the first time I sat on her couch was if she was right. As I shared my grief, and felt her kindness, I gave her the benefit of the doubt and hoped. I hoped that one day I would be able to turn my suffering into something useful that could help others.  I didn’t want to suffer just because “life is suffering.” That wasn’t good enough. I knew I was here to help others, I just needed to learn how to help myself first.

Once I got through the consuming ache of my sorrow, I started interviewing her about how she got to sit in that chair – the therapist’s chair. From that point on I dedicated myself to learning all I could about the human experience, about relationships, trauma, healing, and about myself.

Now, every day that I sit in the therapist’s chair, I am so grateful for the journey that has gotten me to a place where I can help hold someone else’s sorrow, grief, fear, or bewilderment, and help them make meaning out of it. There is a lot of suffering in this life, but there is also a lot of joy, a lot of beautiful days, a lot of love to share with friends and family. There is not a single thing I would rather do than help others reconnect with themselves, with their loved ones, and with a life that includes not only suffering, but much more beauty and joy.

One of the things I do every Monday is buy a bouquet of flowers for my office (it’s a self-care ritual). All week long they bring me joy and remind me of the abundant beauty in life. One afternoon I had a client on my couch, deep in his suffering. He looked up, glanced at the gorgeous bouquet of colorful roses, and said, “Those are beautiful. They give me hope.”

 

What to expect in your first therapy appointment

by Brittany Burch, LCSW-S, LCDC

In our first session, I'll orient you to my approach to therapy and I'll answer any questions you might have. We'll review why you are seeking counseling services at this time in your life and identify how you would like to see your life in 6 months. I always say 6 months - some changes happen quickly, some take more time, I cannot predict. But if your life felt better in 6 months what would it look like? Feel like? How would you know? Like any trip you're starting out on, you want to know what direction you're headed, and how you'll know when you get there, or at least closer to your destination.

Next we'll make sure I'm the best therapist to help you with your goals. I have a lot of experience helping people with a lot of different struggles: depression, anxiety, relationship challenges, traumas, addictions. And experience helping clients adjusting to the good changes: welcoming a new baby to the family, preparing for a marriage, moving in with your sweetheart, starting a new job. Even the good stuff that we plan for can be challenging! And if I'm not confident that I'm the best therapist to help you, I'll refer you to someone who I think has the skills and experience you need. The therapist/client relationship is like any relationship - it has to be a good fit and work well for both parties. 

Our session will be 45-50 minutes long, typically. Down the road, if you want to schedule a 75 minute session, we can plan that ahead of time. Therapy is hard and rewarding work so we'll use that time to lay a good foundation for the sessions ahead. I prefer to see my clients weekly at first, to get some traction and momentum. When you're able to use the skills we practice in my office in your daily life, we'll transition to twice monthly, then monthly, then if needed, periodic check ups. I often joke that my job is to work myself out of a job - I want you back in your life feeling better, more confident and living a life you've worked hard to live.

Last, we'll set up your next appointment and you'll pay for the session - my practice is pay-as-you-go so that you're in your budget and I am focused on services, not accounting. I provide receipts if you're submitting them to insurance companies for out-of-network providers. Then I'll wish you a good week and will look forward to seeing you next time!