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Dialectical behaviour therapy (DBT) for high‐risk transgender and gender diverse (TGD) youth: A qualitative study of youth and mental health providers' perspectives on intervention relevance.

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Title: Dialectical behaviour therapy (DBT) for high‐risk transgender and gender diverse (TGD) youth: A qualitative study of youth and mental health providers' perspectives on intervention relevance.
Authors: Tilley, Jacqueline L., Molina, Lucero, Luo, Xiaochen, Natarajan, Aaradhana, Casolaro, Leslye, Gonzalez, Adam, Mahaffey, Brittain
Source: Psychology & Psychotherapy: Theory, Research & Practice. Dec2022, Vol. 95 Issue 4, p1056-1070. 15p.
Subjects: Focus groups, Interviewing, Gender dysphoria, Qualitative research, Suicidal ideation, Gender identity, Treatment effectiveness, Dialectical behavior therapy, Psychosocial factors, Mental depression, Descriptive statistics, Judgment sampling, Thematic analysis, Content analysis, Transgender people, Mental health services, Self-mutilation, Health self-care
Abstract: Objectives: Despite the significant mental health challenges and unique treatment needs of transgender and gender diverse (TGD) youth, research on the acceptability of evidence‐based treatments for these youth is limited. To address this gap, the current study explored the perceived relevance of dialectical behaviour therapy (DBT) for high‐risk TGD youth. Methods: Qualitative data were collected from six focus group discussions with a purposive sample of 21 TGD youth aged 18–25 years old who endorsed a history of depression, suicidality or self‐harm and individual interviews with 10 mental health treatment providers with prior DBT and TGD client experience. The data were analysed inductively using thematic content analysis. Results: The results highlighted the perceived relevance of DBT in targeting chronic and acute stressors, some of which are unique to TGD youth such as issues related to gender dysphoria, hormone‐related treatment and gender identity. Possible areas for treatment modifications including the adaptation of body awareness exercises and physiological‐related coping techniques for youth experiencing gender dysphoria, and the reinforcement of self‐care skills, were identified. While interpersonal effectiveness skills were acknowledged as important, treatment providers highlighted a need to prioritize safety over the practice of these skills. This is because TGD youth often experience more hostile and prejudiced interpersonal experiences than their cisgender peers. Conclusion: The study's findings shed light on previously unexplored perspectives of TGD youth and treatment providers on the perceived relevance of DBT and provide treatment providers and implementation researchers with some critical issues to consider when working with high‐risk TGD youth. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Dialectical behaviour therapy (DBT) for high‐risk transgender and gender diverse (TGD) youth: A qualitative study of youth and mental health providers' perspectives on intervention relevance.
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  Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Psychotherapy%3A+Theory%2C+Research+%26+Practice%22">Psychology & Psychotherapy: Theory, Research & Practice</searchLink>. Dec2022, Vol. 95 Issue 4, p1056-1070. 15p.
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  Label: Abstract
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  Data: Objectives: Despite the significant mental health challenges and unique treatment needs of transgender and gender diverse (TGD) youth, research on the acceptability of evidence‐based treatments for these youth is limited. To address this gap, the current study explored the perceived relevance of dialectical behaviour therapy (DBT) for high‐risk TGD youth. Methods: Qualitative data were collected from six focus group discussions with a purposive sample of 21 TGD youth aged 18–25 years old who endorsed a history of depression, suicidality or self‐harm and individual interviews with 10 mental health treatment providers with prior DBT and TGD client experience. The data were analysed inductively using thematic content analysis. Results: The results highlighted the perceived relevance of DBT in targeting chronic and acute stressors, some of which are unique to TGD youth such as issues related to gender dysphoria, hormone‐related treatment and gender identity. Possible areas for treatment modifications including the adaptation of body awareness exercises and physiological‐related coping techniques for youth experiencing gender dysphoria, and the reinforcement of self‐care skills, were identified. While interpersonal effectiveness skills were acknowledged as important, treatment providers highlighted a need to prioritize safety over the practice of these skills. This is because TGD youth often experience more hostile and prejudiced interpersonal experiences than their cisgender peers. Conclusion: The study's findings shed light on previously unexplored perspectives of TGD youth and treatment providers on the perceived relevance of DBT and provide treatment providers and implementation researchers with some critical issues to consider when working with high‐risk TGD youth. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/papt.12418
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      – Code: eng
        Text: English
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        PageCount: 15
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      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Gender dysphoria
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Suicidal ideation
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      – SubjectFull: Gender identity
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Dialectical behavior therapy
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      – SubjectFull: Mental depression
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      – SubjectFull: Content analysis
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      – SubjectFull: Transgender people
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              Text: Dec2022
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              Y: 2022
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