(HS Sherman 059362 2023) Body Image, Disordered Eating, and Gender Identity: Integrative Strategies to Help Clients Navigate

Course overview

I used to think of gender dysphoria as a wall that I could not get around when working with clients with disordered eating. A restrictive client would tell me, "I can't gain weight or my gender dysphoria will get really bad." I would nod because I had experienced that in my own life, and I did not know how to move forward. Disordered eating is an epidemic in the LGBTQ community, with up to 75% diagnosed or suspected of having (age 13-24) were diagnosed/suspected of having an eating disorder (Trevor Project, 2018). Clients may say, "I want to stop binge eating, but in a smaller body, I get misgendered" or "All the laws are changing. If I'm not thin enough to pass as a woman, I will be beat up or killed as I walk down the street." As clinicians, we don't know what to say, because we are afraid that it's true. Changing body size or shape through food and exercise may be a way of shaping the body so that it feels more congruent to the client's internal mirror. But sometimes this process of crafting the body gets in the way of life. Clients might fixate on food, obsess about exercise, fear small body changes, or avoid social situations due to body image concerns. Sometimes gender dysphoria can be seen as a hopeless diagnosis. Instead, let's empower clients to see gender dysphoria as a powerful coping mechanism! This strong coping mechanism is developed through trauma and lived experience. It shows us who we are, how to safely show up in social situations, and how to present authentically to the world. When utilized effectively, this coping skill can help people beat disordered eating and navigate life in their bodies. This practical training is loaded with conceptual frameworks, practical exercises, and conversation topics that you can use immediately with gender-expansive clients