Arlene Istar Lev presents an in-depth overview of the therapeutic issues impacting lesbian, gay, bisexual, and transgender people and their families. She outlines definitions and language within the context of cultural communities, the process of identity development, and the role of discrimination and bias in the psychological experience of LGBTQ people.
She focuses on gay men and lesbians as individuals and couples. This includes discussing issues involving youth who are first coming out, couple development, and family-building. Additionally, she describes specific concerns of transgender and gender non-conforming clients and their families.
Arlene also discusses the role of psychotherapists in evaluating transgender clients for medical treatment, couple and family issues when a spouse comes out, and issues in treating gender nonconforming children and youth., and a review of the new DSM-5 and Standards of Care developed by the World Professional Association for Transgender Health.