Bellamy
Linnehan
Transgender and gender-diverse individuals experience disproportionately high rates of disordered eating and eating disorders, often shaped by intersecting experiences of gender dysphoria, minority stress, body surveillance, and limited access to affirming care. While much of the clinical literature has centered on alleviating dysphoria, emerging research and community-informed practice highlight the protective and therapeutic role of gender euphoria—the felt sense of affirmation, comfort, and joy in one’s gendered experience.
This workshop explores how gender euphoria can function as both a buffer against disordered eating behaviors and, at times, a complicating factor when attempts to modify the body intersect with restriction, over-exercise, or compensatory behaviors. Presenters will examine how disordered eating may develop or intensify in pursuit of gender affirmation, particularly when desired physical changes are constrained by biological, financial, medical, or sensory limitations.
Special attention will be given to clinical work with neurodivergent trans and gender-diverse clients, for whom common affirming practices (e.g., binders, tucking, long hair, certain clothing textures) may introduce sensory distress rather than relief. The workshop will also address self-of-the-therapist considerations, including clinicians’ emotional responses to persistent dysphoria, perceived loss of functioning related to hormonal or surgical interventions, and the ethical tension between affirmation and harm reduction.
Through case examples, clinical frameworks, and evidence-based discussion, participants will leave with practical strategies to support embodied care that promotes gender euphoria without reinforcing disordered eating patterns—while sustaining therapist attunement, humility, and resilience.
Potential References will include:
Austin, A., & Craig, S. L. (2015). Transgender affirmative cognitive behavioral therapy: Clinical considerations and applications. Professional Psychology: Research and Practice, 46(1), 21–29.
Brewster, M. E., Velez, B. L., Esposito, J., Wong, S., & Geiger, E. (2019). Transgender individuals’ body image: The roles of gender identity, minority stress, and self-objectification. Psychology of Sexual Orientation and Gender Diversity, 6(4), 471–482.
Diemer, E. W., Grant, J. D., Munn-Chernoff, M. A., Patterson, D. A., & Duncan, A. E. (2015). Gender identity, sexual orientation, and eating-related pathology in a national sample of college students. Journal of Adolescent Health, 57(2), 144–149.
Jones, B. A., Bouman, W. P., Haycraft, E., & Arcelus, J. (2016). Disordered eating and body dissatisfaction in transgender and gender-nonconforming individuals: A systematic review. International Review of Psychiatry, 28(1), 81–94.
Interest Tags: Advocacy, Counselors/Therapists, Gender Affirming, Medical Professionals