Author(s) :

Austin Tonderai Nyakurerwa.

Volume/Issue :

Abstract :

This report gives a narrative of Takesure Mariga’s (pseudonym) case on gender identity. The therapist used the Clinical Interview, the Patient Health Questionnaire (PHQ-9) and the Gender Identity/ Gender Dysphoria Questionnaire for Adolescents and Adults (Male to Female Version) to assess the client’s problem. The client’s score on the Gender Identity/ Gender Dysphoria Questionnaire was low and indicative of extreme gender dysphoria. The therapist based this case on the self-concept theory because dysphoria profoundly affects the self-concept of individuals grappling with gender identity issues. The goals of therapy were to help the client to reduce dysphoric feelings and improve his psychological well-being, help him to accept his gender identity, and also to develop skills to cope with gender dysphoria. The therapist used the Cognitive Behavioural Therapy, Narrative Therapy and the Solution Focused Brief Therapy considering several techniques from the three counselling approaches. The psychologist used psychoeducation, systemic therapy and homework as short term interventions and goal setting and gender affirmation as the long term interventions.

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