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“I don't want to hurt myself — I want to kill myself.” Alex [not his real name] was an 18‐year‐old trans male I met during his first psychiatric inpatient admission. Alex was raised in a “holler” in West Virginia. While his peers were navigating the stresses of emerging adulthood, Alex carried the additional burden of experiencing gender dysphoria, a deep sense of incongruence between the biological sex he was assigned at birth (female) and his gender identity (male). Though well‐intentioned, his parents made it clear that his desire to be male was sinful and would not be tolerated in their family. He felt hopeless — “repulsive” even. Alex decided he could suppress his female identity interminably, risk coming out and being rejected by his family and community, or end his life...
University training clinics offer state-of-the-art treatment opportunities for clients, particularly for underserved and underinsured client populations. Little has been published regarding the implementation of Dialectical Behavior Therapy (DBT) in settings such as a university training clinic, which may face challenges in utilizing such a comprehensive treatment. This single-case study describes...
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