ABSTRACT
This chapter explores the positionality and accountability of therapists who engage in couple therapy with transgender and gender nonbinary partners. Therapists are first invited to consider their own identities and assumptions, as this reflection prepares for gender-inclusive couple therapy. The importance of maintaining an intersectional lens and the recognition of colonizing historical practices challenge the reader to consider a radical gender revisioning of couple therapy. Primary concerns of therapy with a cisgender partner and concerns with transgender partners are addressed. Case vignettes offer varying scenarios to help the reader identify personal responses, clinical concerns, and consider approaches to inclusive and supportive therapy with transgender and nonbinary relationships.
