ABSTRACT
“Coming out” typically refers to the process of disclosing any sexuality other than heterosexual or gender identity other than cisgender. Trans and/or nonbinary (TNB) people navigate a variety of coming out experiences throughout their lifetimes, including choosing not to come out or coming out selectively. Coming out processes are highly dependent on the historical, social, cultural, and political contexts of the client and their communities, and occur in a variety of relationships. Each of these settings creates a unique set of circumstances in which to consider the impacts of systemic oppression and dominant narratives, including narratives which state that disclosing is always necessary and desirable. This chapter provides a brief literature review covering the historical context and social constructionism of coming out, along with types and processes of coming out. Best practices for both cisgender and TNB clinicians are then given within the themes of doing your own personal work related to coming out and gender, developing a strong and affirming therapeutic relationship with your client, and supporting a unique and authentic process for each client. A self-reflection activity is offered at the end to encourage clinicians to explore how their identities, beliefs, values, and biases influence their work in supporting their clients in their coming out processes.
