A 2023 Choice Reviews Outstanding Academic Title Transgender and gender-expansive people are increasingly becoming the focus of media, politics, and of public conversation. With this increased attention comes greater visibility and counselors are now, more than ever, likely to clinically engage with openly transgender or gender-expansive clients during their careers. This is in spite of the fact that many counselors have not received specific training in skills, knowledge, and awareness necessary to provide affirming, informed care for these populations. In this book, the authors provide practical, real-life suggestions and interventions to help therapists, supervisors, and trainees increase in their competence and confidence in working with transgender and gender-expansive clients. The resources provided here are informed by evidence-based practice, scholarship on intersectionality, and by social justice and advocacy movements. This book is a useful supplement to clinical work with transgender and gender-expansive people, especially for the many clinicians who work in regions with limited transgender-specific resources. “This book is an essential reference for counselors, therapists, educators, and human services staff. As the authors point out, "gender-expansive" clients typically have faced traumatizing rejections, betrayal, disenfranchisement, and violence. They need an affirmative counseling environment. Understanding the foundations of their experience, gender terminology and identities, pronouns and pitfalls (e.g., so-called deadnaming) is critical. Counselors need to explore and understand the assumptions, biases, theoretical knowledge, and values surrounding gender-expansive clients and issues. Building a therapeutic relationship requires understanding how gender identity intersects with life span development, geographic location, privilege, race, ethnicity, disability, sexual orientation, the intersectional self, and socioeconomic realities. Counselors need to provide affirming professional interactions. One consequence of geographic location is that clients may confront safety, transportation, or service fee issues, and may find teletherapy more practical. Building a trusting relationship is vital, as are goodness-of-fit of assessment and diagnostic frameworks. Common pitfalls include ignoring gender-expansive identities and interactions, deadnaming, and homogenizing the population. Positive ethics, legal issues, and practice concerns require consideration, as well as attention to transitions and providing an affirming environment. This is an excellent book that includes poignant vignettes, powerful examples, thoughtful "reflection questions," references, and suggested readings. Practical recommendations are also described. The "Binary and Me" exercises and "Pitfalls" sections are especially useful. Highly recommended. All readers.” ― Choice Reviews “In these times when the gender affirmative model is ascending and the gender-expansive world will be a better one for it, Knutson, Goldbach, and Koch offer the invaluable gift of a GPS to guide us in the care and support of transgender and gender-expansive people of all ages. A must-read for anyone who wants to learn or expand their knowledge about the concepts, theory, context, practice and resources that will ensure effective therapeutic practice for transgender and gender-expansive people of all ages.” ―Diane Ehrensaft, author of The Gender Creative Child and director of Mental Health, Child and Adolescent Gender Center, Benioff Children's Hospital, University of California, San Francisco “Counseling in a Gender-Expansive World is an excellent in-depth look at the world of gender outside of the binary. The authors help readers understand their own concepts of gender with reflection questions for class discussions and to help students understand their own perceptions of gender, gender identity, etc. The authors challenge students to grow in their understanding of gender in our society. This book will be a helpful tool for furthering the development of mental health professionals in understanding affirmative practices for all gender identities.” ―Beck A. Munsey, Tarleton State University, Fort Worth “This book offers both students and clinicians an overview of gender expansive people, their identity development over the lifespan, and how clinicians and mental health professionals can benefit from adopting affirmative counseling with LGBTQIA+ clients.” ―Mari Alschuler, Youngstown State University “This is a timely, comprehensive textbook for learners in the health professions seeking to understand gender-expansive identities and issues of providing affirming, competent care. It is nuanced in its discussion of intersectionality, social justice, oppression, and privilege. This is a great resource for educators, learners, and professionals, especially those new to providing gender-expansive care.” ―Lara Stepleman, Augusta University “Counseling