Presentation describing cognitive behavioural approach to coaching. The talk at the Clinical Meetings in Human Sexuality, April 15, 2010, The Porterbrook Clinic, NHS Sheffield Health and Social Care, UK.

6. What is Gender Transition (GT)

8. How can we help?

13. 4 Stage Model of Transition (ADAM) AFFIRMATION Identify sustainable gender role Identify supportive environment DISCLOSURE Develop coping strategies Assist with disclosure Develop/implement transition plan MAINTENANCE ADJUSTMENT Career coaching Sexuality, relationships Passing, social adaptation Ageing as transsexual Lifelong health, employment, relationship coaching Post-transition disclosure

14. Structure of the Course Week Participants Activity Details 1 Introduction, problem identification and course plan 2 Individual goals, keeping journal, goal implementation by planning actions. 3 Exploring alternatives, options and consequences (motivation imagery and restating the chosen goal) 4 Core beliefs and values exercise. Relevance for self esteem and self efficacy in relation to the chosen goal. 5 Listening skills and questioning (role playing with emphasis on positive experience - practice for real life situations). Revision of goal implementation by reflecting on progress with individual action plans. 6 Evaluation of individual progress: How to focus and what distracts you. Addressing the fear of not passing. 7 Conflict management. Evaluation and revision of goal setting scale. 8 Discussion on the individual progress of the participants and on future actions related to the chosen goal. 9 Course evaluation and social event.

17. Goal Setting Scale Not achieved at all Fully achieved

18. P1: To come out to a friend/boss (S1,2)

19. P2: To create “coming out” information pack for relatives (S2)

20. P3: To be less anxious about interacting with other people. To improve my female appearance (S3)

21. Evaluation 0-Not at all 7-Very/Definitelly