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Intro
Preface
Disclaimer
Contents
Contributors
Part I: Background: Patient History and Evaluation
Chapter 1: Introduction to the Care of Transgender Persons
References
Chapter 2: Medical Management for Transgender Patients
Introduction
Diagnosis and Decision to Begin Treatment
The Management of Children and Adolescents
Fertility Preservation
Hormone Therapy for Transgender Individuals
Hormone Therapy for Transgender Women: Male to Female (MTF)
Perioperative Hormone Management
Hormone Therapy for Transgender Men: Female to Male (FTM)

General Health Surveillance and Screenings
Conclusions
References
Chapter 3: Strategies for Evaluating Patients' Readiness for Surgical Intervention: From a Psychiatric Perspective
Behavioral and Surgical Treatment for Gender Dysphoria Due to Voice
The Role of a Pre-Surgical Psychiatric Assessment
Conducting a Pre-Surgical Psychiatric Assessment
Conclusion
References
Chapter 4: Barriers to Care and Cultural Responsiveness in Transgender and Gender Nonconforming Voice Modification
Introduction
Language
What Is "Voice Feminization"?

Brief Historical Considerations for the Transgender and Gender Nonconforming Community in the United States
Service Providers
Discrimination in Healthcare and Disparities in Health Outcomes in TGNC Community
Trauma-Informed Practice with TGNC Individuals
Adapting TIC Considerations to Institutional Settings [10, 11]
Consent
Common Issues when Interacting with TGNC Individuals
Misgendering or Deadnaming
Triggering Topics
Responding When Someone Is Triggered
Considerations for Note and Report Writing
Receiving Negative Feedback
Ideally...
References

Chapter 5: Patient-Reported Outcomes and Data Collection in Treatment-Seeking Transgender and Gender Nonconforming Individuals
Introduction
What Are Patient-Reported Outcomes?
Data Collection
Clinician-Perceived Dysphonia
Normophonic Voicing
Patient-Reported Outcome Measures (PROMs)
Acoustic, Aerodynamic, and Auditory-Perceptual Evaluation
Limitations in Determining Gender-Affirming Voice Targets from Cisgender Voice Norms (as Described in Table 5.3)
Using Acoustic/Aerodynamic/Perceptual Analysis for Pre- and Post-Operative Gender-Affirming Voice Surgery
Conclusion

Appendix
References
Part II: Behavioral Interventions to Aid Transition
Chapter 6: Applying Flow Phonation in Voice Care for Transgender Women, Nonbinary, and Gender Nonconforming Individuals
Introduction
Background
Airflow Considerations with Transgender and Gender Nonconforming Individuals
Exploring Techniques to Facilitate Phonatory Airflow
From Structured Tasks to Generalization
Hierarchy Using Stretch and Flow Phonation
Pitfalls When Working with Flow Phonation
Practice and Maintenance
Conclusion
References
Chapter 7: Resonant Voice Care

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