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The Ultimate Guide to Affirmative Care in the Modern Era: Exploring Identity and Embracing Intersectionality with LGBTQIA+ Clients through CBT, Mindfulness, and More

Alexa Mulee, LMHC, C-DBT
Approx. 6 Hours
Sep 13, 2024
PESI, Inc.
Product Code:
Media Type:
DVD - Also available: Digital Seminar | Live Webinar

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In a diverse and rapidly changing world, where identities intersect and narratives intertwine, the journey toward providing affirmative care can feel daunting. But your continued commitment to understanding, supporting, and affirming diverse identities could save a client’s life.

When your LGBTQIA+ client is looking for relief from trauma stemming from familial rejection…is there a specific modality that will help them make more progress, quicker?

When a client comes to you hoping to explore their sexual identity…how should you facilitate a supportive and empowering environment suited for their exploration?

When your LGBTQIA+ clients encounter discrimination when trying to access adequate healthcare…are there resources or referrals you could provide?

The foundation of true affirmative care is understanding the basics of human connection and your LGBTQIA+ clients just want to feel seen, heard, and understood – maybe for the first time in their lives.

In this training, LGBTQIA+ advocate and champion, Alexa (Lexi) Mulee, LMHC, C-DBT, will take you on a journey through the modern landscape of identity, equipping you with the specialized knowledge, interventions, and evidence-based treatments you need to provide high-quality, inclusive and affirming care to all of your clients.

As a beacon of knowledge and empathy, Lexi gives a unique and intersectional perspective on affirmative care so you can gain a deeper understanding of the special needs and experiences of different members of the LGBTQIA+ community. Improve your client satisfaction, retention, and therapeutic outcomes by learning:

  • The foundations of affirmative care and how it enables clinicians to provide more effective, personalized care
  • The latest research and best practices to enhance cultural competency and create an inclusive, welcoming therapeutic setting
  • To overcome common challenges and barriers to providing affirmative care, such as: unconscious biases, lack of cultural competence, and inadequate training
  • Practical interventions and techniques to immediately apply to clinical practice

You have the power to make a huge different in the lives of your clients. Don’t let therapy be another space where an LGBTQIA+ client doesn’t feel safe and heard - purchase TODAY!


* Credit Note - CE Information Coming Soon

Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements. 

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details. 

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Alexa Mulee, LMHC, C-DBT's Profile

Alexa Mulee, LMHC, C-DBT Related seminars and products

Wise Mind Counseling, LLC

Alexa (Lexi) Mulee, LMHC, C-DBT, has 10+ years of working with and building client rapport within her DBT practice with the LGBTQIA+ community. As a member of the community herself, Lexi has built her career off of being able to connect with this community through affirming care techniques, genuine connection, and understanding. Understanding human connection at its basics, Lexi has worked in inpatient, outpatient, and IOP settings and has had the experiences of learning what helps the LGBTQIA+ community feel seen, heard and held. Lexi completed her undergraduate degree at Hofstra University and graduated top of her class with her master’s at University of Miami. She is a decorated presenter who has been teaching other professionals on the art of using DBT with multiple populations within the mental health community. Some areas of expertise include treating borderline personality disorder, eating disorders, and substance abuse – all mostly within the LGBTQIA+ community. Lexi has made a career of connecting with a population that is historically underserved and overlooked and wants to share real techniques with you so you can have a safe therapeutic setting for all LGBTQIA+ members.

Speaker Disclosures:
Financial: Alexa Mulee has employment relationships with Wise Mind Counseling, LLC. and Inter-Care. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Alexa Mulee is a member of the American Counseling Association.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Formulate role-play exercises to recognize unconscious biases and microaggressions.
  2. Utilize two tools to reduce shame in LGBTQIA+ clients.
  3. Analyze case studies from an intersectional lens.
  4. Choose affirming language to foster a strong therapeutic alliance with LGBTQIA+ clients.
  5. Evaluate the effectiveness of Cognitive Behavioral Therapy (CBT) in addressing the unique needs of LGBTQIA+ clients.
  6. Utilize mindfulness tools to alleviate anxiety symptoms in LGBTQIA+ clients.


Foundations of Affirmative Care: Sex, Kinks & More

  • Understand inclusive care and its impact
  • Key terms and concepts
    • Sex vs. Gender
    • Sexual orientations and the fluidity of sexuality
    • Unconventional relationships
    • The hidden world of kink communities

Cultivate Cultural Competence and Prevent Microaggressions

  • Practice role-playing techniques to better recognize unconscious biases in self and client
  • Understand microaggressions and their effect on clients
  • Cultural competence in the care of different LGBTQIA+ populations
  • Cultural humility development and utilize self-reflection skills to support mental health growth
    • “Live and let live”
    • Self-reflection exercise
    • Case studies

Essential Clinical Strategies for Affirmative Care: “Real life” Affirmative Language & Communication Techniques

  • Use affirming language with different communities, based on unique needs
    • “Real life” affirmative language examples
    • Inclusive communication and open-ended questions
  • Gender-affirming interventions and how to implement them in therapeutic practice
    • Meet clients where they are – affirm, validate, and support
    • Explore the spectrum of gender and identity
      • Allow for diversity and develop a deeper understanding of identity
    • Must-knows for referring clients to genderaffirming healthcare providers and writing letters for transgender/gender-diverse clients
      • Ethical considerations
      • Navigating the anti-LGBTQIA+ policies and bans
      • Useful coping strategies for gender dysphoria
  • Evidence-based treatments & resources for diverse populations
    • Cognitive Behavioral Therapy (CBT)
    • Mindfulness
    • Acceptance and Commitment Therapy (ACT)
    • Trauma-informed therapy
  • Common barriers to care and improve mental health access
    • Stigma & discrimination
    • Intersectional identities
    • Trauma and minority stress
    • Support clients despite discriminatory laws and policies
    • Best practices for creating safe, inclusive spaces for all clients
  • Goal setting and treatment planning
    • Empowerment through collaboration
    • Tailor interventions for unique needs, experiences and identities

Support LGBTQIA+ Clients in Therapy & Beyond

  • The effectiveness of affirmative care interventions
  • The ongoing challenges you and your clients will face
  • Offer additional support – community and resource referrals
  • Your advocacy matters!
  • Necessary future research
  • Limitations and potential risks

Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Psychotherapists
  • Case Managers
  • Marriage & Family Therapists
  • Addiction Counselors
  • Educators
  • Nurses
  • Physicians
  • Other Mental Health Professionals
  • Other Healthcare Professionals

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We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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