An overview of the various responses to the potential ambiguous loss experienced during a gender transition

Interview-style, with Elizabeth Irias, LMFT

  • Course Description

    Those going through gender transition are faced with innumerable moments of change and processing, some of which can carry deep grief and a sense of loss. This course provides an overview of the various responses to the potential ambiguous loss experienced during a gender transition (medical, social, legal) by those who undergo a gender transition and their loved ones. This course discusses the different meaning-making frameworks and conceptualizations which impact one’s response to gender transition, as well as their applicability in the therapy room.

  • Learning Objectives

    Upon completing this course, participants will be able to: Define ambiguous loss; Identify the two competing social conceptual gender frameworks; Describe four different gender transition sense-making frames

    Target Audience and Instructional Level
    This course is intended for psychologists, therapists, social workers, clinical counselors, and addiction counselors. Instructional level: Advanced

  • How To Take This Course

    In order to receive a certificate of completion reflecting the associated CE credit hour, you must:
    #1: Have an active paid Clearly Clinical membership
    #2: Listen to the corresponding course podcast
    #3: Achieve a passing grade on the post-presentation test (the test has up to ten questions and you must earn a score of at least 80%; you are able to re-test)
    #4: Complete the requested course evaluation.

    Course elements (including the course audio, post-test, and requested course evaluation) can be completed on a computer or mobile device via your Clearly Clinical account.

  • Course Format

    This high-quality and interesting course contains a one-hour, non-interactive audio podcast presentation which is available for free via all major public podcast providers. You can also listen to and download the file via our course player.

  • Commercial Support

    There is no known commercial support or conflict of interest for this CE program, presenter, sponsor, instructor, or content.

  • Certificate Access Details

    Once you've completed the course, your certificate will automatically populate in the 'Certificate' section of your account; it will also be emailed to you. Access to completion certificate will expire 365 days after issuance. Course certificates will be on file for ten (10) years from date of course completion.

  • Accommodations

    If you have special needs or need an accommodation, please email us at and we will do our best to assist you.

Interviewee and Interviewer

Zander Keig, MS, MSW, LCSW, BCD

Queer & Trans Affirming Therapy Expert

Zander Keig is a Licensed Clinical Social Worker (CA, FL, KY, SC, TN), Board Certified Diplomate in Clinical Social Work, Wellness Facilitator, Conflict Management Trainer, Clinical Peer Consultant, WPATH GEI SOC7 Certified Provider, 2020 WPATH Harry Benjamin Distinguished Educator, 2020 NASW National Social Worker of the Year, NASW 2018 CA Social Worker of the Year, WPATH GEI Advanced Mental Health Course faculty member, Certified Queer and Trans Affirming Professional, and a Queer and Trans Affirming Professional Certification Program instructor.

Please visit him at and LinkedIn.

Elizabeth 'Beth' Irias, MS, LMFT

Interviewer & Clearly Clinical Founder

Elizabeth 'Beth' Irias (she/her) is a licensed Marriage & Family Therapist and the Founder and President of Clearly Clinical. She has specializations in Clinical Documentation, Best Practice, and Utilization Review, and works closely with clinical teams across the US as a trainer and national conference presenter; Beth was formerly an adjunct professor at Pepperdine University in the Graduate Psychology and Education department. Licensed in California and Oregon, she provides therapy via her private practice to young adult and adult clients, members of the LGBTQ population, and those with addictive disorders. She has two young children, a super cool spouse who helps out with Clearly Clinical's tech, and a rescue dog.

See why we're the country's premier CE provider

  • CONVENIENT: All courses are 1-hour podcast episodes, available on all public podcast platforms

  • AFFORDABLE: We offer quality CE courses through a reasonably-priced membership

  • SOCIALLY-RESPONSIBLE: We donate to The Trevor Project for LGBTQIA+ youth suicide prevention

  • WOMEN-OWNED: We are founded and run by Elizabeth Irias, LMFT

  • DIVERSE: We highlight expert presenters from historically-marginalized communities

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