LGBTQIA+ Considerations – KnowNeuropsychology

These learning questions are brought to you by KnowNeuropsychology & the Association for Doctoral Education in Clinical Neuropsychology (ADECN).

*This quiz has 5 multiple-choice questions and 2 discussion questions.

1 / 7

Which of the following is FALSE regarding norm selection for neuropsychological test battery for a patient who identifies as transgender?

Use of gender-neutral norms are recommended when appropriate

Gender norms that are affirming should always be used

Evaluate scores for both genders if applicable and utilize what is most relevant to referral question

Gendered norms could create bias and skew interpretation

2 / 7

How does hormone replacement therapy (HRT) impact neuropsychological test interpretation?

HRT’s primarily affect mood and do not require specific consideration for neuropsychological test interpretation

HRT’s typically do not have a significant impact, as test interpretation should be primarily based off of biological sex at birth

Test interpretation considerations would need to be informed by age of HRT initiation, duration of use, specific HRT used, and dosage

None of the above

3 / 7

According to the minority stress framework, which of the following can contribute to psychological burden in LGBTQIA+ individuals?

Chronic exposure to discrimination

Microaggressions and macroaggressions

Internalized homophobia or transphobia

All of the above

4 / 7

Which of the following is NOT best practice when working with LGBTQIA+?

Wait to look up unknown term after the evaluation to not embarrass client

If a parent is not willing to affirm a child’s gender identity, you must legally use the parent’s provided name and gender in documentation. However, when speaking with the child, use their chosen name and pronouns and be transparent and explain these requirements to them

Acknowledge your lack of familiarity with unknown terms and invite the patient to share more

Create an affirmative clinical setting

5 / 7

Which of the following best describes the professional responsibilities of neuropsychologists and trainees working with LGBTQIA+ individuals?

Remain affirming and adaptable in clinical practice

Incorporate current evidence into assessments

Stay informed about relevant sociopolitical changes

All of the above

6 / 7

DISCUSSION: What are some action steps you can take to make your environment feel safer and more comfortable for LGBTQIA+ individuals?

7 / 7

DISCUSSION: What are some of the ways neuropsychologists can ensure their reports are client-centered, inclusive, and affirming of LGBTQIA+ identities? How might these approaches differ by practice setting?

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