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Transgender Health 104: Psychological Distress

Course Description:

Transgender Health 104: Psychological Distress is fourth in a five-course learning series.

This course reviews behavioral health issues pertaining to transgender, gender non-binary, and intersex individuals. It is designed for health care, behavioral health, and public health practitioners administrators, and leaders who wish to enhance their capacity to serve the transgender community in their practice.

Target Audience

Health Care, Behavioral Health and Public Health Practitioners, Administrators and Leaders

Learning Objectives

  • Define key terms, including behavioral health, gender dysphoria, and resilience
  • Explain the significance of efforts to normalize transgender and non-binary gender identities
  • Describe risk factors for mental illness, substance use, and suicide among members of the transgender community
  • Identify factors that promote resilience among the transgender community
  • Differentiate appropriate vs. inappropriate therapeutic roles, activities, and environments for behavioral health professionals counseling transgender people
Course summary
Available credit: 
  • 1.00 Participation/CE
    Tulane Professional and Continuing Education (PaCE) awards 1.00 hour(s) of credit for completing Transgender Health 104: Psychological Distress
Course opens: 
Course expires: 


Anna Stelter
Anna Stelter, LMSW, MPH
Health Policy Analyst
Texas Health Institute

Anna Stelter is a licensed social worker and health policy analyst who contributes to Texas Health Institute’s initiatives on behavioral health and safety net care for vulnerable populations, including the LGBTQ community. Stelter holds a Master of Science in Social Work from The University of Texas at Austin and a Master of Public Health from The University of Texas Health Science Center at Houston.

Yoonhwi Cho
Yoonhwi Cho, MPH
eLearning and Transgender Project Coordinator, Course Author
Texas Health Institute

Ms. Cho received a Bachelor of Science degree in Psychology from University of Texas at Austin in 2014 and graduated with a Master of Public Health degree from Texas A&M University at College Station in 2017. Ms. Cho coordinates THI’s e-Learning and Transgender projects and is the author and co-author of the Transgender Health Learning Series.

Lou Weaver
Lou Weaver
Transgender Programs Coordinator
Equality Texas Foundation

Mr. Weaver is a queer transgender man and a leader in Houston’s LGBTQ community. He is the first Transgender Programs Coordinator for Equality Texas Foundation, elevating the voices of transgender Texans, including the Texas TransVisible Project, a first-of-its-kind public education campaign.

John Oeffinger
John Oeffinger
Director eLearning and Training
Texas Health Institute

Mr. Oeffinger directs THI’s work with the transgender community and eLearning Program. Together with Lou Weaver, he leads THI and Equality Texas Foundation efforts to create a broad-based collaborative effort to improve the health of transgender people by creating a culturally competent health environment in Texas.

Available Credit

  • 1.00 Participation/CE
    Tulane Professional and Continuing Education (PaCE) awards 1.00 hour(s) of credit for completing Transgender Health 104: Psychological Distress


Please login or register to take this course.

Required Hardware/software

System Settings 
This course is designed to work most effectively if your computer and internet connection meet certain minimal requirements. This course can be accessed using a Windows 10 PC or a Mac with High Sierra1, Mojave, or Catalina. Pop-up blockers should be disabled when viewing the course. Internet Explorer 11 (for Windows 10), or the current version of Google Chrome, Mozilla Firefox, or Apple Safari (for Windows 10 and or Mac) is required. Many of our courses require Java and JavaScript enabled. 

Links to External Websites   
Links to websites outside this course will open in a new window or tab. Some browsers may minimize the course window. If this occurs, maximize the course window to return to the course. 

Adobe Acrobat Reader (for desktops and laptops)  
Adobe Acrobat Reader is required to access some documents in this course. If you need to download a free copy of Acrobat Reader, click here.  

Internet Connection Speed 
A minimum download speed of 1.5 Mbps is recommended for an optimal experience, which is commonly the speed associated with a basic DSL or a cellular/satellite connection. A faster connection, such as cable or fiber service, with further enhance your online experience. A Wi-Fi connection is generally acceptable, but it is dependent upon one of the two services mentioned above. You can check your internet connection speed at