{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T23:08:52Z","timestamp":1780096132920,"version":"3.54.0"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,12,31]],"date-time":"2018-12-31T00:00:00Z","timestamp":1546214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Our aim was to explore rates of prior counseling experiences as well as pretreatment stressors and supports among transgender university students seeking psychotherapy services in university counseling centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used regression models to explore relationships between gender identity and prior mental health experiences, risk\u2010related experiences, traumatic experiences, and support among clients (cisgender: <jats:italic>n<\/jats:italic>\u2009=\u2009162,305; transgender: <jats:italic>n<\/jats:italic>\u2009=\u2009545) seeking treatment at 136 university counseling centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results demonstrate more previous mental health service utilization and greater frequency of some prior stressors transgender clients. Findings indicate the odds of transgender clients reporting drug and alcohol concerns are lower than the reference group. Additionally, transgender clients report less familial support but more social support than cisgender clients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We discuss the importance of these findings through a more holistic lens that recognizes both stressors as well as positive factors that may more accurately characterize the experiences of transgender clients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.22742","type":"journal-article","created":{"date-parts":[[2018,12,31]],"date-time":"2018-12-31T22:45:49Z","timestamp":1546296349000},"page":"933-957","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Pretreatment counseling experiences, stressors, and support differences between transgender and cisgender university students seeking mental healthcare"],"prefix":"10.1002","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1979-5689","authenticated-orcid":false,"given":"Theodore T.","family":"Bartholomew","sequence":"first","affiliation":[{"name":"Department of Educational Studies Purdue University West Lafayette Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany E.","family":"Gundel","sequence":"additional","affiliation":[{"name":"Department of Educational Studies Purdue University West Lafayette Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John W.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of California Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s E.","family":"P\u00e9rez\u2010Rojas","sequence":"additional","affiliation":[{"name":"Department of Counseling and Educational Psychology, New Mexico State University Las Cruces New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison J.","family":"Lockard","sequence":"additional","affiliation":[{"name":"Department of Education, Bucknell University Lewisburg Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,31]]},"reference":[{"key":"e_1_2_6_1_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0039906"},{"key":"e_1_2_6_1_3_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-05-2014-0015"},{"key":"e_1_2_6_1_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/08952833.2013.755081"},{"key":"e_1_2_6_1_5_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301241"},{"key":"e_1_2_6_1_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0028078"},{"key":"e_1_2_6_1_7_1","unstructured":"Center for Collegiate Mental Health.2012Standardized data set. 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