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Supporting Transgender Autistic Youth and Adults

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Providing advice on how professionals working with autistic trans youth and adults can tailor their practice to best serve their clients and how parents can support their trans autistic children, this book increases awareness of the large overlap between trans identities and autism.

By including chapters on gender diversity basics, neuroqueer trauma and how to support neuroqueer individuals, this book sets out strategies for creating more effective support that takes into account the unique experiences of trans people on the spectrum. Written by a therapist who identifies as neuroqueer, this book is the perfect companion for professionals who want to increase their knowledge of the experiences and needs of their trans autistic clients.

240 pages, Paperback

Published October 21, 2019

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5 stars
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36 (32%)
3 stars
10 (9%)
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4 (3%)
Displaying 1 - 13 of 13 reviews
Profile Image for Daniel  Hardy.
220 reviews4 followers
February 14, 2020
while the book is targeted primarily toward (cisgender, allistic) professionals and family working with transgender autistic clients, it was great to read it as a trans autistic professional myself. It was wonderful to read something that was written from my own perspective that echoed so much of what I have been saying all along. It's a great read about how to make spaces and practices inclusive and how people may not recognize that they are working with transgender autistic clients (or family members) because the wide overlap doesn't always present how one might expect.
I wish this was required reading for everyone- not just people who feel like they SHOULD be reading it.
Profile Image for Maddie.
2 reviews
August 3, 2025
This book bridges the experience gap between trans autistic people and cisgender neurotypical people while providing pragmatic accommodations for those who need it.

Review from an autistic trans woman.
Profile Image for Emily.
25 reviews
September 12, 2021
This book is an amazing guide into care and support for trans and autistic people. Detailed and compassionate.
Profile Image for Chris Sosa.
Author 1 book11 followers
September 19, 2022
Fantastic introduction for anyone with transgender autistic loved ones or professionals who serve this community. Finding resources that help neurotypical cis folks understand and connect with trans autistic experiences rather than starting from a place of pathologizing autism is tough. This book not only rejects such a framing but comes with the added bonus of the author's first-hand experience as a member of the community. You'll find practical advice, additional resources and a deeply positive approach rooted in empathy and equality throughout these pages. Thank you to Finn V. Gratton for providing a such a joyful and grounded book for those of us who want to better connect across the gaps in understanding each other.
Profile Image for Beau Molnar.
2 reviews1 follower
August 4, 2021
DNF --an important book, generally speaking. I'm glad it exists. Also, the topic is very important to me, both as a person and in my practice. I am a psychoanalytically oriented therapist. The author's modality seems a far cry from how I think about therapy, and I know all the trans stuff already, so I did not get anything out of this book and decided to put it down 2/3 of the way through.
Profile Image for Amy Liptak.
3 reviews1 follower
November 24, 2021
Finn Gratton has eloquently written from lived experience how important it is to thoroughly understand and have compassion for these often overlooked individuals and their families. The book provides practical information for professionals and for those who love trans autistic individuals, and guidance for how to best support them.
Profile Image for Kacey M.
12 reviews
October 3, 2023
Aimed at cis professionals but does an excellent job of explaining the complexities involved for trans autistic people navigating the medical system without lessening any explanation of impact and responsibility that allies hold. Reading this book made me feel seen and helped me recognise what I look for in trusted professionals.
118 reviews1 follower
August 8, 2022
I thought this was pretty well-done. An excellent resource for professionals and less knowledgeable families of autistic trans folks. I felt like there could have been some more nuance in discussing AMAB trans folks’ experiences with masking, struggling to find a diagnosis, etc.
Profile Image for Cathy.
1,192 reviews1 follower
August 30, 2023
This is a great introduction to those that work with or love trans autistic people. The author comes from both their lived experience and from a research and pragmatic view point. I will be recommending it to clients.
Profile Image for Geert.
69 reviews1 follower
December 5, 2020
Great book about a large variety of aspects of autistic transgender youth and adults. Provides deep insights but is also very practical.
Profile Image for Sarah Fine.
25 reviews
December 30, 2020
This book is full of invaluable insight, and it’s incredibly helpful and accessible.

I’m looking forward to revisiting this work, continuing to absorb more of its wisdom, and finding it a home on my future office bookshelf!
Profile Image for Pam.
90 reviews
April 10, 2025
Wonderful guide book for working with this intersection of identities. Highly recommend.
Displaying 1 - 13 of 13 reviews

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