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I have access to that spiritual life and no one can take that access from me. Clinicians and therapists working in rehab must have specialized training in working with the transgender community. LGBT status may not be a significant factor in the specific type of drug selected for abuse. Drug and alcohol abuse are more common in this community than in the population as a whole; however, recovery resources that address the unique needs of transgender people are few and far between. These individualized treatment options can make a big difference in the ability of these individuals to recover from an addiction. Because transgender identities defy social expectations of sexual behavior, people who identify as transgender face high rates of social discrimination, abuse, bullying, and deprivation. They may be worried about confidentiality or having their identity inadvertently revealed by a care provider or therapist.

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Within this group, research outcomes may differ along the lines of age.

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Many of these problems stem from ignorance of the needs of transgender individuals, as well as from social prejudices. Much of the substance abuse that occurs in the transgender community can be attributed directly to social discrimination — 26 percent of survey respondents stated that they had used or were currently using alcohol or drugs specifically to cope with the social stigma of gender nonconformity. Where do you go to seek help?

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Substance abuse treatment for transgender people begins with the admission phase.

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