Our work, on paper.

Publications and Presentations

Publications and presentations provide a formal way of getting our research and the experiences of our participants out to clinicians, health care providers, researchers, and interested community members.  Findings from studies can be used to support recommendations for the changes in policy and practice needed to make positive change in the lives trans, two-spirit, nonbinary, and gender diverse individuals.  Here you can learn more about our published and presented research.

Select Publications

Gender Affirming Care

Budge, S.L., Abreu, R.L., Flinn, R.E., Donahue, K., Estevez, R., Olezeski, C., Bernacki, J., Barr, S., Bettergarcia, J., Sprott, R., & Allen, B.J. (In press). Gender affirming care is evidence-based for transgender youth. Journal of Adolescent Health.

Healing through Ongoing Psychological Empowerment Clinical Trial

Tebbe, E.A., Matsuno, E., Lee, J., Domínguez, S., & Budge, S.L. (In press). Implementation and Evaluation of the Gender Resilience, Resistance, Empowerment, and Affirmation Training (GREAT) Pilot Program. Psychotherapy.

Domínguez, Jr., Matsuno, E., Adames, H., Mosley, D., Richardson, J., Lee, J., Norton, , & Budge, S.L. (In press). Building and practicing anti-colonial psychotherapy: using radical healing to address the coloniality of gender. American Psychologist.

Trans and Nonbinary Psychotherapy Clinical Trial

Budge, S.L., Sinnard, M.T., & Hoyt, W.T. (2021). Longitudinal effects of psychotherapy with transgender and nonbinary clients: A randomized controlled pilot trial. Psychotherapy, 58, 1-11.

Budge, S.L., Tebbe, E.A., & Love, D. (2024). The development and pilot testing of a minority stress psychoeducation tool for transgender and nonbinary people. Transgender Health, 9, 275–279.

Budge, S.L., Shoenike, D., Lee, J., Norton, M., & Sinnard, M.T. (2023). Transgender and nonbinary patients’ psychotherapy goals: A secondary analysis from a randomized controlled trial. Journal of Psychiatric Research, 159, 82-86.

Budge, S.L., Guo, E., Mauk, E., Tebbe, E.A. (2021). The development of an observational coding scheme to assess transgender and nonbinary clients’ reported minority stress experiences. Psychotherapy, 58, 288-300.

Trans Youth and Family Studies (TYFS and TTFN)

Budge, S.L., Wachter, E., Barburoğlu, Y., Gao, S., Dvorak, D., Elliott, G., Gilchrist, S., Godwin, E.G., and Katz-Wise, S.L. (2024). A longitudinal investigation of trans and nonbinary youth identity: Individual processes and family agreement in the Trans Teens and Family Narratives Study. LGBTQ+ Family: An Interdisciplinary Journal.

Budge, S.L., Sinnard, M.T, Lindley, L., Dillard, Q., & Katz-Wise, S.L. (2023). Content analyses of concordance and discordance regarding identity, affect, and coping in families with transgender and nonbinary youth..LGBTQ+ Family: An Interdisciplinary Journal, 19, 1-20.

Budge, S.L., Orzechowski, M., Lavender, A., Schamms, S., Onsgard, K., Leibowitz, S., & Katz-Wise, S.L. (2021). Transgender and gender nonconforming youths’ emotions: The Appraisal, Valence, Arousal Model. The Counseling Psychologist, 49, 138-172.

Budge, S.L., Conniff, J., Belcourt, W.S., Parks, R., Pantalone, D., & Katz-Wise, S.L. (2018). A grounded theory study of the development of trans youths’ awareness of coping with gender identity. Journal of Child and Family Studies, 27, 3048-3061.

Katz-Wise, Budge, S.L. Fugate, E., Flanagan, K., Touloumtzis, C., Rood, B…Leibowitz, S. (2017). Transactional pathways of transgender identity development in transgender and gender nonconforming youth and caregiver perspectives from the Trans Youth Family Study. International Journal of Transgenderism,18, 243-263.

Referral Letters

Budge, S.L., Lee, J., Tebbe, E.A., & Dominguez, S. (2023). Using the companionship model when writing referral letters for transgender and nonbinary adults. Psychology of Sexual Orientation and Gender Diversity.

Lee, J., Kim, H., & Budge, S.L. (2024). The Companionship Model for affirming assessment sessions for transgender and nonbinary youths and families. Harvard Review of Psychiatry, 5, 183-192.

Policy Statements

Dr. Budge was a contributing writer to the: APA Policy Statement on Affirming Evidence-Based Inclusive Care for Transgender, Gender Diverse, and Nonbinary Individuals, Addressing Misinformation, and the Role of Psychological Practice and Science located here.

Wisconsin Youth Needs Assessment

Allen, B.J., Andert, B., Botsford, J., Budge, S.L., & Rehm, J. (2020). Intersections at the margins: Comparing school experiences of nonbinary and binary-identified transgender youth. Journal of School Health, 90, 358-367.

Botsford, J.C., Allen, B.J., Andert, B.D., Budge, S.L., & Rehm, J.L. (2018). Meeting the healthcare needs of transgender, nonbinary, and gender expansive/ nonconforming youth in Wisconsin: A report of the 2017 Wisconsin Transgender Youth Community Needs Assessment. Available at: https://www.med.wisc.edu/media/medwiscedu/documents/about-us/CH-174891-18-TNG-Youth-Report-Full.pdf

Zine

McNeill, J. & Bowling, W. (2017) Trans health science and you: How research affects our lives. https://drive.google.com/file/d/1SXUz73sVLQHnfRacxYGY2r7K-7OybRIJ/view?usp=sharing

Graphic Novel

Budge, S.L. & Funk, H. (2019). Longitudinal effects of psychotherapy with transgender clients: A randomized controlled pilot trial. JKXComics. Available at: https://www.jkxcomics.com/psychotherapy

Additional Projects

Budge, S.L., Dominguez, S., & Goldberg, A.E. (2020). Minority stress in nonbinary students in higher education: The role of campus climate and belongingness. Psychology of Sexual Orientation and Gender Diversity.

Budge, S.L. & Moradi, B. (2018). Attending to gender in psychotherapy: Understanding and incorporating systems of power. Journal of Clinical Psychology, 74, 2014-2027.

Salkas, S., Conniff, J. & Budge, S.L. (2018). Provider quality and barriers to care for transgender people: An analysis of data from the Wisconsin transgender community health assessment. International Journal of Transgenderism, 19, 59-63.

Budge, S.L., Israel, T., Merrill, C. (2017). Improving the lives of sexual and gender minorities: The promise of psychotherapy research. Journal of Counseling Psychology, 64, 376-384.

Budge, S.L., Chin, M.Y. , & Minero, L.P. (2017). Trans individuals’ facilitative coping: An analysis of internal and external processes. Journal of Counseling Psychology, 64, 12-25.

Matsuno, E. & Budge, S.L. (2017). Non-binary/genderqueer identities: A critical review of the literature. Current Sexual Health Reports, 9, 116-120.

Budge, S.L. & dickey, l.m. (2017). Barriers, challenges, and decision-making in the letter writing process for gender transition. Psychiatric Clinics, 40, 65-78.

Budge, S.L. & Pankey, T.L. (2016). Ethnic differences in gender dysphoria. Current Psychiatry Reviews, 12, 175-180.

dickey, l.m., Budge, S.L., Katz-Wise, S.L., & Garza, M.V. (2016). Health disparities in the transgender community: Exploring differences in insurance coverage. Psychology of Sexual Orientation and Gender Diversity, 3, 275-282.

Barr, S.M. , Budge, S.L., & Adelson, J.L. (2016) Transgender community belongingness as a mediator between strength of transgender identity and well-being. Journal of Counseling Psychology, 63, 87-97.

Budge, S.L., Thai, J.L., Tebbe, E., & Howard, K.H. (2016) The intersection of socioeconomic status, race, sexual orientation, transgender identity, and mental health outcomes. The Counseling Psychologist, 44, 1025-1049.

Tebbe, E.A. & Budge, S.L. (2016) Research with transgender communities: Applying a process-oriented approach to methodological considerations and research recommendations. The Counseling Psychologist, 44, 996-1024.

Budge, S.L. (2015). Psychotherapists as gatekeepers: An evidence-based case-study highlighting the role and process of letter-writing for transgender clients. Psychotherapy, 52, 287-297.

Budge, S.L., Orovecz, J., & Thai, J.L. (2015). Trans men’s positive emotions: The interaction of gender identity and emotion labels. The Counseling Psychologist, 43, 404-434.

Select Presentations

McGuirk, A., Lindley, L., Pulice-Farrow, L., & Budge, S.L. (August, 2024). Clinical Implications of a Qualitative Analysis focused on Gender Dysphoria. Poster presented at the annual meeting of the American Psychological Association. Seattle, WA.

Dyer, R. & Budge, S.L. (Auguest, 2024). Are We On the Same Page?: Psychologists’ and Gestational Carriers’ Perceptions of Evaluations. Poster presented at the annual meeting of the American Psychological Association. Seattle, WA.

Lindley, L. & Budge, S.L. (August, 2024). Feasibility and Acceptability of an Online Intervention for Gender Dysphoria. Symposium presented at the annual meeting of the American Psychological Association. Seattle, WA.

Gao, S., Wachter, E., Barburoğlu, Y., Lynn, S., Dvorak, D., Gilchrist, S., Elliott, G., Budge, S.L, & Katz-Wise, S.L.(2024, August). A Qualitative Longitudinal Analysis of Family Agreement on Trans and Nonbinary Youth Identity Poster presented at the American Psychological Association Convention, Seattle, WA

Norton, M., Accardo, M., Gao, S., Day, E., McNeill, J. N., Tebbe, E., & Budge, S.L. (2024, August). Previous therapy experiences of Two-Spirit, transgender, and nonbinary people of color. Symposium presentation at the Annual Convention of the American Psychological Association: Seattle, WA.

Lee, J., Mize, G., Pili, A., Tebbe, E., & Budge, S.L. (2024, August). Trans/nonbinary POC clients’ perceptions of change specific to therapy goals.Symposium presentation at the Annual Convention of the American Psychological Association: Seattle, WA.

Domínguez, S., Budge, S.L., Tebbe, E., Lindley, L., Lee, J., & Matsuno, E. (2024, August). Clinical trial 6-month follow-up analyses with Two-Spirit, trans, and nonbinary clients of color. Symposium presentation at the Annual Convention of the American Psychological Association: Seattle, WA.

Estevez, B., Flinn, R.E., Boot-Haury, J., Terepka, A., Skerven, K., Abreu, R.L., Barr, S., Budge, S.L. (2024, August). Until everyone is free: Centering personal and collective well-being in TGD advocacy. Panel for a critical conversation at the Annual Convention of the American Psychological Association: Seattle, WA.

Domínguez, S., Budge, S.L., Gloria, A.M., Johnson, A.L., & Lotta, C. (2024, August). A Discourse Analysis of Multiply Marginalized Trans People’s Stories of Gender Euphoria. Paper presentation to be presented at the Annual Convention of the American Psychological Association: Seattle, WA.

McGuirk, A., Lindley, L., Lee, J., Norton, M., & Budge, S.L. (2024, August). How Messages About Gender Dysphoria (Dis)Align with Lived Experiences of Trans and Nonbinary People. Paper presentation to be presented at the Annual Convention of the American Psychological Association: Seattle, WA.

Budge, S.L. & Lee, J. (2023, October). Transgender and Nonbinary Mental Health: Health Disparities and Protective Factors. Korean Counseling Association/ Korean Counseling Psychology Association Conference. Presented virtually to an audience in Seoul, Korea.

Budge, S.L. (2021, June;). Attending to Power, Privilege, and Oppression in Psychotherapy Research. Panel moderator for a plenary session at the Society for Psychotherapy Research, Heidelberg, Germany (hybrid model online due to COVID-19).

Budge, S.L. (2020, October). Mental Health Care for Trans Youth: What Helps Youth Thrive and What Resources are Requested? World Professional Association for Transgender Health (WPATH) Conference, originally scheduled to be in Hong Kong, online due to COVID-19.

Budge, S.L. & Sinnard, M.T. (2020, October). Acceptability and Feasibility of a Randomized Controlled Trial with Transgender and Nonbinary Clients. World Professional Association for Transgender Health (WPATH) Conference, originally scheduled to be in Hong Kong, online due to COVID-19.

Sinnard, M.T & Budge, S.L. (2020, October). Development of the Objectified Body Consciousness Scale for Transgender and Nonbinary Adults. World Professional Association for Transgender Health (WPATH) Conference, originally scheduled to be in Hong Kong, online due to COVID-19.

Domínguez, S. J, Budge, S. L., & Goldberg, A. E. (2019, August). Minority stress in nonbinary college students: The impact of campus climate and belongingness. Poster presented at the 2019 American Psychological Association National Convention, Chicago, IL.

Dyer, R. L., Sinnard, M.T., & Budge, S. L. (2019, August). Working alliance and gender minority stress: Implications for psychotherapy with trans, nonbinary, and gender expansive/nonconforming clients. Poster presented at the 2019 American Psychological Association Convention, Chicago, Illinois.

Sinnard, M.T., Dyer, R. L., & Budge, S. L. (2019, August). Effects of identity concealment on substance use and suicidality among Midwest trans, nonbinary, and gender expansive/nonconforming individuals. Poster presented at the 2019 American Psychological Association Convention, Chicago, Illinois.

Schoenike, D., Wachter, E., & Budge, S.L. (2019, August). The Interaction of Transgender Identity, Race, and Mental Health: A Nationwide Sample. Poster presented at the 2019 American Psychological Association Convention, Chicago, Illinois.

Barcelos, C., Budge, S.L., & Botsford, J. (2019, April). Uneven Access: The Health of Trans and Gender Nonconforming People in Wisconsin and the Upper Midwest. Paper to be presented at the Annual National Transgender Health Summit, San Francisco, CA.

Budge, S.L. (2018, August). The feasibility of a clinical trial focusing on trans individuals’ minority stress. Paper presented at the Annual Meeting for the American Psychological Association, San Francisco, California.

Budge, SL., Allen, B., Andert, B., Botsford, J., & Rehm, J. (2018, August). Resources contributing to psychological well-being for trans youth: A CBPR Approach. Paper presented at the Annual Meeting for the American Psychological Association, San Francisco, California.

Sweetnam, M.R., Mauk, E., & Budge, S.L. (2018, August). A qualitative analysis of nonbinary and genderqueer individuals’ experiences of proximal and distal minority stress. Poster presented at the Annual Meeting for the American Psychological Association, San Francisco, California.

Dillard, S., Sinnard, M.T., Budge, S.L., & Katz-Wise, S.L. (2018, August). Triadic analysis of concordance and discordance in families of trans youth. Poster presented at the Annual Meeting for the American Psychological Association, San Francisco, California.

Mauk, E., Guo, E., Stock, C., Eck, M., & Budge, S.L. (2018, August). Minority stress interventions in a psychotherapy pilot trial for transgender clients. Paper presented at the Annual Meeting for the American Psychological Association, San Francisco, California.

Orzechowski, M., Budge, S.L., Lavendar, A., Onsgard, K., Schamms, S., Liebowitz, S., & Katz-Wise, S.L. (2018, August). Emotions of transgender youth. Poster presented at the Annual Meeting for the American Psychological Association, San Francisco, California.

Sinnard, M.T, Orzechowski, M., Budge, S.L., Belcourt, S., Conniff, J., Orovecz, J., Parks, R., Sun, S., & Sutton, J. (2018, August). Depression and anxiety among transgender compared to cisgender Individuals: A meta-analysis. Poster presented at the Annual Meeting for the American Psychological Association, San Francisco, California.

Thomas, K.A., Andert, B., Ibarra, N., Budge, S.L., & dickey, l. (2018, August). Non-suicidal self-injury in transgender individuals. Poster presented at the Annual Meeting for the American Psychological Association, San Francisco, California.

Dyer, R., Budge, S.L., Rehm, J., Botsford, J., Andert, B., & Allen, B. (2018, August). Rural-urban differences in perceived safety at school for Wisconsin trans youth. Poster presented at the Annual Meeting for the American Psychological Association, San Francisco, California.

Minero, L.M. & Budge, S.L. (2017, February). Experiences of exclusion and discrimination among undocutrans (undocumented and transgender) individuals in the united states and implications for mental health professionals. Paper presented at the meeting for the United States Professional Association for Transgender Health, Los Angeles, California.

“I believe that telling our stories, first to ourselves and then to one another and the world, is a revolutionary act."

Janet Mock