“…The provider’s response to the disclosure of transgender identity is important in defining whether the interaction is affirming or pathologizing to one’s identity (Eliason & Hughes, 2004). It has been shown that decision making in health settings that is collaborative instead of authoritarian is better in terms of the health outcomes of the patient (Drake, Deegan, & Rapp, 2010; Drotar, Crawford, & Bonner, 2010; Lown, Hanson, & Clark, 2009; Politi & Street, 2011; Westberg & Jason, 1993). In the diagnostic model, clients are treated as passive recipients of care, and the practitioner is in the role of determining the client’s eligibility for further care.…”