A service evaluation of an improving confidence group for trans women using cognitive behavioural therapy and speech and language therapy interventions

A group was developed to support trans women attending a GIC (Gender Identity Clinic) to improve their self-esteem, and confidence in using their target feminine voice. Psychology and SLT (speech and language therapy) teams collaborated utilising Fennell’s (1997) Cognitive Model of Low Self-Esteem and SLT interventions. The RSES (Rosenberg Self-Esteem Scale: Rosenberg, 1965) was used to measure self-esteem pre and post group. Participants’ scores on the RSES were significantly higher after the group (p < .01), indicating an improvement in self-esteem. A specifically designed feedback form indicated improved confidence with using feminine voice post group. It was concluded that participants made effective use of the psychological and SLT strategies to improve self-esteem, and confidence with their voice.