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Status Completed
Categories Notes & Cases
Created by Guest
Created on Jun 23, 2016

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Merged idea
This idea has been merged into another idea. To comment or vote on this idea, please visit THNP1-I-348 Update Wiley treatment planner and progress notes.

Update Wiley Treatment Planner's Gender Dysphoria Symptoms Merged

If someone is diagnosed with Gender Dysphoria and you attempt to create a treatment plan with Wiley's treatment planner the only options are for Sexual Identity Confusion. This option gives you the following symptoms to choose from: Behavioral Definitions: Uncertainty about basic sexual orientation. Difficulty in enjoying sexual activities with opposite sex partner because of low arousal. Sexual fantasies and desires about same-sex partners, which causes distress. Sexual activity with person of same sex that has caused confusion, guilt, and anxiety. Depressed mood, diminished interest in activities. Marital conflicts caused by uncertainty about sexual orientation. Feelings of guilt, shame, and/or worthlessness. Concealing sexual identity from significant others (e.g., friends, family, spouse). These are related to sexual orientation which is completely different from gender identity. The DSM abolished sexual orientation/homosexuality as a disorder in the 1973 so it's quite jarring to have these symptoms listed for a treatment plan. The options should pertain to the actual diagnostic symptoms: repeatedly stated desire to be, or insistence that he or she is, the other sex in boys, preference for cross-dressing or simulating female attire; in girls, insistence on wearing only stereotypical masculine clothing strong and persistent preferences for cross-sex roles in make-believe play or persistent fantasies of being the other sex a strong rejection of typical toys/games typically played by one’s sex. intense desire to participate in the stereotypical games and pastimes of the other sex strong preference for playmates of the other sex a strong dislike of one’s sexual anatomy a strong desire for the primary (e.g., penis, vagina) or secondary (e.g., menstruation) sex characteristics of the other gender Thank you!
App Type TheraNest App
  • Guest
    Reply
    |     Oct 16, 2020
    Under Gender Dysphoria in the Wiley Treatment plan, all of the objectives for this diagnosis are about sexual orientation identity. None of the objectives are about actual gender identity nor do they correlate with the diagnostic criteria for Gender Dysphoria (both adult and adolescence)
  • Guest
    Reply
    |     Oct 16, 2019
    When utilizing the Wiley Note planner, he/she is used for every pronoun. For trans and non-binary identifying people, this means something very different. In the client details page, pronouns are specified. Can we use that information to inform the pronouns used in the generated notes? I work only with the LGBTQIA+ population and while I try to edit all of the auto-generated pronouns, this is tedious and should I miss one and the client request their files it could be devastating to their well being and the therapeutic relationship.
  • Guest
    Reply
    |     Aug 6, 2019
    I noticed that this is initially from 2016 and this still has not been changed!! This is incredibly clinically inappropriate and offensive for the trans folks I work with, which is a majority of my clients. For Wiley to be aware of this for years and not fix it is inappropriate and negligent. If Wiley cannot be convinced to change this, I would like to know if it is possible for TheraNest to remove all Wiley categories related to gender dysphoria so that a well meaning, un-informed therapist does not believe that Wiley is evidence based and attempt to utilize the treatment plan and cause harm to their clients.
  • Guest
    Reply
    |     Jun 6, 2017
    I have also noticed this and been watching for a fix for some time. I'm disappointed that a year later this is still an issue. It is very frustrating to have "sexual identity" come up under gender dysphoria, and like Nicole, found it to be offensive. These are 2 completely different issues and it is startling to me that it still has not been addressed.
  • Guest
    Reply
    |     Dec 6, 2016
    Update: I contacted Wiley to inform them of the error and they were very receptive. They are looking into this error and should update within a month. I will continue to follow up with them about this to ensure it is. If anyone else would like to contact them the number is 1-877-762-2974.
  • Guest
    Reply
    |     Aug 17, 2016
    I was really shocked and disappointed too....I work with transgender clients and the treatment planner option for gender dysphoria is essentially useless and a bit offensive from a clinical standpoint. If this could be updated it would be much appreciated.