Texas CE · Washington CE · Self-study online
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LGBTQ+ Affirming Care in Clinical Practice
Does this count toward my Texas LPC, LMFT, LCSW, or LMSW renewal?
Yes. The Texas Behavioral Health Executive Council (BHEC) accepts it as general CE hours for LPC, LMFT, LCSW, and LMSW license renewal, and it is listed on CE Broker (provider ID 70094). This course is $9, 4 CE hours.
Source: Texas BHEC rules: 22 TAC 681.140 (LPC), 801.261 (LMFT), and 781.501 (social work)
Does this count toward my Washington LMHC, LMFT, LASW, or LICSW renewal?
Yes. The Washington State Department of Health (WA DOH) accepts it as general CE hours toward the 32 hours LMHCs, LMFTs, LASWs, and LICSWs need every two years. This course is $9, 4 CE hours.
Source: WAC 246-809-630, Washington continuing education requirements for counselors
Oregon LPCs and LMFTs: see Oregon Cultural Competency CE for LPCs and LMFTs: LGBTQ+ Affirming Care in Clinical Practice, the Oregon requirement page for this topic.
Minority stress, affirming intake, and transgender and nonbinary clients within scope.
Clear questions, no tricks. Scout points out the key concepts so you can pass and get back to your clients.
CE hours
4
Format
Self-study (reading)
Post-test
20 questions, 70% to pass
Price
$9
Who is this course for?
Texas LPCs, LMFTs, LCSWs, and LMSWs and Washington LMHCs, LMFTs, LASWs, and LICSWs who want LGBTQ+ Affirming Care in Clinical Practice hours toward renewal.
Is it in the state bundle?
Yes. You can pick it in the Texas and Washington bundles, $69 for 36 CE hours. It is also sold on its own.
Do you report it to CE Broker?
Yes, for Texas. All Texas courses are listed on CE Broker (provider ID 70094), and we report your completions to CE Broker within 30 days, using the Texas license type and number you give on the test.
How fast is the certificate?
Your certificate comes by email within 1 business day after you pass the post-test (70% to pass) and complete the evaluation.
Do I need a subscription or an account?
No. Each course or bundle is a one-time purchase, not a subscription. Checkout on Payhip asks only for your email and payment. No account, no login.
About this course
Lesbian, gay, bisexual, transgender, queer, nonbinary, and other sexual and gender minority clients come to every kind of practice. This course teaches the minority stress model (Meyer; Hatzenbuehler), affirming intake and practice basics, clinical themes across the lifespan, counseling work with transgender and nonbinary clients within counseling scope, and family acceptance research.
The critical appraisal section applies the same evidence standards to every side of current debates, including youth gender medicine, which is discussed only so clinicians understand what clients and families hear. The course does not advise for or against any medical intervention.
The core content applies in every state. State law appears only in one labeled section, which explains the 2026 U.S. Supreme Court decision in Chiles v. Salazar. Reviewed October 17, 2026.
Learning objectives
A sample of what you will be able to do after completing this course:
- Use current terms for sexual orientation, gender identity, gender expression, and sex assigned at birth accurately, including names and pronouns.
- Describe distal and proximal minority stressors and explain the psychological mediation framework.
- Apply affirming changes to intake and avoid assuming that identity is the presenting problem.
- Identify common clinical themes for sexual minority clients across the lifespan, including bisexual clients.
- Describe the counselor's scope in work with transgender and nonbinary clients, including the separate domains of transition.
- Summarize the research on family rejection and youth outcomes.
- Summarize the evidence for minority stress and affirmative interventions and its limits.
- Describe the debate about youth gender medicine using the same evidence standards for each side.
- Explain how Chiles v. Salazar changed the legal landscape and why clinicians must check current state law.
- Apply ethics standards on nondiscrimination, competence, self-determination, and informed consent in integrated cases.
Instructor
John Oliver Ycaro, LPCC (also the course developer and CE provider). About 10 years of clinical experience in community mental health and private practice. Expertise relevant to this course: outpatient clinical work with individuals, couples, and families in community mental health and private practice.
Under CAMFT CEPA rules, the named instructor meets instructor qualifications by current related licensure and a related master’s degree (and related practice experience). A current CV is kept in the provider’s CE records.
CE information
Self-study course, offered as distance learning with a 20-question test of comprehension. 4 CE hours.
CE hours are based on the length of the required reading, using our documented hours method. Your time may vary with your clinical experience and reading speed.
John Oliver Ycaro, LPCC is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LCSWs, LPCCs and LEPs. John Oliver Ycaro, LPCC maintains responsibility for this program/course and its content.
- CAMFT Provider #: 10072759
- Format: Self-study (reading), with an online post-test
- Hours: 4 CE hours
- Passing score: 70%
- Certificate: Emailed within 1 business day after you pass the post-test and complete the evaluation, as a PDF you can print or save
- Cost: $9
Texas requires me to report your completion to CE Broker within 30 days. Please enter your Texas license exactly as it appears on your license.
Price
$9
Pay securely on Payhip. CE credit is awarded after you complete the reading, pass the post-test at 70% or higher, and complete the evaluation.
Policies
Refunds / cancellation
You can get a full refund within 3 days of purchase as long as you haven't started the post-test. After you start the post-test, or after 3 days, we’re not able to offer a refund.
Accommodations
If you need a disability accommodation (for example a screen-reader-friendly file, larger print, or extra time on the post-test), email support@therapistcehours.com. We respond within 5 business days. There is no charge for accommodations.
Grievances
If you have a concern about the course, email support@therapistcehours.com. You will get a written response within 14 days. If it is not resolved, you can contact CAMFT at cepa@camft.org.
Activities not for CE credit
CE credit is awarded after you complete the reading, pass the post-test at 70% or higher, and complete the evaluation.
What you get for $9
4 CE hours for Texas and Washington, in one self-study course you read at your own pace.
Certificate by email within 1 business day after you pass, and Texas completions reported to CE Broker within 30 days.
One-time purchase, no subscription. You can also pick it in your state bundle.