“…The Association for Spiritual, Ethical, and Religious Values in Counseling (ASERVIC) created 14 competencies for counselors that cover such areas as culture, counselor self-awareness, development, and diagnosis (Cashwell & Watts, 2010). In addition the American Counseling Association, in cooperation with the Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling (ALGBTIC) Board, adopted competencies for counselors who work with transgender clients (Burnes et al, 2009). Counselors are encouraged to understand how the helping relationship can allow the transgender person to work through issues of human growth and development, social, and cultural factors.…”