Ethically Sound Service Delivery for Gender Expansive Adolescents and Adults - 3 CEUs

To access the discount form to register for multiple workshops or participants, please click here.

When and Where:

• Date: Wednesday, August 27, 2025
  • If you cannot attend this workshop on 8/27, you can pre-register for the on-demand version of this presentation here: https://www.theknowledgetree.org/p/gender-expansiv...
• Time: 1:00pm - 4:15pm Eastern Time
• CE Hours Included: 3 Ethics or Core (please see below for more information)
• Location: Live Interactive Webinar (“Synchronous”) on Zoom
• Investment: $87 before Friday, August 15th at 5:00pm Eastern Time, $97 after
• Presented by: Nick Marzo, LPC (see bio below)
• Instruction Level: Intermediate
• Target Audience: Counselors, Social Workers, Marriage & Family Therapists, Psychologists, Psychotherapists, and other Mental Health Professionals
• Workshop Recording: A recording of this workshop is available for review for 60 days after the presentation. However, participants must attend live to receive the "Synchronous" CE Certificate.

Learning Objectives:

In this workshop, you will learn how to:

• Assess the impact of legislative and legal actions on gender diverse people
• Discuss the key concepts regarding rules, laws, and ethics codes across all four professions (psychologists, counselors, social workers, and marriage and family therapists)
• Create a risk tolerance profile
• Develop critical thinking skills to support ethically sound choices related to assessment, treatment, planning, documentation, and referring to or delivering gender-affirming care

Workshop Description:

Feeling torn about how to show up for your gender-expansive clients while staying grounded in your ethical responsibilities? Did the new SCOTUS ruling, Skrmetti vs. U.S., make you question, “How do I keep doing this work, with everything going on?” Well, Nick Marzo, MS, LPC, LMHC, CST-S, ACS has a model to assist you.

In this workshop, Nick will review the ins and outs of ethics when it comes to working with gender expansive adolescents and adults. Through discussion, case studies, and experiential exercises, Nick will support you in developing your critical thinking skills when working with and documenting your work with gender-expansive clients in the current healthcare environment.

Please note that Nick brings a unique lens that blends lived experience as a trans person, clinical experience, and expertise as AASECT Ethics Advisory Committee Chairperson, as well as experience in utilization and quality review, in addition to experience as a paralegal. All of this will be delivered with a diversely queer outlook and the ability to think way outside the box.

Workshop Agenda:

• Introduction and Setting the Tone (10 mins)
• Assess the impact of legislative and legal actions on gender diverse people (20 mins)
  • Current legislative and legal issues
  • Data related to gender expansive identities
  • Minority Stress Model Overview
  • Healthcare Outcomes
    • Adults
    • Adolescents
    • Clinicians
• Discuss the key concepts regarding rules, laws, and ethics codes across all four professions (30 min)
  • Codes of Ethics
  • Process by profession
    • APA
    • ACA/AMHCA
    • AAMFT
    • NASW
  • Explore
    • Parallel themes
    • Opposing themes
  • Methods for staying current
• Create a risk tolerance profile (45 min)
  • Values, attitudes, and goals
  • Documentation
  • Communication
• Break
• Develop critical thinking skills to support ethically sound choices related to assessment, treatment, planning, documentation, and referring to or delivering gender-affirming care (75 min)
  • Ethics of decision making
  • Implementing an ethics decision tree
  • Critical thinking and application of content
    • Case Example: Bex: Assessment and Diagnosis
    • Case Example: Bex: Treatment Planning
  • Referrals and Interventions
    • Clinician's role in the referral process
  • Documentation
    • Medical Records vs. Psychotherapy Notes
    • Record Release
• Closing and Q&A

Presented by: Nick Marzo, MS, LPC, LMHC, CST-S, ACS

Nick Marzo, MS LPC, LMHC, CST-S, ACS (he/Sir) is a Professional Counselor Supervisor, AASECT Certified Sex Therapist-Supervisor, educator, and consultant. Nick’s career has spanned 25 years in community behavioral health, administrative oversight, and private practice. He is the founding owner of Modern Path, a group psychotherapy and holistic wellness practice in Atlanta, GA. Modern Path is a place where people who live and love outside of the box are able to access therapy, sex education, and intimacy coaching in a way that minimizes the power in the room, fostering trust and vulnerability. No longer providing direct care, Nick’s focus is supervising and mentoring clinicians, serving as the AASECT Ethics Advisory Committee Chairperson, providing consultation and training, and serving his personal and professional communities. Nick’s experiences are informed at the intersection of being a middle-aged, trans masculine, genderqueer, thrice gifted, consensually non monogamous Leatherman, a single birth parent, and an all-around passionate and magical guy who has resided in East Coast metro areas his entire life.

Workshop Schedule (Eastern Time):

• 12:30pm - 1:00pm | Sign-In and Welcome
• 1:00pm - 2:30pm | Session
• 2:30pm - 2:45pm | Break
• 2:45pm - 4:15pm | Session
• 4:15pm | Continuing Education Certificates Available

3 Ethics or Core CEs Included - Details by License Type Below:

• PSYCHOLOGISTS: The Knowledge Tree has been approved by the American Psychological Association to sponsor continuing education for psychologists. The Knowledge Tree maintains responsibility for this program and its content. For more detailed information on the current CE ruling in Georgia, or if you are licensed in another state or country, please click here.
• COUNSELORS: The Knowledge Tree has been approved by the National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP), ACEP No. 7153. Programs that do not qualify for NBCC credit are clearly identified. The Knowledge Tree is solely responsible for all aspects of the programs. Please click here for more detailed information.
• SOCIAL WORKERS: TKT has applied for approval for this workshop through the Georgia Society for Clinical Social Work (GSCSW). If you are licensed in another state or country, please click here for more detailed information.
• MARRIAGE & FAMILY THERAPISTS: This workshop is approved for Ethics Hours for Marriage and Family Therapists via GSCSW through a reciprocal agreement with the Georgia Composite Board of Professional Counselors, Social Workers, and Marriage & Family Therapists. If you are licensed in another state or country, please click here for more detailed information.

To view our various workshop policies, including our multi-workshop discount & refund policy, please click here.

We are an approved vendor for the U.S. Department of Veteran's Affairs for easy reimbursement of educational expenses for VA employees.

Neither the Knowledge Tree nor its speakers have received any commercial support for this program or its contents and will not receive any commercial support prior to or during this program.