[Martina]

My assumption is that you shouldn't second guess your clients. If they say, male, then it's male. If they say female, then it's female. If they say something else, then transgender would be the umbrella term. I don't think you're supposed to choose transgender just because you can see or you guess that someone is trans. Just go down the questionnaire and ask, "Do you ID as male, female, or transgender?" Most people will answer with a "duh" in their tone. But so what?

I cannot imagine why this is relevant to speech pathology, but whatever. Good luck with your program. We need more SLPs out there.