Gender Identity

Gender identity issues, sometimes called gender dysphoria or gender conflict, occur when an individual feels an inconsistency between their physical gender and the gender they truly feel or identify with. This most commonly exhibits itself as a physical discomfort with the gender one was assigned at birth, including the feeling of being in the wrong body. Children with gender dysphoria may express disgust of their own genitals or a certainty that they will grow up to be the opposite sex. Some individuals with gender identity issues treat this feeling by physically modifying their bodies to better match their gender identity. Gender dysphoria comes with it an increased risk for depression, anxiety, self-esteem issues, and bullying. If you are experiencing gender identity issues, reach out to one of TherapyDen’s qualified professionals today.

Meet the specialists


Beginning to explore your gender identity can be a challenging and frightening prospect. I am passionate about working with members of the trans/non-binary community and continue my education regarding these issues through continuing education classes, reading scholarly documents, and connections with others within the community. Our work together can and will address many issues, however I will never assume that the issues that brought you to therapy are only rooted in your gender identity.

— Chris Paton, Therapist in Seattle, WA

Gender identity and expression is much more diverse than male and female. In a society that confuses biological sex and gender, and a society that sees gender as binary, individuals who fall outside of societal expectations are pressured to fit in. I provide a safe, welcoming space for clients to have the freedom to explore their true selves without pressure or judgement. I also provide assessments and recommendation letters needed for gender affirming medical treatment.

— Candace Whitman, Counselor in Chicago, IL

This has been the main focus of my work since I started doing private practice in 2014. I very much enjoy working with people to discern their identity or what transition steps might feel important for them. I affirm all gender identities and believe that gender is self-defined. I write referral letters for hormones and surgeries and lead a therapy group for transgender adults. I consider it a privilege to provide assistance to people seeking to express their authentic selves.

— Joanna Morse, Psychologist in Brandon, FL

Do you ever find yourself living in confusion where it’s hard just to think clearly much less make good decisions? Do you see others living in drama and are confused by what that means? Do you find yourself seeking drama in the hopes of reducing your pain? Ever known anyone who could make productive decisions when they’re confused? Neither have I. If you’re ready to eliminate the confusion in your mind and life, give me call. I can help you find certainty and peace in your authentic self.

— Rice Pierce, Licensed Clinical Social Worker in Phoenix, AZ

While working at the San Diego LGBT Center, exploring gender identity was a primary focus of therapy for many or, at least, something that came up regularly in sessions. I have worked with people in transition, people who were certain of their gender identity, and people who were trying to "figure it out." I am comfortable with - and welcome - curiosity, questioning, and ambiguity. My academic studies have also focused heavily on gender and it's relation to other factors.

— Holly Altson, Mental Health Practitioner in Lake Oswego, OR

I have worked with and written support letters for trans and gender-expansive clients seeking gender affirming surgeries.

— Ally Barlow, Clinical Social Worker in Brooklyn, NY

I am trans and committed to working in my communities. Yes, I can write letters to help you access gender affirming health care. And I know that trans and gender affirming therapy is about so much more than that and different for all of us. I want to stay grounded in your experience, your story, your life, your identity, and your family, culture, and communities.

— Colette Gordon, Counselor in Portland, OR

I have specialized training and experience working with folks on issues related to gender identity. I take a trauma informed approach to my work to help people explore their gender identity and provide therapeutic support around expressing gender in a way that is consistent with an individuals identity.

— Alyssa Moore, Counselor in Portland, OR

I specialize in working with gender diverse clients and am a nationally recognized speaker on the topic. I identify as a cis gender queer male and my pronouns are he/him.

— John Sovec, Licensed Marriage & Family Therapist in PASADENA, CA

Our gender identity is core to who we are. Questioning our gender and making the decision to transition is challenging. You and I will start with your feelings and go from there. I can help you develop the skills and tools to cope with anxiety and dysphoria. We'll look at your world and see how you see yourself fitting in it. My internship was at the Gender Identity Center and it was there that I witnessed the power of people when they live as their authentic selves.

— Melody Jones, Licensed Professional Counselor in Centennial, CO

There is no "one size fits all" path to transition and its of utmost importance to me that you have the agency to align your gender in a way that's authentic to you. Some clients need one or two sessions with me to navigate the healthcare system and get connected with informed consent doctors and surgeons. Others want more support for their journey. Being transgender myself I can safely say, I get it!

— Misha Bogart-Monteith, Licensed Professional Counselor in Eugene, OR

I work with members of the trans community and help with gender confusion, gender dysphoria, transition decisions, transition disorders, family issues, relationship issues, and discrimination. I leverage my medical background to help people navigate medical and surgical transition.

— Rick Isenberg, Licensed Professional Counselor Associate in Scottsdale, AZ

Trans-issues have been a central focus of my personal studies since leaving school. I attend any workshop/conference/presentation that I can to further my education on transgender and gender non-binary/gender non-conforming issues. I have also committed myself to continue to study how the binary system serves to perpetuate misogyny and cis-privilege.

— Alejandro Rodriguez, Mental Health Counselor in Lake Mary, FL

I specialize in working with people who identify as trans and/or gender non-conforming or non-binary. My clinical work was featured in a NY Times Magazine article in June of 2019 titled "The Struggles of Rejecting the Gender Binary." I speak about non-binary sexuality at conferences and work with patients exploring their gender identity to navigate the societal challenges that come with being outside of cis world views.

— Jan Tate, Licensed Clinical Social Worker in Mebane, NC

As a non-binary person, I understand the confusion and complication around gender in today's society. Being a non-binary therapist and exploring my own gender and learning the system, I can be here to help you learn your own gender, as well as all the confusing and different terms that are available to us when learning about our own identity.

— Chelsea Tucker, Licensed Professional Counselor in Lakewood, CO

Until the age of 30, I identified as a lesbian. However, I knew that never felt right. At the age of 30, I realized it was far more about my gender identity. I then changed my name and began identifying as genderqueer and using they/them pronouns. Eventually I came to realize I felt like a man and began to medically transition and using he/him pronouns. I now identify as a pansexual transgender man. In addition, I have supported client's in their exploration and transitions for over a decade.

— Asher Eno, Licensed Marriage & Family Therapist in Denver, CO

Often clients come to me after having negative experiences in therapy in which they have felt either judged or misunderstood or it’s their first time calling a therapist and they hold a lot of anxiety about the process. I provide a counseling environment where clients feel heard, valued, and truly accepted. I believe that a client’s own unique strengths and insight, along with my guidance, can provide the tools needed to achieve personal goals and help clients BECOME who they want to be.

— Lisa May-Sachs, Clinical Social Worker in Baltimore, MD

I provide individual, couple and family therapy for Trans youth and adults. As a Gender therapist, I have specialized training and experience to assist you in better understanding your gender journey and how to navigate emotional, social, medical, relational, academic and occupational issues that may arise related to your gender identity. I am here to empower you to live authentically as your true self!

— Jennifer Rickard, Licensed Marriage & Family Therapist in San Diego, CA

I have worked with clients struggling to determine their gender identity and processing the feelings that come along with.

— Madeline Klause, Clinical Social Worker in St. Clair Shores, MI

As an AASECT Certified Sex Therapist and a member of the Charlotte Transgender Healthcare Group, my goal is help you to explore your own gender identity and what it means to you, regardless of where you are in your journey. I am able to assist you with resources to medical providers to aid in your transition (if that is your goal) and to affirm the person you truly are.

— Tia Evans, Sex Therapist in Hickory, NC

I have specialized training and years of experience providing affirming and informed psychotherapy to people seeking support with their gender identity and/or gender transition, including those who identify as transgender, and those who identify as non-binary, or gender expansive. I am familiar with the WPATH Standards of Care model as well as the Informed Consent model and use these interchangeably.

— Caitlyn Dunham, Clinical Social Worker in Auburn, MA

I have an explicitly trans affirming approach and have worked for many years with trans, non-binary and gender awesome folks. I offer low-barrier, single session gender affirming consults for folks seeking support letters for surgeries. My values align with the Informed Consent for Access to Trans Health (ICATH) model of care, and I am well versed in the WPATH Standards of Care so that I can write effective letters that meet insurance requirements.

— horizon greene, Licensed Clinical Social Worker in Seattle, WA

I am supportive of all gender identities, providing psychoeducation when needed, helping to process experiences, and work towards acceptance.

— Tristan Martin, Licensed Marriage & Family Therapist in Manlius, NY