Gender Affirming Mental Health Assessment

Gender is a deeply personal aspect of an individual's identity, and there are countless expressions and stages along the gender journey, with a variety of approaches to transition. Your unique perspective and self-understanding are essential in this process, and there is no one-size-fits-all solution. If you need help at any point in your journey, I offer a range of assessment and consultation services for gender-diverse individuals and families. With specialized training in gender assessment, I am equipped to provide support throughout your process. Many gender-affirming interventions require a psychological or mental health assessment to gain approval from medical professionals or courts. Therefore, my practice offers Gender-Affirming Mental Health Assessments for those seeking these interventions. Please take a moment to review the information below to learn more about my services and approach.

Important terms:

Gender Affirmation: Being recognized and supported in one’s true gender identity and expression.

Gender Identity: Personal and internal sense of having a particular gender that may be the same or different than one's birth-assigned sex.

Birth-Assigned Sex: Label given at birth based on medical factors like hormones, chromosomes, and genitalia. When gender identity aligns with birth-assigned sex, it's called being cisgender.

Gender Identity Terms: Transgender, non-binary, genderqueer, genderfluid, transfeminine, transmasculine, demiboy, demigirl, gender nonconforming, agender, masculine presenting, feminine presenting, bigender, butch, boi, masculine-of-center, feminine-of-center, femme, masc., female to male, male to female, multi-gender, pangender, polygender, third gender, two-spirit, gender neutral, or gender questioning.

Gender Expression: The way someone expresses their gender externally, through behavior, mannerisms, interests, physical characteristics, or appearance.

Gender Dysphoria: Feeling of discomfort or distress that can occur when gender identity differs from birth-assigned sex.

Gender Euphoria: Feeling of comfort or joy when thinking about one’s true gender identity.

  • Although not everyone with a gender variant identity experiences these emotions, gender dysphoria and/or euphoria are often encountered by individuals with gender identities that do not align with their birth-assigned sex.

Personal Gender Pronouns: Words that someone uses to refer to themselves, such as he/him, she/her, they/them, ze/zir, ve/vir, and per.

  • Awareness that gender identity can be distinct from one’s external presentation and it is important not to assume someone’s gender identity based on their appearance.

Assessments and letters

A comprehensive Gender-Affirming Mental Health Assessment can provide a more thorough understanding of an individual's gender development and overall mental health, beyond what can be achieved through psychotherapy alone. It takes into account important areas of life, provides diagnostic information, and offers specific treatment recommendations, resources, and collaboration with other providers. Such assessments are particularly recommended by the World Professional Association of Transgender Healthcare (WPATH) for children, adolescents, and young adults who are interested in medical interventions for gender alignment. However, adults may also benefit from an evaluation before pursuing surgical interventions and may need letters of support and recommendations from a mental health provider. No matter the age or stage of an individual's gender journey, an assessment is a valuable step to take.

 

Assessments and letters are provided for the following purposes:

  • Gender Confirmation Surgery (GCS)

  • Hormone Replacement Therapy (HRT)

  • Legal Name Change

  • Legal Gender Marker Change