Welcome to therapy first

Psychotherapy as first-line treatment for gender dysphoria

We’re here to help.

Summer 2024 Retreat

Therapy First is hosting our first member retreat June 17th – 20th in the Pocono Mountains. Register now, spots are limited!

Recharge & restore

Immerse yourself in a natural environment, explore scenic hiking trails, gather around an evening bonfire, and enjoy restorative yoga classes and nourishing meals.

Deepen clinical knowledge

Build upon your clinical knowledge with talks presented by leaders in the field and participate in two in-person peer-supervision groups. Speakers include Tamara Pietzke, Jamie Reed, Joseph Burgo, and more.

Strengthen your sense of community

Connect with other clinicians in-person to share experiences, build lasting relationships, and foster a stronger sense of community with colleagues.

The purest form of listening is to listen without memory or desire.

Wilfred Bion

Therapy First is a non-profit professional association of over 300 mental health providers worldwide who view psychotherapy as the appropriate first-line treatment for gender dysphoria.

We aim to support psychotherapists working with gender dysphoric children, adolescents, and young adults in providing high quality, evidence-based mental healthcare, and to offer public education on mental health and psychotherapy

Start here

Therapy First exists because we see a great need arising from the current oversimplification and politicalization of gender dysphoria in the field of mental health.


Join a professional association of mental health providers who view psychosocial support and a whole person approach as the appropriate front-line treatment for gender-related concerns.


Clients & Families

If you or someone you care about is suffering from gender-related distress, we offer compassionate and evidence-based resources and can help connect you to a mental health provider.


Transition Regret

We offer resources and information for those who experience regret or grief related to medical transition, including therapists experienced in working with people who choose to detransition.


Join Therapy First

Therapy First’s professional association is open to licensed mental health providers. Once you become a member, you’ll join a community of over 300 professionals worldwide who actively support one another in exchanging ideas and sharing resources.

You’ll also gain access to weekly peer supervision groups, get discounts to Therapy First webinars and trainings, and have the opportunity to list your practice on a public directory of psychotherapists.

Featured webinar

Therapy First provides a range of trainings for mental health clinicians working with young people who are questioning their identity.

Holding the Space for Exploratory Work in Therapy

Dwight Panozzo, PhD, LCSW

Peter Jenkins

Thursday June 13th 12pm EDT

Co-sponsored by Therapy First and Thoughtful Therapists, this webinar will highlight some of the main findings of the research paper recently published by Dwight Panozzo and Peter Jenkins on the professional practice of members of Therapy First. This looked at how therapists working with clients experiencing gender distress are able to practice successfully in today’s very challenging professional climate. The speakers will unpack the background and context to the highly contested terrain currently facing therapists at present, and provide a necessary defense for exploratory work within the main therapy modalities. It will offer an optimistic perspective for the fresh opportunities for exploratory work within therapy which are now opening up in the post-Cass Review environment.

Therapy First has been approved by NBCC as an Approved Continuing Education Provider,
ACEP No. 7505. Programs that do not qualify for NBCC credit are clearly identified. Therapy
First is solely responsible for all aspects of the programs. This webinar provide 1.5 hours of CE credits.

Co-sponsored with Thoughtful Therapists

Dwight Panozzo, PhD, LCSW is a clinical social worker in private practice, an Adjunct Assistant Professor of Research at the Silver School of Social Work at New York University, a member of the Board of Directors of Therapy First, and the Chair of Therapy First’s Research Committee.

Peter Jenkins is a member of Thoughtful Therapists and serves as a board member of Therapy First. He is a counsellor, supervisor, trainer and researcher in the UK. He has been a member of both the BACP Professional Conduct Committee and the UKCP Ethics Committee. He has published a number of books on ethical and legal aspects of therapy, including Professional Practice in Counselling and Psychotherapy: Ethics and the Law (Sage, 2017).

Download Therapy First’s free Clinical Guide for Therapists Working with Gender Questioning Youth. Developed by a team of clinicians with expertise working with gender dysphoric youth and their families, our clinical guide offers mental health providers an introduction to working with this growing population based on the latest research and a solid understanding of psychotherapeutic best practice.

Find a Therapist

We help prospective clients connect with therapists who agree with the tenets of Therapy First’s membership statement.

You can find out more about individual practices by clicking in and viewing their profile.

latest podcast from

Gender: A Wider Lens

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