Welcome to therapy first

Psychotherapy as first-line treatment for gender dysphoria

We’re here to help.

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.

Mindfulness-Based Trauma Management

Gina de la Chesnaye

Monday February 26th noon EST

Learn the intersection of polyvagal theory and attachment theory in our upcoming webinar designed to enhance an understanding of trauma and mind-body practices. Participants will come away with a better understanding of the neuroscience behind mind-body techniques and how they can be used to regulate dysregulated nervous system states. Clinicians will be equipped with the tools to share trauma-informed mind-body practices with clients. Therapy First's Paul Garcia-Ryan will host this webinar, covering the application of mind-body practices for gender non-conforming individuals who have faced various traumas, including undue medical harm.

Gina de la Chesnaye is the founder and director of The Nachan Project which serves the women and children of the Katwe slums in Kampala, Uganda and offers Mindfulness and Trauma Management Trainings to social workers, humanitarian aid workers, street counselors, trauma therapists and caregivers throughout Uganda and Kenya. She is a core faculty member of Second Response which tends to the emotional & psychological needs of people exposed to trauma through natural and/or man made disasters. She serves as key faculty for The Lineage Project, bringing mindfulness based exercises, yoga and meditation to at-risk and/or incarcerated youth and their support staff in New York City. Gina is also on the Meditation Faculty of the Nalanda Institute for Contemplative Psychotherapy. 

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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