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.

Therapists

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.

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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.

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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.

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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.

Family Functioning and Gender Dysphoria

Joe Berger

Monday September 23rd at 7pm EDT

The way a therapist thinks about a phenomenon such as gender dysphoria and transition informs how they will respond clinically. The belief that gender dysphoria is caused by a mismatch between one’s sex and internal sense of being male or female informs treatment approaches that emphasize social and medical transition as ways to reduce dysphoria and improve functioning. A broader understanding of gender dysphoria will be presented that considers the family and relationship context of the individual, their level of maturity, and the role of chronic anxiety in the family. Key to managing gender dysphoria or any other symptom is the ability to regulate one’s emotional system, take a broader perspective, and respond thoughtfully to the challenge rather than reactively. Individuals vary in their ability to do this. A clinical approach informed by this understanding will be discussed.

Joe Berger, LICSW is a psychotherapist in private practice in Burlington, VT. About one third of his clients identify as transgender or nonbinary. A trans man himself, his interests include developing a more complete understanding about gender transition that incorporates societal, family, and evolutionary processes. He received a Masters in Social Work from the University of Vermont in 2012, and has completed postgraduate training in Bowen Family Systems Theory through the Vermont Center for Family Studies and the Bowen Center in Washington, D.C.

 

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.

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.

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