Therapy First
@TherapyFirstOrg
Non-profit supporting therapists to provide robust, individual care for gender dysphoric youth. We counter the ideological excess of the gender affirming model.
🎨✨Young people should be supported to explore gender creatively, without being rushed down a medical pathway. Our Clinical Guide for Therapists Working with Gender-Questioning Youth explains how this might be part of a therapeutic process with an adolescent client.

"The safest approach is to allow children to mature naturally rather than pursue treatments with lasting consequences, especially when research shows that most children who experience natural puberty come to accept their biological gender, with many identifying as…
💻✨TOMORROW: "Questions and Doubts in Online Trans Communities". Join Therapy First and Sarah Mittermaier to explore how online trans communities handle questions and doubts about gender dysphoria, trans identification, and transition/detransition. Tickets available here:…

So pleased to be able to support Jillian Spencer in her work to keep children's safeguarding up to standard, particularly potentially young gay and lesbian kids.
The Royal Australian and New Zealand College of Psychiatrists is creating an LGBTIQA+ Steering Group. These groups attract gender-zealot psychiatrists. So I’ve applied! Three LGBTIQA+ organisations have written letters supporting my application. Thank you to: @lgballiance_aus…
TUESDAY: Join us for our July webinar, "Questions and Doubts in Online Trans Communities". therapyfirst.org/webinars/
⁉️How do online trans communities react when one of their own expresses doubt? Join SARAH MITTERMAIER for our July webinar: Questions and Doubts in Online Trans Communities. Doubts are regularly raised within online trans communities about trans identity, medical transition,…
Despathy: A mother’s plea for her daughter vermontdailychronicle.com/despathy-a-mot… “Our 20-year-old daughter admitted to us that she had started taking testosterone 3 weeks prior. Now she is 21 and has been taking testosterone for five months. She found a health clinic in Burlington and has a…
Get your fresh gender news here!
🚨 A new SEGM Digest is out! Youth gender medicine is transforming rapidly. Due to weak evidence, the focus is now shifting to ethics and regulation. Our June issue offers concise, scientifically grounded information to help those seeking reliable, up-to-date information. 🧵/1
In news you may have missed, a UN report just told the truth about gender dysphoria. ohchr.org/sites/default/…
🚨 A new SEGM Digest is out! Youth gender medicine is transforming rapidly. Due to weak evidence, the focus is now shifting to ethics and regulation. Our June issue offers concise, scientifically grounded information to help those seeking reliable, up-to-date information. 🧵/1
A good working alliance in psychotherapy does not mean your patient always likes you It means your patient can hate you and return to talk about it
"Don’t explore, don’t question anything, just accept it all and affirm, affirm, affirm!" - so very familiar.
Another terrific article from Peter Jenkins: "Trans Ally, or Trans Bully? Unpacking the Unwieldy Baggage of Allyship" @ThoughtfulTs @genspect @Transgendertrd @TherapyFirstOrg @TamaraSearsUK @SaveMHUK criticaltherapyantidote.org/2025/07/13/tra…
Trans-identified adolescents are prescribed psychotropic medications more than twice as often as their siblings, with rates increasing after medical transition. statsforgender.org/psychotropic-m…
The petition for reinstatement of Australia's whistleblower psychiatrist Jillian Spencer has almost 6,000 signatures. Dr Spencer was suspended from clinical duties at the Queensland Children's Hospital after raising concerns about the safety of puberty blocker-driven gender…