Conscious Mental Health

Unmasking Therapy First: The Myths and Realities of Gender Exploratory Therapy (PART 1)

Bridge Academy of Innovative Mental Health Season 3 Episode 12

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‼️Content warning for sensitive discussions regarding the LGBTQ community. ⚠️

What is Gender Exploratory Therapy, and why is it raising concern amongst therapists and LGBTQ+ advocates? In part 1 of our series, Juniper and Laurel, delve into Therapy First, the organization behind this controversial model. We examine its claims about "exploratory care", and gender-critical approaches, and discuss its implications for trans and gender-diverse communities.

🎙️ Introduction to Gender Exploratory Therapy (00:58 - 02:11)

📚 Interviews and Perspectives (04:12 - 05:12)

🧐 Exploration of Therapy First (05:12 - 09:23) (05:12 - 09:23)

⚖️ Understanding Gender Affirmative vs. Exploratory Therapy (09:23 - 18:38) (09:23 - 18:38)

🔄 The False Binary in Therapy Approaches (18:38 - 27:36) (18:38 - 27:36)

🚫 Discouragement of Transitioning (27:36 - 37:51) (27:36 - 37:51)

🛑 Conversion Therapy Discussion (37:51 - 47:57) (37:51 - 47:57)

📊 Research and Evidence (or lack thereof) in GET (47:57 - 56:06)

🌐 Conclusion (56:06 - 01:07:12)

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Speaker 1 - 00:00

This one's gonna be a doozy.

Speaker 2 - 00:02

I don't know if I'm ready. And I said that in, like, a joking tone, but I kind

of actually don't know if I'm ready because they're so, like, my head is

swimming. After two weeks of being, like, neck.

Speaker 1 - 00:17

Deep in all of this, so immersed, for the listeners who aren't watching

the video, you might just imagine the biggest dark circles under my

eyes, because, like you said, being neck deep in this topic has been a lot

more taxing than I thought it would.

Speaker 2 - 00:33

Yeah, it's. I think it started out as, like, a special interest that I was like,

oh, wow, this is fascinating. And now it's just, like, all consuming, and I

feel like there's no bottom to this. Well, like, every time I find a fact or,

like, find a connection, there's just more and more. I don't think it ever

ends. I think it's a bottomless pit. A black hole.

Speaker 1 - 00:57

Yes. This is the Conscious Mental Health Podcast for curious clients and

conscious clinicians. This podcast is for informational purposes only and

should not be considered health. I'm Juniper, licensed clinical social

worker and mental health educator.

Speaker 2 - 01:14

And I'm Laurel, licensed professional counselor and a mental health

educator.

Speaker 1 - 01:18

We are here today with dark circles under our eyes because we have

been neck deep in gender exploratory therapy. I'm speechless, truly.

Speaker 2 - 01:28

I will say, like, I think this is a really important episode, and I'm glad

we're doing it. I don't want to, like, avoid having the conversation just

because it seems overwhelming. But also, I would give, like, a content

warning because we're going to be talking about some things that are or

could be pretty upsetting, especially if you're a person in the LGBTQ

community. If you're a trans person or you have loved ones who are

trans, I would just offer to take good care of yourself and just know

there's gonna be a lot of conversation about some tough subjects under

this umbrella today.

Speaker 1 - 02:10

I think we should start with the origin story of why we even got into this

in the first place. Like, what. What brought our attention to gender

exploratory therapy that also goes by many names?

Speaker 2 - 02:24

Well, as so many unfortunate rabbit holes do begin, our story begins on

Facebook. If you're watching the YouTube video, you can see our

beautiful board behind us. We are going to be using this as, like, one of

those. What would you call it? Like, investigative maps.

Speaker 1 - 02:43

Yeah, I was like, Detective String, csi. Yeah, we had to do it. So if you're

listening on the pod if you want to see the board, please check us out on

YouTube.

Speaker 2 - 02:55

As it all started, it started on Facebook.

Speaker 1 - 02:58

On Facebook.

Speaker 2 - 03:00

Thanks, Mark. So I am in a number of therapy networking, therapist

networking groups on Facebook as a part of my job here and just

connecting with people and sharing resources. And one day, I don't know

how was. How long ago was it? Like a couple of months ago, maybe it

was even back in the spring, I stumbled upon someone requesting

resources for working with a trans client. And someone had commented

this resource that I had never seen and it was called Therapy First. A

couple of other folks had commented underneath that resource, saying

things like, please be careful. This is a transphobic organization. I don't

recommend them. This is a dangerous model. It's conversion therapy.

Speaker 2 - 03:50

And I had never heard of Therapy first, but we're going to talk about it

because they certainly are out there and very professional looking and

sounding and are actually influencing a ton of public policy both in the

United States and in many other countries right now.

Speaker 1 - 04:12

Yeah, yeah, hello. Editing Juniper here. We just wanted to share that for

this deep dive, we interviewed both clients and clinicians that have

either received therapy in the realm of gender or identity and also who

have been therapist in that realm. So Nick was our client interview and

we interviewed Amy, Marie and Megan, who are all three clinicians. And

we also interviewed an endocrinologist working in the space of gender

affirming care. However, after the election, the hospital that they worked

at decided that they didn't want any of their physicians or employees

doing any public interviews due to safety concerns. So we will share

some of the resources, but we will not be sharing any of that interview to

protect the safety and preference of that endocrinologist. We really

wanted to offer various perspectives on the topic of gender exploratory

therapy and gender affirming therapy.

Speaker 1 - 05:21

So in this episode, you'll be hearing again from Nick, Marie, Amy and

Megan. We're also going to share a ton of clips directly from the trainers

and therapists in Therapy first and their other organizations. So we're

going to share from their podcast, we're going to share from some of

their webinars. And all the information that we're sharing is public

domain. We're utilizing this for educational purposes. Okay. So we asked

Amy and Marie if they'd ever heard of Therapy first or gender

exploratory therapy. Hi, this is Marie Coma Thompson, lpcc. I have not

heard of Therapy first other than Juniper mentioning it the other day. And

I haven't heard specifically of Gender Explorer Exploratory therapy.

Speaker 2 - 06:08

My name is Amy Halvorson.

Speaker 1 - 06:10

I'm a licensed clinical social worker with.

Speaker 2 - 06:13

A focus on treating trauma. I have not heard of the organization therapy

first. I have also not heard of gender.

Speaker 1 - 06:23

Exploratory therapy and I hadn't either. And when you alerted me to this

organization and then I started looking into it, when you first go onto the

website, I'm like, okay, yeah, this doesn't feel explicitly anti trans.

Speaker 2 - 06:38

No, it doesn't. It, they, it's very, they do a really interesting job and I

think like a pretty good job of sounding very reasonable, very middle

ground, like walking a neutral sort of a line or offering this sort of

comforting sounding language around why they use the model that they

use. That really makes sense if that's all you see. But when you start to

dig deeper, it starts to become to me a lot more troubling. The front

page of their website is it says psychotherapy as first line treatment for

gender dysphoria. We are here to help.

Speaker 1 - 07:21

We asked Megan to take a look at the website with us to share her first

impressions. Now reminder that Megan had not seen the website or

again heard of therapy first or gender exploratory therapy before we

looked at it here. Looking at this website, if you were a therapist looking

for resources for your client or your client's family or yourself, what

would you. On first glance? Yeah. So as I look at this, I think the first

thing that sticks out to me is this really bold print with this pretty glaring

message that I take is that there's a problem and we need to treat it.

Speaker 2 - 08:07

Yeah.

Speaker 1 - 08:07

And then there's this and we're here to help. So it basically says that

their aim is to support psychotherapists working with gender dysphoric

children, adolescents and young adults in providing high quality

evidence based mental health care and offer public education on mental

health and psychotherapy. Just noticing that number one, they missed a

period. Get an editor. But number two, anything seem off with that

because I get a very like undercover operation here. Like it is not super

explicit. Yeah.

Speaker 2 - 08:38

If someone didn't kind of know what they were looking at, I think it.

Speaker 1 - 08:42

Would be really easy to fall into kind of what I foresee as like a trap.

Again, we asked Nick to take a peek at the website with us and this was

their first impressions. So I, when I pulled up the first page there, of

course it's laid out quite beautifully. Looks like any other like therapy

page that you might want to visit. It looks quite inviting in fact. But the

wording is so Careful. Oh my gosh. And then it's so triggering the more

that I read through there. Oh God, they were covering landmines. So you

had to be very careful where you step. Not even knowing what I was

looking into necessarily just reading it felt very much like a trap. If you

could write everything in the deepest, darkest corners in the lightest pen

you could possibly write it in, that's.

Speaker 2 - 09:37

How it was written.

Speaker 1 - 09:45

I don't understand the first, the front line treatment. That language has

me tripped up a bit. But okay, yeah, therapy makes sense. Sure, I did

work a lot with trans youth, trans adults everywhere in between the

spectrum, gender non conforming to various stages of transitioning or

not transitioning. And yeah, it kind of makes sense. Therapy is a part of

that. Sure, therapy is a part of it.

Speaker 2 - 10:08

Very often therapy is a part of it. And very often therapy is one of the

first line treatments as far as if people are going to seek out medical

support in transitioning. Like anytime I have worked with an individual

who is walking through that process, therapy has been a part of that.

Obviously I'm biased because I'm a therapist and that's what I do. But

often there is a component of needing or being required to have a

mental health component of that work. So it doesn't sound unreasonable

to me by any means.

Speaker 1 - 10:44

And here's what Nick noticed with just the front hero page of this website

and their huge tagline. Psychotherapy is first line treatment for gender

dysphoria. Okay, that's one of the very first lines. Psychotherapy as a, as

first line. I don't care. Whatever. Treatment for gender dysphoria. That is

a huge trigger. Huge. Why are you treating me for gender dysphoria?

Because you know, when I go to my therapist doesn't say she's treating

me for gender dysphoria. I have gender dysphoria. She may be treating

me for that per se. That's not how she addresses it. That is awful. She's

helping me through something. You're not treating me being treated for

something that is wrong, that's dirty. Like an illness. Yes.

Speaker 2 - 11:39

Okay, like what is wrong with.

Speaker 1 - 11:41

There's nothing. But we're here to help. We're here to help. So we dug

deeper.

Speaker 2 - 11:49

Therapy first also is a professional association. You can join it as a

professional, as a licensed mental health provider also for the

professional aspect. You know, they have trainings, they have a clinician

guide, which is noted up here. And we'll talk about in just a little bit a

guide for working with what they refer to as gender questioning youth.

And they're actually an MBCC approved continuing education provider

for licensed mental health professionals. They do have MBCC approval

for any course that they should put out. So and it's a credentialing board

that approves continuing education for mental health professionals. It's a

national provider and if you get approval as an educator through them,

you don't have to submit any of your trainings individually to them. You

are just automatically approved as a continuing ed provider for

professionals.

Speaker 2 - 12:47

This organization is both a place to seek out therapy and a place for

professionals to find education and community and networking. They

work with children and adolescents and young adults primarily. That's

their big population that they focus on. They really don't focus on work

with adults much at all I don't think. And so I can only imagine as a

parent if I don't have knowledge of all of the different like range of

treatment options for my child. But I'm trying to seek support for my

child. Maybe they just came out to me or we've been having a

conversation for a while and I'm just like kind of getting online and

looking for what is out there. This seems like a very supportive, very, I

think open minded place to get started. We'll get into the reasons why,

but it's very concerning to me.

Speaker 1 - 13:42

They've done a very good job of being able to remain or sound neutral

and maybe that's why they've been approved by the, by certain boards

for training because it's really hard to find direct language. Let's get

more into what Therapy first is about. And in that I'm sure we're going to

start to discover some of the main therapists and people involved and

also other organizations that are connected to Therapy First. But yeah,

let's get involved. Well, okay, what is gender exploratory therapy? Like

what do they believe in? Is it a model? Let's get more into it.

Speaker 2 - 14:27

Yeah. So also we should note that Therapy first is a new name for this

organization. They rebranded very recently and they used to be called

the Gender Exploratory Therapy association or getta. Okay. So a lot of

things that have will come up if you are looking and doing research

further will reference Getta Geta and not Therapy First. So we want to

make sure that we note that those two organizations are the same thing.

They've just rebranded.

Speaker 1 - 14:59

The way that we are going to talk about this type of therapy is we're

going to use their practice guide.

Speaker 2 - 15:06

For clinicians and I took the L And read the entire clinical guide from start

to finish.

Speaker 1 - 15:14

And I took the L and watched the hour in some odd webinar of them

talking.

Speaker 2 - 15:20

It was a lot.

Speaker 1 - 15:21

It was a lot. And I did have to take breaks.

Speaker 2 - 15:25

So essentially, the way that therapy first, or getta describes gender

exploratory therapy is it's an exploratory approach. Okay? And again,

we're gonna. I'm gonna use this language and I'm gonna talk a little bit

about what comes up for me with it and what I've noticed and I think

what some other professionals have noticed with it as well. So just hang

in there. But they describe it as an exploratory approach, which stands in

contrast to the, quote, gender affirmative approach, which they say has

gained popularity in recent years. The gender affirmative approach

assumes that minors presenting with a wish to live in a gender role

different from their sex are transgender and that the primary role of

therapist is to help minors transition. Transition consists of varying

combinations of social transition, medical interventions, and surgical

procedures.

Speaker 2 - 16:22

They state that exploratory therapy does not have a fixed outcome such

as identification with natal sex as its goal. Instead, it is a patient

centered process which aims to explore, understand and address the

multiple intersecting factors generating distress in the young person's

life. One possible outcome is that the individual may come to identify

with their birth sex and accept their body as is. Or they may decide to

find non medical ways to live a better life while still honoring their

unique gendered experience. Or they may decide to go ahead with

gender transition and medical or surgical interventions. Even if they

have a greater understanding of the complex sources of their distress.

These outcomes are equally valid and equally legitimate. I wanted to

read that whole thing because I think it's very interesting. They put a

couple things in there on purpose, right?

Speaker 2 - 17:11

So what they do is they set up a binary between affirmating affirmative

based therapy and exploratory therapy. So they've already created what

I believe is a false binary. The other thing that they put in there very on

purpose, is that it does not have a fixed outcome and that they are open

to an individual seeking medical or surgical interventions. And what

we're going to notice throughout our conversation today is that is

patently untrue. Based on their further literature and case studies and

the way that they approach therapy and the way they speak about their

clients.

Speaker 1 - 17:57

And a lot of ways that we learned that was because we listened to their

podcast and we're going to get more into therapists that do the podcast,

but they are therapist of therapy first, they're the ones doing the traits of

the webinar consisted of These therapists, Stella O'Malley, Sasha Ayyad,

sometimes Lisa Marciano likes to jump in there and we listen to maybe

between the Both of us, 10 to 15 of their podcast episodes where they're

talking about how they do this therapy. So we're literally getting this

information directly from the trainers. And in the webinar, they

highlighted this openness to a range of outcomes. They're not trying to

convince young people that they're not trans or attempting to change

their sexual orientation. It's about helping them understand themselves

better and find a path that minimizes harm. Direct quote from the

webinar.

Speaker 2 - 18:53

Yeah. And there are many other quotes in this clinician guide that also

kind of back up that I believe their statement that they would be okay

with someone seeking medical intervention is patently untrue.

Speaker 1 - 19:12

As a therapist and for all the other clinicians listening, let me know what

you think. But are we always open to a range of outcomes? I don't

understand they're setting this up because again, Laurel talked about

this false dichotomy between gender affirming care and gender critical

care. And the idea is that in gender affirming care, there's only one

outcome. They believe the only outcome in gender affirming care is

surgical intervention and medical intervention. However, as a clinician

who has been trained in gender affirming care, the client guides the

outcomes. Here is what Marie and Amy shared about their understanding

and training of working with clients using a gender affirmative model.

Speaker 1 - 20:00

And if I were working with a kiddo who was questioning their gender

identity or wanted to work with that in session, I would just give them a

space to do that, to talk through their feelings, to provide any

information they may need. And I would try not to sway them either way.

I would try to be really neutral about it. Not feeling that being trans or

non binary is better or that being cisgender is better. I think I would just

allow them the space to talk through how they felt and I would, you

know, call them any names or pronouns that they wanted, as I would for

any client. You know, I think we should call people what they want to be

called and I would work to dispel any, like, misinformation that they had

and connect them with resources that they may need.

Speaker 1 - 20:47

But I definitely wouldn't push them either way. I think that's. They would

just probably need a space to explore it.

Speaker 2 - 20:55

My experience in offering a gender affirming model of practice, placing

intention on Using they pronouns anytime an individual being referenced

directly or indirectly, if they're preferences unknown, setting an intention

in challenging assumptions of societal norms such as hair or dress.

Speaker 1 - 21:28

That are associated with a particular gender, colors that are associated

with a particular.

Speaker 2 - 21:35

Gender, and bringing into the treatment guidance to assist the client in

approaching with curiosity themselves and how their gender fits for

them.

Speaker 1 - 21:52

Megan shared a little bit about how she approaches working with

children and families. And I also tell the parents that I work with, like

your kid is the expert on themselves, you know, and we have to begin to

trust them and really listen and hear them and value their own. Their

perspective, their own thoughts, their own opinions. I don't understand

why they're setting it up. Well, actually we do understand they're setting

this up in a way that is like, well, that's what therapy is.

Speaker 2 - 22:29

Right?

Speaker 1 - 22:29

They have this idea and I kept trying to find research and we'll get more

into it, that's not what gender affirming care is, that it's only one

outcome. So I think they're introducing this idea of range of outcomes

because they believe that when people, children or youth are coming in,

there's a pipeline that only leads to one outcome.

Speaker 2 - 22:49

Right.

Speaker 1 - 22:50

Did you get that?

Speaker 2 - 22:50

I do. And I think that they both believe and want to express to the public

that they are the ones that are open, that are truly doing therapy and

are not constrained by what they. Very often in their literature and in

subgroups that are, they're connected to gender ideology. Your sex refers

to your physical body parts, remember? But there is also something

called gender, which is how you feel inside your body and who you know

yourself to be. And your gender. How you feel on the inside doesn't

always match the sex you were called.

Speaker 1 - 23:30

When you were born.

Speaker 2 - 23:31

Okay, let's say you were born with.

Speaker 1 - 23:34

A penis and you feel like a boy inside.

Speaker 2 - 23:36

In that case, your sex and your gender match.

Speaker 1 - 23:39

But what if you were born with a penis and you know you're a girl inside,

not a boy?

Speaker 2 - 23:44

Then your sex and your gender don't match.

Speaker 1 - 23:46

Wait, what does know you're a girl inside mean anyway? Does that mean

you have to love pink things and princesses? Nope. Sometimes people

refer to things as girl.

Speaker 2 - 23:55

Things and boy things, but this is.

Speaker 1 - 23:57

Just how people sometimes classify things, usually to make it easier to

sell stuff to kids and their parents. Clothes, toys and games are for

everyone.

Speaker 2 - 24:07

You don't have to be a boy.

Speaker 1 - 24:08

Or a girl to like a certain thing. Sid, has anyone ever told you that.

Speaker 2 - 24:12

You shouldn't play with something or wear something because you're a

boy.

Speaker 1 - 24:16

Well, yes.

Speaker 2 - 24:18

The body parts you were born.

Speaker 1 - 24:20

With don't always dictate who you are, how you feel, or what you like to

play with. That's such a relief. Gender how you feel and who you.

Speaker 2 - 24:30

Know yourself to be tells you who you are.

Speaker 1 - 24:33

And there are a whole bunch of possibilities.

Speaker 2 - 24:36

Figuring out what feels right for you is just part of growing up. And so it

is really a false binary. And I love. There's a channel on YouTube that I

really love, Dr. Jamie Talks. LGBTQIA Plus, I think, is the title of the

channel. I liked how she really synthesized it so well really quickly in that

you can be exploratory and either affirmative or non affirmative.

Speaker 1 - 25:03

Right.

Speaker 2 - 25:03

So they're setting up this binary between you're either exploratory or

affirmative, when in fact what they're doing is non affirmative

exploratory therapy, and what someone else might be doing is

affirmative exploratory therapy. And that's a more accurate binary

because therapy is always exploratory or should be.

Speaker 1 - 25:26

One of the podcasts that we listened to, they were talking about how

they use pronouns or don't use, and their. Their approach that they were

teaching other therapists to do is to not use pronouns at all. What are

you going to do about names and pronouns? And this can be really tricky

because, of course, you never want to start a therapy relationship off in

a power struggle. No. So you can't make this the kind of hill you're

willing to die on. And on the other hand, you do want to leave space for

this exploratory angle. So, I mean, for therapists listening, here's a kind

of trick that I've come up with that's been really helpful. First of all,

pragmatically, in therapy, you almost never need to use pronouns

because you're speaking with the individual. Okay.

Speaker 1 - 26:17

And if I'm in a conversation with both the teenager and the parent, I still

direct the conversation at the teenager. So, for example, if the parent

says, so how is Jessica doing in therapy? I might say, you know what?

We're doing great so far this week. What we focused on is like, body

image. And what do you think? It's been going okay. Right. And I'll refer

to the teen. And it's taken a little bit of practice to get that down. But

that way I'm never putting either the parent or the teenager in a position

of conflict with one another. And I have asked clients, like, when I first

meet them, I say, you know, it's a Bit of a tradition in my practice that

we use everyone's last name. Would it be okay if I just called your last

name?

Speaker 1 - 27:01

And I remember you said in Ireland that would be quite odd, but in

America, you know, anybody who's been on a sports team or sometimes

at school, people use their last names. So in my case, you know,

someone would call me Ayad, which, it's kind of endearing, it's a little bit

buddy. So that has a warmth to it as well. And if a kid has like an

incredibly long last name, maybe just the first initial of the last name or

something like that. So this is a nice way of a. Creating a special way of

relating to each other that isn't so hyper fixated on use my pronouns.

Don't use the pronouns.

Speaker 2 - 27:37

They discourage any type of transitioning, both medical and social. Yeah,

medical transitioning often includes. It can include a number of different

things. There is no one size fits all, even medical transitioning process

and can include things like hormone therapies, puberty blockers, gender

confirmation surgeries. And we're not you all, we're not going to get into

the debates really around puberty blockers and hormone therapies today

because that truly could be just an episode in and of itself. But that's

what medical transitioning often includes. Social transition involves

clothes, names, pronouns, gender, very often gender expression,

elements changing or adjusting or exploring elements of gender

expression, a social transition. And gender exploratory therapy

discourages even that. So no form of any kind of transition is encouraged

or affirmed in gender exploratory therapy.

Speaker 2 - 28:35

And in fact, they often cite in their research or what they present as

research and sorry and their clinical guide that social transitioning is

more likely to lead to someone seeking medical transition. So they're

even creating this linear relationship saying that if you allow a young

person, because that's who we're talking about here, a child or an

adolescent or young adult to engage with a social transition of any kind,

it heightens the likelihood that they're going to enter into medical

transition. So they actively discourage all kinds of. All elements of

transition under transition.

Speaker 1 - 29:19

Under the guise of openness. Because they believe by validating a social

transition by using a pronoun, they believe that's not open. They say, oh,

well, that's closing off the range of outcomes. It's a. What would you

say? Circular.

Speaker 2 - 29:34

It's circular reasoning.

Speaker 1 - 29:35

Circular reasoning.

Speaker 2 - 29:36

And you know, I think the other thing that is really important, the other

elements that they include understanding gender exploratory therapy

that it understands that gender dysphoria emerges in a context. So

gender related distress, just like any other form of distress, occurs in a

context. It seeks to understand how this person came to develop

negative feelings about their sexed body or that the gender they were

assigned is wrong. And you'll hear a lot of this. I really want to highlight

this because it comes up over and over again that in gender exploratory

therapy, the Venn diagram is a circle of gender dysphoria. And being

trans, they do not differentiate transness from gender dysphoria under

their definitions. It's all gender dysphoria, it's all pathology. Transness is

a pathologized or state and it is not something that can exist outside of

being a pathology.

Speaker 2 - 30:38

So I think that's really important when we consider how they're

approaching this type of therapy. And I want to connect that back to

when they stated that they're open to all outcomes. It's, I just want

people to hear what they're saying. They're open to all outcomes. But

over and over again, their languaging and the way they approach

transness is that it is something to be fixed.

Speaker 1 - 31:09

They think that it's a symptom that trans identity or gender dysphoria or

gender nonconformity is a symptom of something else.

Speaker 2 - 31:22

Yeah.

Speaker 1 - 31:22

And they talk about a symptom of family developmentally, a

developmental history, a social experience. We're going to get more into

their social contagion theories in a bit. But they really think that gender

expression is a symptom. There's lots of ways for us to find dysfunctional

coping mechanisms. And gender dysphoria is arguably a dysfunctional

coping mechanism that people set upon as this is the solution to my

mental pain. And yet in this world, in this extraordinary world where

mental distress has been weaponized into kind of something to bludgeon

people with and silence people with, it's just become a horrendous issue.

And these are the most vulnerable kids. These are the autistic kids who

might one day grow up to be gay or lesbian. These are really vulnerable

kids. It's the savvy kids aren't getting caught up in this.

Speaker 1 - 32:19

It's the lost, vulnerable, sad kids that are getting lost. So they believe if

they can treat the other things or that this symptom will just magically

go away.

Speaker 2 - 32:28

Yeah. And that ultimately what they are not stating it, the ultimate goal

is to remove that trans identity or the Focus on gender.

Speaker 1 - 32:41

Nick really picked up on this point when were reviewing some of the

clinician's guide. It seemed pretty obvious to them what the goal was.

And somehow implying that it's a choice. That's not how it works. It's not

about. I didn't, I didn't choose to be trans. That's not how it works. Yeah,

I chose to be myself. That's how that worked. Because I could choose not

to be me, which is pretty painful. I can choose that. I can choose to be

someone that I'm not. People choose to do that every day. But to choose

to be yourself doesn't mean that you're choosing a different sex because

you think it's rad, because you're trying to follow all these cool social

norms. Did you decide to be a woman? Did you decide to be a man? If

you are who you fucking are?

Speaker 1 - 33:45

I think they're also trying to buy time.

Speaker 2 - 33:48

Yes, they absolutely are because they talk.

Speaker 1 - 33:50

A lot about developmental stages and they talk a lot about the lack of

evidence of the efficacy or long term studies of using medical

interventions. And I think they're trying to buy time because they never

talk about adults.

Speaker 2 - 34:04

No, they're really not focused on adults. There are several folks who are

involved in some of these organizations who have said something along

the lines of, you know, adults can do whatever they want to do. If that's

how they want to live their life. They often use terms such as lifestyle

choice, then that's fine. But they really, and they'll use these, this

languaging too, of watchful waiting. They use the term watchful waiting

quite frequently in discussions of care for trans children and trans

adolescents and delay, delay. So they literally have said that or their way

of understanding and what they have frankly lobbied for and we can talk

about, we will talk about a little about this as well, is that people should

not have the access to any form of medical affirming support or

treatment or care until they turn 25.

Speaker 2 - 35:04

So we're not even just talking about legal minors under 18. They are

really pushing for, to remove and to block access for anyone under the

age of 25 to receive any kind of medical treatment or support or

affirming care.

Speaker 1 - 35:23

Here's my plan to stop the chemical physical and emotional mutilation of

our youth. On day one, I will revoke Joe Biden's cruel policies on so called

gender affirming care. Ridiculous. A process that includes giving kids

puberty blockers, mutating their physical appearance and ultimately

performing surgery on minor children. Can you believe this? I will sign a

new executive order instructing every federal agency to cease all

programs that promote the concept of sex and gender transition at any

age. I will then ask Congress to permanently stop federal taxpayer

dollars from being used to promote or pay for these procedures and pass

a law prohibiting child sexual mutilation in all 50 states. It'll go very

quickly.

Speaker 1 - 36:16

I will declare that any hospital or health care provider that participates in

the chemical or physical mutilation of minor youth will no longer meet

federal health and safety standards for Medicaid and Medicare and will

be terminated from the program immediately. Furthermore, I will support

the creation of a private right of action for victims to sue doctors who

have unforgivably performed these procedures on minor children. It's

scary because we're going to talk about the actual dangers and harms

that could introduce waiting until 25, and there is a reason why. And

we're going to talk about the American Academy of Pediatrics, and we're

going to talk about the APA and what the recommendations are based on

research of why and when medical transition starts at a younger age.

Speaker 2 - 37:12

And, you know, a couple of things I do want to point out. They make it

very purposeful under their number. Their number one. Under what?

Exploratory therapy is not. They say it is not conversion therapy.

Speaker 1 - 37:27

They say that number maybe 100 times.

Speaker 2 - 37:29

Now, over and over again.

Speaker 1 - 37:31

So what is conversion therapy, and how is it slowly sneaking its way

back into mental health and the public sphere?

Speaker 2 - 37:39

Conversion therapists are back. Conversion therapy is a colloquial term,

and it refers to general attempts to change someone's sexual orientation

or gender identity. For a long time, some psychologists used techniques

that were essentially torture, electric shocks, or chemically induced

nausea. Today, conversion therapy looks different. Much like talk

therapy, it's with a religious advisor or a licensed therapist. For the most

part, though, the underlying goal remains the sane to change who

people are or who they love.

Speaker 1 - 38:12

My understanding from other researchers in the field is that there may

be an increase in conversion therapy for trans people in particular. It's

difficult to say conclusively with the evidence that's available right now,

because obviously it's a clandestine practice that people try and hide.

Initially, though, they will pretend to be on your side and that they

accept.

Speaker 2 - 38:34

You and that they're concerned for you.

Speaker 1 - 38:36

The goal is to get you to talk and then use what you say to hurt, shame,

or gaslight you into agreeing with them. Ultimately, they want you to

doubt or hate yourself so much that you renounce your gender identity

and never take steps towards transitioning. They want you to believe

that this is the best path for you and your family. It's caused irreparable

harm, that kind of trauma, you know, like that trauma of.

Speaker 2 - 38:57

Being forced to be someone I'm not.

Speaker 1 - 39:00

That's.

Speaker 2 - 39:01

That's what conversion therapy is. At the end of the day, you.

Speaker 1 - 39:03

Don'T get a choice. It is slow, it is insidious, it.

Speaker 2 - 39:07

Is creeping, and it is all destroying.

Speaker 1 - 39:11

None of the people I met at.

Speaker 2 - 39:12

The conference would call what they do conversion therapy per se.

Instead, it's safety, which stands for sexual attraction, fluidity,

exploration and therapy, or it's reparative therapy, or even mindfulness.

Speaker 1 - 39:25

Conversion therapists come in several flavors. Ones who try to convince

you to stop being trans because it's sinful, Ones who think that you're

trans because of some sort of trauma, Ones who think it's due to

internalized misogyny, and ones who will try to convince you that you

should just learn to suffer untreated.

Speaker 2 - 39:41

Gender dysphoria because it makes you a better person.

Speaker 1 - 39:43

Figuring this out is surprisingly simple. Conversion therapists will rarely

use your preferred name and basically never use your preferred

pronouns unless they match your sex assigned at birth. And one of the

questions is, are you going to use their preferred name? Are you going to

use their preferred pronouns? Would it be okay if I just called your last

name?

Speaker 2 - 40:00

Clinicians I spoke to were adamant they could treat trans kids with a

similar approach they used for gay people.

Speaker 1 - 40:05

Texas Republicans recently endorsed a therapy that.

Speaker 2 - 40:08

Purports to turn gay people straight. Defending conversion therapy. From

an allegedly scientific point of view.

Speaker 1 - 40:14

It'S the understanding that same sex behavior is an attempt to repair

your childhood emotional hurt. And gender dysphoria is arguably a

dysfunctional coping mechanism that people set upon as this is the

solution to my mental pain.

Speaker 2 - 40:31

States ban on conversion therapy for minors In Alabama, Florida, and

Georgia, the federal 11th Circuit Court of Appeals ruled that banning

conversion therapy violates the first Amendment.

Speaker 1 - 40:40

An appellate court found that law which stops therapists from trying to

change a child's sexual orientation or gender identity violates the First

Amendment, a ban now declared unconstitutional according to this 2 to

1 11th Circuit ruling.

Speaker 2 - 40:55

And indiana, state politicians recently passed a law preventing local

governments from outlawing this practice. Separately, Nebraska now

mandates minors who are seeking medical care for gender dysphoria to

undergo 40 hours of therapy that does not merely affirm their identity.

Speaker 1 - 41:09

In our current culture, in which children are being indoctrinated with

transgender belief from the moment they're out of the womb. They are

being indoctrinated into gender confusion from preschool forward. So no,

with a gender confused child, the family absolutely needs our help.

Speaker 2 - 41:29

As physicians and counselors begin to help.

Speaker 1 - 41:32

Gender dysphoric children embrace their bodies.

Speaker 2 - 41:35

If we don't stand up, who will? Confirmed for me how a political

movement that sees transness as a problem includes people who believe

conversion therapy is a solution. That's who's waiting in the shadows if

anti trans extremists get their way.

Speaker 1 - 41:53

What other therapies do you hear is saying we're not a conversion

therapy, Right? I don't know many others that I've been trained on.

Speaker 2 - 42:00

I don't think I need to say that. I think that's pretty apparent. So, I mean,

I've never had to convince someone that I'm not doing conversion

therapy. So yeah, if we're trying to convince someone, I would be curious

about why that's so important.

Speaker 1 - 42:15

It is not conversion therapy. And just for a little context here, conversion

therapy is a term that describes a type of intervention or practice of

attempting to turn homosexual people heterosexual. But what's

happened in more contemporary times is that this label of conversion

therapy has been applied to any type of therapeutic interaction or

relationship which attempts to help a young person or any person with

gender dysphoria explore what the meaning behind it could be. Or

anything essentially, that is not a concretizing or an affirming of their

stated gender identity conflates two very distinct practices. One being

an attempt to convert a gay person to a straight person, and any

attempt to just simply help an individual understand themselves better,

particularly in the context of their emergent gender dysphoria.

Speaker 2 - 43:12

I want to go back to Dr. Jamie because she referenced a really important

distinction based on the UN Human Rights Council definition of

conversion therapy. They define conversion therapy as encompassing

any approach that denies, delays or problematizes a person's gender.

Speaker 1 - 43:34

We've already covered those three topics.

Speaker 2 - 43:37

So, you know, they do say over and over again repeatedly that they are

not conversion therapy based on their definition, but based on someone

else's. The UN Human Rights Council, the Trevor Project. I think they do

fall under that category. There are more professionals speaking about

this.

Speaker 1 - 43:57

Hey, it's Dr. Jamie. My pronouns are she or they. I'm an associate clinical

professor of psychiatry. I am a researcher and I'm somebody who works

in the space of gender affirming care. I thought I would talk about a

term, gender exploration. This is a term I have used in a trans positive

context.

Speaker 2 - 44:17

Within the gender affirming care model.

Speaker 1 - 44:20

However, I have recently heard that this term has been appropriated by

individuals offering interventions that are not supportive and could be

labeled conversion therapy. So within the gender affirming model, when

we talk about gender exploration, we're talking about walking with the

individual, the client, the patient, as they begin to unpack their gender.

This can take many different forms. It can come in the form of supporting

social transition, talking about the benefits and risks of medical

transition, choices related to legal transition. There's a lot of different

things that gender exploration can entail. But within the gender affirming

model, the idea is that the person leading the way is the patient, is the

client. It's not the provider trying to deny or question how somebody

identifies.

Speaker 2 - 45:29

We're definitely not the only ones pointing this out, obviously, which is

why they've had to repeatedly state that they're not over and over

again. But there is definitely plenty of information out there regarding

why folks are identifying this therapy as conversion therapy. And I do

want to note that we're going to get into some of the other organizations

that are tied to this model of therapy, and at least two of them are

designated hate groups by the Southern Poverty Law Center.

Speaker 1 - 46:01

Yeah, something else that they talked about in the webinar, they use this

idea of a false concept of transition. As I was taking my notes, watching

the webinar like a good student, and it said, quote, it can be a false

concept to believe that transition will solve all your problems.

Speaker 2 - 46:19

Oh, yes, they do talk about this.

Speaker 1 - 46:21

Quite frequently, quite frequently, like, it's not going to solve your

problems. Like, look at all the evidence that shows people are unhappy

after transition. They believe in gender ideology, that there's a false idea

that all your problems are solved once you transition or any type of

affirming practices. And I believe that this is a flawed understanding.

Nick shares a little bit about how actually getting treatment earlier on

could have been helpful in their life and in their experience. The love, the

support that I had in my early 30s and on, had I had that from the get

go.

Speaker 2 - 47:05

I can assure you that I would.

Speaker 1 - 47:06

Have been a much happier human the majority of my life. I can

guarantee you that I would have far less therapy than what I have now.

Speaker 2 - 47:16

I think it's fascinating because I kept finding that as a standout over and

over again as I was reading. And yet they just take such great, they go to

such great pains to say that exactly thing. But in support of their model,

they include some case studies. Well, they refer to this person as Emma,

even though this person, this young person has requested repeatedly to

not be called that. But so they refer to this person as Emma and they

have some dialogue. The therapist says, my role is to be your therapist,

not your parents therapist. That means I'll do my best and to understand

your experience and treat you like a whole person. You're not just a big

walking gender identity. Right?

Speaker 2 - 48:05

It, to me it's just really fascinating and this was one of the first things I

noticed as I was looking on this right out the gate. In their attempts to

minimize conversation around gender, to avoid conversation around

gender, to not use pronouns, to use weird nicknames instead of names,

to you know, all of this stuff, they've created this big boogeyman of

gender. Like they're emphasizing it most of all in. Through all of these

attempts to de. Emphasize it and to ignore it and to treat it as a

symptom.

Speaker 1 - 48:37

Let's just talk about therapeutic skill of that last statement. You're not

just one big walking. Right? That is not even an open ended question for

these people that are really into range of outcomes. And we're open and

we believe informed consent. That that statement alone. Right. That's

not an open ended question.

Speaker 2 - 48:56

This is the same therapist that refuses to use someone's name if it's not

the name assigned by their parents. That whole dynamic to me is very

not client centered. Like why wouldn't you just use somebody's name?

Like why do you want to force calling them a nickname? It's just so odd

to me.

Speaker 1 - 49:19

But they also say that informed consent is one of their most important

pieces. And autonomy.

Speaker 2 - 49:27

Right?

Speaker 1 - 49:27

They, they truly say autonomy. But how is that supporting autonomy?

Speaker 2 - 49:32

It's not. It's telling someone, I'm not going to call you by your name. Why

don't you pick a nickname in my office so that I feel more comfortable.

Speaker 1 - 49:40

Do it.

Speaker 2 - 49:41

Okay. I mean, and there are so many other issues with these case

studies. Like the language of using sex change and referring to

someone's identity as like a part of them, like a trans part of them. And

like the other parts of them, that's like a real part of that. I mean all of

this is just the languaging is wild. We could pick apart this for years.

Speaker 1 - 50:07

Oh, for years.

Speaker 2 - 50:08

But the other one that I really wanted to highlight, which I thought was

really fascinating, that they refer to as Alina at the end, there's a

summary of thoughts or progress or prognosis about each case study.

One of the things in Alina's summary, therapist Writes, I hope that

working through these issues. So therapist is referring to sibling rivalry,

Oedipal conflict between Alina and the father and mother. I mean, it

goes very Freudian real fast that Lisa. I don't know because it doesn't say

therapist's name in the clinician guide, but there is a lot of languaging

around underlying, like, fam, unconscious family rivalry, oedipal

complexes. I mean, when was a lot, like, I think I wrote, like, what

century are we in?

Speaker 2 - 51:04

I know some people are still like psychoanalysts, but, wow, we're really

stretching to try and come up with some kind of an explanation for this

individual's identity as being trans, like an Oedipal complex. Okay. But

they wrote, I hope that working through these issues will result in a

resolution of Alina's gender dysphoria and demands to transition. Their

hope is not that Alina will find a path that fits for them and that they're

open to any path that Alina decides is the best one for them. Their hope

is that Alina will not transition and their demands will be gone. And that's

it.

Speaker 1 - 51:50

Exploratory therapy is open to a range of outcomes. We're actually really

trying to begin a.

Speaker 2 - 51:57

Process of exploration and dialogue that will.

Speaker 1 - 51:59

Help young people understand themselves better, how they want to live,

and what kind.

Speaker 2 - 52:04

Of life is actually going to be.

Speaker 1 - 52:05

Most liberating for them and not just seeing somebody as often. Sasha

would say a walking gender identity. Therapists had to affirm gender

identity without.

Speaker 2 - 52:16

Any question or exploration. You had to affirm in my place.

Speaker 1 - 52:21

Of work, where I carry out my counseling.

Speaker 2 - 52:24

Their posters plastered all over the wall from Stonewall were a

particularly militant bunch. And the poster said, some people are trans.

Get over it. And I thought, what a way to shut down discussions and

dialogue. And I wasn't prepared to get over it. I wasn't prepared to get

over it.

Speaker 1 - 52:43

I wrote down some direct quotes, again from the webinar. It fits right into

that. So because they think trans identity is a subtle way to manage the

stressors of being a teen and also the context in which that, like,

presents itself inside of you, they say therapist should be more directive

in therapy and not stay out of the way of the process. In the context of

identity exploration and the way that she chose to finish that sentence

off by radically transforming their body, their sense of self in the world,

and how they relate to others. There's this paternalistic idea that

because of a child's developmental stage or certain vulnerabilities, that

they can't have those opinions or ideas or they can't feel that way, and

that it's therapist's job to tell them, oh, this is a phase. This is the vibe

I'm getting now.

Speaker 1 - 53:43

I didn't get that a direct quote, but the sense is they're like, this is a

phase. Let's get you through it. And it's our job to be a little more direct.

So I will say that's different than a lot of therapeutic approaches. Is that

directiveness? Do you think that is coming up in the case studies?

Speaker 2 - 53:59

Oh, absolutely. And I think it is very directive because they have an end

goal. And how can you not be directive if you have a specific end goal in

your mind? And the end goal, whether they say it or not over and over

again in both the treatment guidelines and the case studies, is trans

identity is eliminated, or at least that no transition is taking place.

Speaker 1 - 54:27

Plus, there's this feeling that gender is this exception to everything, you

know, everything you ever learned as a therapist. It doesn't apply to

gender. So you feel very lost. We really believe in a kind of back to basics

approach. And it's so important because when you have this emerging

population with a new kind of presenting problem, no serious country

should be telling its children that they were born with the wrong gender.

A concept that was never heard of. In all of human history, nobody's ever

heard of this. What's happening today. It was all when the radical left

invented it just a few years ago. It's very seductive to latch onto a new

exotic kind of novel therapy approach. They also say language like, is

this a healthy developmental call or a psychic retreat?

Speaker 1 - 55:21

And in their podcast, they talk a lot about, well, I had a lot of struggles as

a youth. And wouldn't that have been neat to find something that's the

answer to all my problems.

Speaker 2 - 55:31

Stuck fantasy quality about it, Sasha already alluded is he came in with

this really kind of rigid fantasy. It's like, I'm going to become a girl and

then everything's going to be.

Speaker 1 - 55:40

Great and I just need to reveal.

Speaker 2 - 55:42

My womanhood so that, you know, because it's like, yeah, this might be

right for him and it will probably solve.

Speaker 1 - 55:48

Some problems and create new ones because that's just the reality of

life. And so, you know, if you're, if.

Speaker 2 - 55:54

You'Re dealing with someone who's not holding.

Speaker 1 - 55:56

That level of compassion complexity, then they.

Speaker 2 - 55:59

Might be kind of burrowing into this kind of ideology, I guess, to avoid.

Speaker 1 - 56:05

Thinking about things or feeling Things. So when I first heard about the

idea of blocking children's puberty, I literally stood still in the street

saying, oh, you can't do that. That's blocking the very thing that will

actually help these kids. Honestly, my puberty was harrowing. It was a

train wreck. It was a terrible time, but it was what I needed to go through

to come out. The other side. Was invited to take part in a film actually

called Trans Kids. It's time to Talk. This is 2018. The concept of the film

was just to ask, could any of the 4000% rise in female adolescents

seeking medical transition? Could any of them be like me and actually

better off going through puberty naturally, having a sexual awakening,

becoming a woman, and becoming very happy? There's a false belief

that it solves all your problems.

Speaker 1 - 56:52

Like, this is why I don't feel that I connect with my peers. This is why I

have severe depression. And they think it's this magic ticket or this, like,

magical thing that gives people something to hold onto. But they say,

let's break it down and figure out, well, why don't you feel like you're

accepted by your peers? Why do you feel so different? Why are you

struggling with social anxiety?

Speaker 2 - 57:17

Well, I think it's interesting because they reference, like, Erickson's

conflicts a lot in development and how it's also like, a way to resolve

identity and that identity conflict in adolescence. And I do think that

there can be a potential for anything to be seen as well. Once I do this,

I'll feel okay. Once I do that, I'll feel okay. Could it be that sometimes

because children and adolescents think more concretely and have less

developed ability to see realistic future consequences that could come

up. But I think it's in bad faith to assume that every person that walks in

your door is thinking that. And I think for most children and teenagers, it

does help them feel better to be affirmed in who they are. I.

Speaker 2 - 58:13

I just don't know why we have to set up such a binary of, like, this is

either not going to solve all your problems or it's nothing. Yeah, like, of

course we know that. Of course that's not true. Again, this is a, this false

dichotomy that they're setting up and putting this on these children and

adolescents, like, saying that they believe this when we don't even know

if they believe this. They're assuming that this is the case and this is the

rationale for why all these kids and all these adolescents are. And young

people are like, walking through their door. Rather than starting from

what could be a more exploratory baseline, to use their verbiage.

Speaker 1 - 58:57

I think that it's a really good time to get into some of their reasoning and

rationale. So this particular clinical idea comes from the social contagion

and rapid onset gender dysphoria, which are not actual real terms.

Speaker 2 - 59:12

No.

Speaker 1 - 59:13

Or based on evidence, probably some of that is social contagion. You

know, it's sort of this is the thing to do got riz instead of charisma. That's

a trend. So are Stanley Cups and whatever that aging Dr. Beat song

that's all over my FYP is. But being trans, that's not a passing FAD. Back

in 2018, this researcher, Lisa Lippmann, published this paper claiming

that many kids, teens and young adults who were coming out as trans

were actually CIS and they were just being misled or misinformed by

social media or wanted to fit in with their friends. She coined a term for

this rapid onset gender dysphoria, or rogd, which she used to describe

the phenomenon of a young person suddenly identifying as trans due to

some sort of social influence or contagion.

Speaker 1 - 59:59

Basically, her research suggested that the same way you feel like you

need a knockoff Stanley cup, after seeing Stanley cups all over your fyp,

a person might suddenly decide that they're trans if a bunch of their

friends start doing so, or if they read about it online. And Lippmann

argued that these individuals shouldn't have access to gender affirming

care, since in her view, they aren't actually trans. But it's all based on

bad science. Lippmann didn't survey any actual trans youth and

purposefully sourced many of her interviews from online forums for

parents questioning the medicalization of trans youth. Since Lippmann's

study was published, researchers have been unable to actually replicate

her findings.

Speaker 1 - 01:00:34

A 2023 paper that relied on a survey of over 27,000 trans people across

America found that whether people started to understand themselves as

trans, as kids, teens or adults, most waited a very long time to tell

anybody else. The median time between their personalization and their

first coming out was over 10 years. If anything, social contagion theory is

the trend. Not being trans. After watching the presentation, after looking

through the clinical guides, I was wondering, what did they provide that

this is an evidence based therapy? They did not provide any specific

evidence to support the gender exploratory therapy model or approach.

Instead, they really just focused on outlining principles and arguing

against the dominant gender affirmative model. And they didn't really

share because I don't think there is any evidence around that.

Speaker 1 - 01:01:24

Up until very recently, gender affirmative treatments were considered

the gold standard treatment for young people with gender dysphoria.

However, recently some questions are beginning to emerge about

whether this is in fact the best treatment. And we have looked at the

research very carefully in collaboration with segum, the Society for

Evidence Based Gender Medicine, and have also been very influenced by

a number of independent systematic reviews that have been performed

by Sweden, Finland and the United Kingdom, which have all raised

serious questions about gender affirmative treatment. The presenters in

this webinar said that they were working with, quote, Society for

Evidence Based Gender Medicine, which we're going to get into, and that

they're working with them and using empirical evidence to support their

claims that is why this could be considered an evidence based because

they're using this particular organization's quote unquote evidence.

Speaker 1 - 01:02:22

So they did say that. And they also really cherry pick information about

the risk of gender affirming treatment. So we didn't even get into that,

but they go a lot of into the risk of gender affirming treatments and they

really kind of just cherry pick information and we can debunk all of that.

It's against a lot of the scientific consensus. So anyhow, I just want to

point out that they truly didn't produce any evidence that this therapy is

actually a frontline approach.

Speaker 2 - 01:02:51

No, it's all they do cite many sources in the clinician guide that you can't.

You can go online and download it. It's a PDF. You can access it for free.

You can look at what they cite as sources in the guide. But no, it's not

based on their treatment model. It's all based on prior evidence around

that they picked and chosen, mostly focused on medical transition and

detransition rather than how helpful their model is. They focus on how,

quote, unquote unhelpful they believe other models are. Yeah, right.

Speaker 1 - 01:03:32

I think that's a good general overview of the gender exploratory therapy

model. All right, that was a lot. And there's still more. In fact, as we

continue to research and edit and look for clips, we just keep uncovering

more. But as we've explored in part one, Therapy first presents itself as a

neutral and evidence based organization offering an alternative

approach in therapy to working with individuals experiencing gender

dysphoria. However, as we began to uncover their practices and

principles raised significant ethical and clinical concerns, mainly around

the misrepresentation of gender affirming care and the reinforcement of

many problematic frameworks. But what we came to find was that

Therapy first doesn't exist in isolation. Its influence stretches far beyond

its own walls, its own little group of gender.

Speaker 1 - 01:04:33

A Wider Lens Podcast it's connected to a network of organizations and

individuals that collectively shape public policy, professional standards,

and societal attitudes toward gender identity and care. In part two, we'll

delve into these connections, examining the organizations aligned with

Therapy first, their shared ideologies, and their impact on the broader

conversation around gender. Affirming Care by understanding these

networks, we can better grasp how narratives about gender and identity

are shaped and why it matters. We look forward to seeing you in part

two.

Speaker 2 - 01:05:11

So as a part of this series, we decided to we wanted to do something a

little bit extra. So we will also put a link in the show notes where you can

purchase some merch that we have designed. We will show them here.

And with these specific designs, when you purchase them, 100% of the

proceeds are going to go to Advocates for Trans Equality. Advocates for

Trans Equality is an advocacy and support organization that does all

kinds of different work around trans rights and human rights, litigation,

organizing policy, voter engagement, name change project, ID

documents, legal services. So we really want to support those folks who

are on the ground in the game doing that really important advocacy

work, especially as we're moving forward into 2025 and kind of looking

at some very scary pictures of what future legislation is going to include.

Speaker 2 - 01:06:22

And so we would love if you would do something nice for yourself and

buy a little piece of merch and then that money will go to a good cause.

And of course, if you just want to donate to Advocates for Trans Equality

directly, we will put their link in the show notes as well. And you can

absolutely do that. And we do encourage you to do that if it was helpful

or informative and you want to hear us talk more about these things and

let us do this awful research and you don't have to hit that subscribe

button.

Speaker 1 - 01:06:54

We'll do it for you and give.

Speaker 2 - 01:06:55

Us a rating and review. That would be great if you are listening on the

podcast because that helps other people see that we're putting this out

and maybe have access to it.

Speaker 1 - 01:07:05

Yeah, and you can also rate or review my outfit. I wore all black for this

episode because it was like, yeah, it was like very apropos dark.