What Does Trans Visibility Look Like in Therapy?

Creating a space of visibility for trans clients goes beyond simply marking one day of the year like Transgender Day of Visibility (TDOV) (March 31st). It requires consistent, intentional effort and dedication to providing affirming, research-informed care. As therapists in Texas, it is essential to develop practices that cultivate trans visibility and inclusivity both in and out of the therapy room.

We hope this blog helps clinicians get curious about how to cultivate a space in their therapeutic practice for clients in the trans community. Where they can be seen, heard, and valued.

1. Practice Competency & Continue Learning

Competency is a lifelong journey. Commit to continuously deepening your understanding of trans identities, experiences, and health needs. This includes:

Staying updated with research-informed clinical practices.
Regularly attending training sessions focused on providing affirming care.
Expanding your understanding of how intersecting identities impact the therapeutic experience.

Recommended Readings:

NYPL Trans Literary Landscape Reading List
Books like "Trans Bodies, Trans Selves" and "The Remedy: Queer and Trans Voices on Health and Healthcare"

2. Cultivate Inclusive Practices from the First Contact

From intake paperwork to your website language, every aspect of your practice should reflect inclusivity.

Use Gender-Neutral and Affirming Language: From the initial intake form to ongoing sessions, ask for your client's name and pronouns without assumption. Offer a fill-in-the-blank section for gender identity rather than a limited binary choice.
Respect Privacy: Avoid asking for "dead names." Instead, focus on the name your client uses and acknowledges.
Check Your Language: Ensure your clinical language is affirming and that you’re open to learning if you make a mistake.
Human Rights Campaign Glossary of Terms

3. Safe Spaces

Your therapeutic space extends beyond the therapy room. Consider the full client experience:

Restroom Access: Offer or designate a gender-neutral restroom if possible.
Waiting Room & Office Decor: Create welcoming spaces by featuring gender-diverse individuals and inclusive messages in your waiting area.
Intake Forms: Ensure that your form allows for inclusive self-identification.

4. Work from a Systemic Lens

Trans clients are often impacted by systemic oppression and discrimination. While it's important to acknowledge this reality, not every concern a client brings will relate directly to their gender identity. Allow the client to guide the conversation and avoid making assumptions about what issues are relevant.

5. Commit to Advocacy & Allyship

Being an ally is an ongoing, active process. Engage with local and national organizations working toward trans rights and visibility. Show up at events, donate, advocate for policy changes, and promote inclusive practices within your community (as well as with your practice)

6. Crisis Resources for Trans Clients

Ensure your clients are aware of resources available for immediate support:

Trans Lifeline: (877-565-8860) – A peer support line for trans people by trans people.
The Trevor Project: (866-488-7386) – For LGBTQ+ youth ages 13-24.
GLBT National Hotline: (888-843-4564) – For all LGBTQ+ individuals seeking support.

Cultivating trans visibility in your therapy practice requires more than a passive approach. By actively working toward inclusivity, building your competency, and advocating for trans rights, you can offer meaningful and affirming care to your clients.

For more information on how to develop a trans-affirming therapy practice in Texas, we are here to support you! Reach out with any questions!