the examination or observation of the mental and emotional processes that occur in the in-between spaces

This is a blog about the intersections of wellness, mental health, and cultural identity, with a focus on my areas of specialty: transgender health, sexual orientation and gender identity (LGBTQ and otherwise), racial and ethnic identity, relationships, addictions, healing from trauma, and social justice.

The Mental Health Provider’s Role in Gender-Affirming Medical Care: The Trouble with Templates


As someone who provides mental health services to transgender and gender nonconforming clients, letter-writing in support of accessing gender-affirming medical services is a service I provide on a regular basis. However, [Read More]

Cultural Competence and Healing Culturally Based Trauma with EMDR Therapy- Book and Home Study CE Program


I am happy to announce that there is a new book and home study CE course based on Cultural Competence and Healing Culturally Based Trauma with EMDR Therapy edited by [Read More]

Confessions Of A Gender Specialist in The Remedy


I’m excited to share my latest publication: a chapter in The Remedy: Queer and Trans Voices On Health and Health Care edited by Zena Sharman. In this chapter, I discuss the challenges [Read More]

WPATH 2016 Biennial Symposium in Amsterdam


Starting tomorrow, I will be attending the World Professional Association for Transgender  Health (WPATH) Biennial Symposium in Amsterdam, a 5-day conference that draws health professionals who work in transgender health across [Read More]

TGNC Guidelines Are Now APA Policy


APA council has just approved the Guidelines for Psychological Practice with Transgender and Gender Nonconforming People. I had the honor of being part of the Task Force who created these [Read More]

Slam dunk? No thank you!


In the past year, I have started to hear an alarming number of health care providers (therapists, doctors, surgeons) refer to trans people seeking gender-affirming medical services (such as surgeries [Read More]

In Love and Struggle: Creating Space for Difficult Dialogues About Power, Privilege, and Oppression In Intimate Relationships


This post originally appeared as a guest blog on Keely Kolmes’ Mindful Musings Blog. As a social justice oriented psychotherapist, my work is highly informed by considerations of how systemic power [Read More]