Transgender and gender nonconforming people, in general, have three
types of need for mental health.
1. Exploration of gender identity. This includes determining exactly
what one's gender identity is, coming to terms with this gender
identity, self-acceptance and individuation, and exploring
individual–level ways to actualize this identity in the world. This may
also include preparation and assessment for various gender affirming
treatments and procedures.
2. Coming out and social transition. This includes coming out to family, friends, and coworkers, dating and relationships, and developing tools
to cope with being transgender in a sometimes transphobic world.
3. General mental health issues, possibly unrelated to gender identity.
The variety of mental health concerns experienced by transgender people
include mood disorders, generalized anxiety, substance abuse, and post-traumatic stress disorder (
There is no verifiable evidence that gender dysphoria can be treated in
other ways than transitioning. None whatsoever.
Gender-affirmative trans care *requires* therapy. That is, unless you go
the informed consent route, which you can always refuse to.
Scaring trans people away from transitioning and repressing their
identities *IS* conversion therapy.