Gender Affirming Therapy

At Perfectly Queer Counseling, we offer gender affirming care therapy that centers your identity, autonomy, and lived experience. We understand that gender is expansive, fluid, and deeply personal—and that accessing affirming support can be life-changing.

Whether you’re exploring your gender identity, transitioning socially or medically, or simply seeking a space to be fully seen, you deserve therapy that uplifts and celebrates you.

What is Gender Affirming Care Therapy?

Gender affirming care therapy is a therapeutic approach that validates and supports your gender identity without judgment, pressure, or pathologizing. We believe that you are the expert on your own gender—and our role is to walk alongside you with compassion, respect, and solidarity.

We follow gender affirming therapy guidelines that are grounded in current best practices, trans-informed care, and liberation-based frameworks. Our work is informed by standards such as WPATH (World Professional Association for Transgender Health), while also honoring lived experience, community knowledge, and the full range of nonbinary, trans, and gender-expansive identities.

What We Can Explore Together

  • Exploring and affirming gender identity

  • Navigating coming out at different stages of life

  • Coping with gender dysphoria and societal expectations

  • Support during medical or social transition

  • Letter writing for gender-affirming surgeries or hormones

  • Healing from internalized transphobia or systemic harm

  • Building joy, resilience, and self-compassion in your identity

  • Processing family, relational, or workplace dynamics

We recognize the harmful legacy of pathologizing gender diversity—especially through outdated diagnoses like "gender identity disorder." While the term still appears in some diagnostic systems, we do not see your gender as something to be “fixed.” Instead, we offer a healing space grounded in affirmation, consent, and care.

"Your gender is real. Your identity is valid. You don’t have to prove who you are to deserve support."

A Trauma-Informed, Intersectional Approach

Our therapists are committed to providing gender affirming care therapy that is also trauma-informed, culturally responsive, and aligned with anti-oppressive values. We know that gender cannot be separated from other parts of who you are—your race, culture, disability, sexuality, class, and more all shape your experience.

We’re here to hold space for all of you.

Therapy Wherever You Are

All sessions are offered online, making it easier than ever to access gender affirming care therapy from the privacy and comfort of your home. Whether you’re in Seattle or anywhere in Washington State, we’re here to support your journey—on your terms, at your pace.

Services We Offer

  • Gender Identity Exploration: Our therapists provide a non-judgmental and validating environment where you can freely explore and understand your gender identity. We help you gain insights into your feelings and emotions, fostering self-awareness and self-acceptance. Following the WPATH Standards of Care, we aim to support you in making informed decisions about your gender identity and expression.

  • Hormone Therapy Support: For individuals considering hormone therapy as part of their transition journey, we offer counseling and support. Our therapists will work closely with you and can connect with your healthcare providers to ensure a comprehensive approach to your overall well-being.

  • Pre and Post-Transition Support: Whether you are contemplating transitioning, in the process of transitioning, or have already transitioned, we offer personalized support to help you cope with the emotional and psychological challenges at each stage.

  • Coping with Gender Dysphoria: Gender dysphoria can be a challenging aspect of gender exploration. Our therapists provide tools and coping strategies to help you manage and alleviate dysphoria, improving your overall quality of life.

  • Gender Affirming Medical Letters: Using the WPATH standards of care guidelines, we ensure that each letter of support we provide is comprehensive, personalized, and in line with the highest standards of healthcare. We understand the significance of these letters in the journey towards self-discovery and empowerment, and we aim to advocate for every individual’s right to access the care they deserve.