Thought leadership
Thinking out Loud (and Proud)
A collection of essays, frameworks, and evolving ideas drawn from my clinical practice, community work, research, and lived experience.
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Reframing Ethics Through Trans Eldership: The CARE Framework for Clinical Judgment in Gender-Affirming Care
This paper examines ethical decision-making in gender-affirming care and explores tensions that emerge when professional boundary models intersect with traditions of community…

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What Self Psychology Can Teach Us About Gender-Affirming Care
One of the questions I am most frequently asked is: “How can I support my queer or trans kid?” For some people,…

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Using The Four Agreements To Support Healing
There are some books that stay with us not because they offer groundbreaking insights, but because they remind us of truths we…

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Queer & Trans Youth Are Under Attack & They Need Our Help
A child should not have to defend their humanity. Yet for many queer and trans and gender non-conforming (TGNC) young people, that…

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The Role Of Practice Wisdom & Clinical Judgement In Gender-Affirming Care
In recent years, gender-affirming care has become one of the most politicized topics in healthcare. Public conversations often frame the issue as…

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The Do’s & Don’ts When Your Kid Comes Out
The Do’s & Don’ts When Your Child Comes Out When a young person comes out as LGBTQ+, many parents find themselves navigating…

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The Contextual Assessment For Relational Ethics (CARE) Framework
Introduction A fourteen-year-old I’ll call Evan sits across from me, struggling through tears to find his words. Like so many transgender and…

My Approach
The CARE Framework
Contextual Assessment for Relational Ethics is how I hold ethical, identity-affirming clinical judgment when a situation is genuinely in tension and there is no clean answer.
Resources
Resources for Every Stage of the Journey
Whether you’re a young person, caregiver, educator, or clinician, these resources are designed to help you find support, understanding, and next steps.
Individuals
Resources for individuals exploring identity, seeking affirming support, and finding their own path toward wellbeing and understanding.
Explore Resources →Youth, Families & Schools
Resources for youth, families, and schools navigating mental health, identity, and belonging with affirming support and community care.
Explore Resources →Clinicians & Organizations
Resources for clinicians and educators building affirming, identity-centered practice from clinical frameworks to continuing education.
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