Founded in 2019, GHTI supports professionals seeking to take the journey of becoming gender-affirmative providers for transgender / gender expansive children, youth, and their families, as well as for couples and families where one or more partners are trans.

Here at GHTI, Dr. Giammattei combines his expertise as an educator, researcher, and clinician, along with his lived experience, knowledge of the community, professional connections, and decades of facilitating unique experiences, both online and in person, to provide participants powerful professional development and personal growth that inspire change.

Through our digital courses, workshops, and bootcamps, clinicians are taken on a journey to becoming a gender affirmative provider. We take clinicians from the basics of working with transgender clients and their families through complex issues that one may encounter in this work.

Our Goals & Values

GHTI developed out of a clear need for high quality trainings for providers who work with transgender/non-binary people and their families; trainings that go beyond the basics and get into the main struggles clinicians face when working with TGE people and their families.

As a clinician whose practice is 80% TGE clients and their families, a workshop leader, a graduate school professor who teaches semester long courses on transgender mental health, and a member of the trans community, I have had the privilege of speaking to many clinicians and transgender/non-binary people about their concerns regarding access to care and trainings.

Many clinicians I speak with report not feeling competent to work with the transgender community; they want to help their transgender clients, but often don’t know where to start, what role to take, or what to focus on. For those that have some basic training, there are often questions about how to write letters, how to work with family members who are not supportive, and where to find accurate and up to date information. Even the clinicians who have worked with transgender clients for some time find that more in depth trainings about complex topics, co-occurring issues, and working with interdisciplinary teams are not readily available.

Even more pressing: many transgender people and their families report not being able to access clinicians who know how to work affirmatively with them.

Or worse, have done harm.

In response, I created GHTI to address the gaps in training that many clinicians have when working with the TGE community. Training is currently available through live workshops, coaching, mentoring, webinars, and digital resources.

I believe we’re all on a gendered journey. Transgender / gender-expansive people have their own journey, as do families, and the providers who work with them. Everything GHTI offers is based on this belief, and that how that journey unfolds may be uniquely different for each child, adolescent, and adult human.

Becoming a gender affirmative provider is also a journey. The provider journey not only includes how you work with your clients, but also how you maintain a sustainable and lucrative gender affirming practice while meeting the trans community’s needs and not exploiting them in the process.

I hope to collaborate with you on your path, one that takes you from uncertainty to confidence in your practice as a gender affirming provider.

Our courses are designed to start participants at their current level of training, whether a beginner, intermediate, or advanced and take them to the next level and beyond in their skills treating transgender clients and their families.

We show participants how to:

  • Understand the developmental arcs of transgender/gender expansive children, youth, and their families
  • Navigate the ethical hot spots and avoid the common pitfalls of treating trans youth and their caregivers.
  • Help couples/families when a partner/parent comes out as trans.
  • Work as a team member with other professionals when an interdisciplinary approach is needed.
  • Understand their potential roles with these families and how to navigate them ethically
  • Conduct gender affirming evaluations for social/medical transitions
  • Write gender affirming referral/readiness letters that get your clients through the gatekeeping of insurance companies.
  • Understand their own developmental arc as a gender affirmative clinician
  • And provide experiences to help participants explore and deconstruct their own journey as a gendered person and understand how their experience impacts their work with trans clients and their families.
  • And, much, much, more