As mental health professionals, we know we’re at a turning point. Every day, we show up for transgender and gender-diverse individuals and their families—offering care in a time when that support has never been more vital, or more scrutinized. With gender-affirming care under the spotlight, we’re navigating political tension, ethical questions, and evolving clinical demands—all while holding space for people seeking to live authentically.

You’ve probably felt that tension firsthand: the recurring debates about gender dysphoria, concerns about regret, or the fear of getting it wrong. It can wear on your confidence. But let’s not lose sight of what we know—gender-affirming care changes lives. Often, it saves them. Our roles aren’t to gatekeep out of fear, but to offer thoughtful, evidence-based evaluations that respect our clients’ autonomy, while safeguarding their well-being.

One place this balance shows up clearly is in writing letters of support for medical care. These documents are a gateway to essential treatment. And yes, they carry weight—you’re tasked with ensuring your clients are fully informed about the medical, legal, and social implications of their choices. It’s a delicate act: offering support with care and compassion, without adding undue burden or doubt.

And here’s another truth: we can’t do this work alone or in isolation. We need to get out of our office and connect with other providers. Relying only on our individual practice not only leaves us isolated, but it does not serve the people we work with. Transgender, gender diverse people and their families often need the support of a team of professionals. Working together in multidisciplinary teams not only ensures that every aspect of their care is covered, but also protects all of us as we navigate today’s complex and often polarized landscape. When we work together, we protect ourselves, our clients, and the integrity of our field.

The challenges we face are real—and yes, they’re many. But so is our collective strength. You’re not alone in this work—and you don’t have to be. I invite you to join us in taking this journey together. Let’s collaborate, learn from each other, and rise together to provide the expansive, caring support our communities deserve.

Ready to take the next step? Connect with peers who share your passion and commitment, collaborate, share your experiences, and let’s make a difference—together.