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Denise O’Doherty

Denise O’Doherty

Licensed Professional Counselor, Licensed Marriage and Family Therapist, Drug and Alcohol Counselor, Registered Nurse

  • Relationship Counseling
    • Couples Therapy
    • Marriage Counseling & Family Therapy
    • Premarital Counseling
    • Domestic Abuse Counseling
    • IMAGO Relationship Therapy
  • Substance Abuse
    • Alcohol & Drug Addiction
    • SALCE Evaluations
  • LGBTQ+
    • Lesbian Therapy
    • LGBTQ+ Couples Therapy
  • Other Areas of Practice
    • Anxiety/Depression
    • BiPolar Disorder
    • Codependency/Personal Boundaries
    • Grief Counseling / Grief Therapy
    • Love Addiction/Love Avoidance
    • Overcoming Shame /Increasing Self-Esteem
    • Post Traumatic Stress Disorder
    • Dissociative Disorders
  • Gender Identity
    • Parents of Transgender Children
    • Gender Dysphoria
    • Cross-Dressing
    • Adult Children of Transgender Parents
  • Articles

Gender Dysphoria

Gender dysphoria is a condition where one’s biological genital organs assigned at birth (one’s sex) does not match the mental and emotional way one sees oneself (gender). The struggle associated with it relates to self-acceptance and acceptance by others. Gender dysphoria can be present in young children, adolescence, and adults.
Many people with gender dysphoria come to therapy to:

1) Explore their gender identity or expression

2) Facilitate a “coming out” process

3) Get an assessment and referral for feminization or masculinizing medical interventions such as taking hormones or having surgery

4) Receive psychological support for family members

Hormones, Sexual Reassignment

Gender DysphoriaI follow the World Professional Association for Transgender Health (WPATH) Standards of Care when treating those with Gender Dysphoria. The major purpose of the Standards of Care (SOC) is to outline the best levels of care for gender identity disorders. I recommend that anyone who desires to make any changes regarding their gender dysphoria read the standards that apply to them.

The standards also set the suggested/required recommendations for surgery, hormones, etc.
You can obtain a free copy of the SOC through SOC FREE DOWNLOAD


According to the Standards, therapy is not a requirement for surgery, and the above can be done through individual assessments. Yet, many people choose some therapy to discuss and work through their individual and unique situations. Some topics include:

1.  Self-acceptance
2.   Religious/spiritual issues
3.   Dealing with spouse and children
4.   Telling family and friends
5.  Experiencing discrimination from others
6.  Establishing a new network of friends
7.  Starting hormone therapy
8.  Transitioning on or changing jobs
9. Developing a wardrobe
10. Voice coaching
11. Cosmetic surgical procedures
12. Sexuality

Therapy is a safe place where gender dysphoria, and gender-variant conditions, are seen as a matter of diversity and not pathology.


Each person makes informed choices about what works best for them. You also have the opportunity to bring family members/partners/others to therapy if you choose to.

My goal is to provide a safe space where those with gender dysphoria can discuss their issues and concerns and make educated and informed decisions regarding what would work best for them to alleviate their symptoms. In addition, my goal is to help those with gender dysphoria achieve lasting personal comfort with themselves.   

Contact me at 713-823-4001 or fill out the form below. I welcome your call so we can discuss your specific situation and the benefits therapy may provide for you.

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