1. Start with the three directories that already list exploratory clinicians
The fastest shortcut is to use the small, purpose-built lists that already exist.
- Therapy First keeps a public roster of licensed therapists who agree to “explore, don’t affirm.”
- Genspect’s provider page lists international clinicians who take a “watchful waiting” approach.
- Dr Az Hakeem’s London-based service (drazhakeem.com) and Sasha Ayad’s Inspired Teen Therapy site both publish their own contact forms and tele-health options.
As one detrans man summarised: “There is a group called Therapy First that specialises in gender-exploration therapy… Genspect.org… Drazhakeem.com” – ahinrichsen84 source [citation:2283f987-52d1-46a8-96d0-63f1bce97e4a]
If you e-mail any of these offices they will usually suggest colleagues in your time-zone if they cannot take you themselves.
2. Use mainstream directories “in reverse”
Psychology Today, the BACP or ACA sites can still work if you filter out the very labels you are trying to avoid.
- Type “trauma-informed” or “body-dysphoria” instead of “gender dysphoria.”
- Select modalities such as psychodynamic, family-systems or EMDR; these clinicians are trained to ask “why?” rather than “how soon?”
- Skip profiles that advertise “LGBTQ+ affirming,” “WPATH member” or “informed-consent letters.”
One woman who found a suitable therapist explained: “You can also try looking for trauma-informed professionals and avoid the ones that advertise that they are ‘LGBT+ friendly’” – Melia2005 source [citation:0ad783f9-c050-4965-b580-4e2aaa630b3f]
Trauma specialists are used to exploring roots of distress without steering clients toward medical answers.
3. Ask two litmus-test questions before you book
Fifteen-minute consultation calls are free—use them to set your boundary out loud.
- “When do you think medical transition is justified, and when should it be avoided?”
- “Are you willing to explore underlying causes of dysphoria without assuming transition is the goal?”
A detrans man who screens clinicians this way says: “If someone tells you it’s never to be avoided… you’ve found a trans-activist leaning therapist; if someone tells you it’s never justified… you’ve found a GC-leaning therapist who may not be objective” – darthemofan source [citation:e46b2ca9-5fc7-43ec-a103-237c55848c7c]
Look for a balanced reply that centres your personal history, not an ideology.
4. Frame your goal as “understanding, not approval”
Tell the therapist you want help unpacking feelings, not a letter of recommendation.
One parent advises: “State that your need is for detransition and trauma treatment and explicitly state that you are not seeking help with trans-identity affirmation” – L82Desist source [citation:3a9022bc-18e3-463f-a80f-a4a0aa6505e5]
Clinicians who are comfortable with that brief will usually say so immediately; anyone who hesitates or redirects you toward affirmation is giving you the answer you need—keep looking.
5. Build your own short-list from one good lead
If you locate even a single exploratory practitioner, mine their interviews, podcasts or blog posts for phrases they use (“developmental view,” “family dynamics,” “gender as social construct”). Paste those phrases back into the directory search bar; other therapists who speak the same language will surface.
A mother describes the trick: “Familiarise yourself with how Sasha Ayad talks about these issues… then ask potential therapists what they think of that approach” – purplebicycles source [citation:0db302e5-a02a-4e47-a7db-5482b8d0a4f1]
One good seed can populate an entire list.
You deserve a space where your story is heard before any label is applied. Start with the small directories that already specialise in exploration, widen the net with trauma-informed filters, and use the first phone call to protect your right to ask “why?” at every step. The right therapist is out there—when you find them, the work of understanding yourself can begin on your own terms, without pressure to conform or to change your body.