GALA™ Philosophical Values

Philosophical Values


Transaffirmative: We believe that being transgender is an identity NOT a disorder. It is central to our approach that trans-identities, just like cis-identities, are a normal part of the spectrum of gender experience.



Transparency: Work to repair the distrust that has been built up due to historic medical gatekeeping role

  • Being very up front about the role of therapy
  • Being very up front about navigation toward medical interventions and the fact that even though an informed consent model is used, mental health providers still have to write referral letters for surgeons and insurance issues. 
  • Write referral letters in session and give copy to the client

Transparency within ourselves

  • Being aware of our biases/assumptions about what it means to be transgender or gender non-conforming
  • Understanding our own gender journey



Intersectionality: In providing competent trans health services, we must focus on the larger cultural context. This has been established in the empirical literature; for example, in minority stress models and the concept of syndemics, race, class, religion, age, location are important. Through the concept of intersectionality, GALA™ keeps all these aspects of identity and how they shape a person’s gendered experience on the radar screen.


Across a Lifespan

Across thee Lifespan: Generational differences (might even be 5 year differences) are profound in terms of the changes in societal acceptance and stigma, increasing availability of medical interventions, the explosion of trans and gender creative narratives that are available through social media, and the embracing of a broader range of identities.

Because of this, our lifespan approach ensures that these different age groups get what they need. Development is important. Adolescents are NOT adults and children are NOT adolescents. Ways of thinking about adult transgender clients are trickling down to adolescents and ways of thinking about adolescents are trickling down to children. GALA™ is invested in taking into account the developmental issues that are supported in the research.



Interdisciplinary: Mental Health Providers: specialized gender assessment, address mental/emotional concerns resulting from coping with stigma, strain of transition process, individual gender exploration, family therapy

Physicians (Family Medicine, Endocrinologists, Psychiatrists, Internists): prescribe hormones and possibly psychotropic medications, referral to surgical interventions

Surgeons: gender confirming surgeries, aftercare and follow up

Social Workers/Patient Navigators: insurance issues, legal issues with name changes, passports, etc.

Other Academic Disciplines (developmental psychologists, ethicists)

Community Support Resources



Empiricism: provides a grounding for GALA™ within evidence-based, empirically sound, and scientifically rigorous scholarship.