6 Research-Backed Benefits of Gender Expansive Therapy

Gender expansive therapy, or therapy that supports and affirms the gender of trans and gender nonconforming individuals, has been proven effective by a number of different measures. Here’s what studies across psychology, psychiatry, and public health tell us:

1. Reduced Depression and Anxiety

A 2016 study published in Pediatrics found that transgender youth who received gender-affirming care (including therapy, social transition support, and family acceptance) reported depression and anxiety rates similar to cisgender peers. This supports the idea that mental health struggles in gender-diverse individuals are largely socially driven, not inherent.

✅ Research Insight: When identity is affirmed, mental health improves.

2. Decreased Suicidality

The 2022 Trevor Project National Survey found that LGBTQ+ youth who had access to gender-affirming spaces or therapists were 60% less likely to attempt suicide.

Another study published in JAMA Network Open (2021) found that transgender and nonbinary youth receiving gender-affirming mental healthcare had 73% lower odds of suicidality after one year.

✅ Key Takeaway: Affirming therapy can be a protective factor against suicide.

3. Improved Self-Esteem and Self-Concept

A study in Psychology of Sexual Orientation and Gender Diversity (2018) demonstrated that individuals engaged in identity-affirming therapy reported higher self-esteem and a more cohesive sense of self.

Therapy that encourages gender exploration without pressure or judgment supports clients in developing authentic, empowered identities.

✅ Why It Matters: Confidence grows when you’re seen, not questioned.

4. Support for Social and/or Medical Transition (If Desired)

Gender-expansive therapy does not require transition, but for those who choose it, research supports that social and/or medical transition can significantly reduce gender dysphoria and improve quality of life (The Lancet, 2020).

Therapists can provide guidance, letters of support, and emotional tools to navigate transitions safely and confidently.

✅ Fact: When transition is affirmed and supported, outcomes improve.

5. Decreased Internalized Transphobia

Therapy that actively dismantles shame, stigma, and internalized transphobia leads to greater emotional resilience, according to a 2019 study in Transgender Health.

Therapists who integrate intersectionality and cultural humility help clients unlearn societal messaging and reclaim pride in their identity.

✅ Healing Includes: Undoing the damage of societal transphobia.

6. Improved Access to Healthcare and Resources

Gender-expansive therapists are often advocates. They help clients access affirming healthcare, community support, and legal resources, which can improve overall outcomes.

Studies show that gender-affirming environments, including healthcare settings, reduce discrimination and improve treatment adherence across physical and mental health.

✅ Real-World Impact: Affirming therapy links you to life-saving care.

The evidence is clear: gender-expansive therapy works. At Expansive Therapy, we’re proud to provide gender-affirming, trauma-informed, and evidence-based therapy for individuals across the gender spectrum. Whether you're exploring, questioning, transitioning, or simply wanting a space to be yourself, we're here to support you every step of the way. Contact us today for a free consultation.