Transgender issues

Transgender people feel a mismatch between their internal sense of gender and the sex of their body.

Gender can be described as our sense of maleness or femaleness, or we may not feel particularly aligned with either. 

Trans people sometimes sometimes struggle with being treated as a different gender to the one they know they are. This can be extremely confusing and distressing, particularly in children who don’t yet have the knowledge or language to make sense of what they are experiencing.

Gender identity is separate from sexual orientation.

Living as a trans person

Living as a transgender person can be challenging. Before coming out they may experience:

  • confusion
  • hatred of their appearance
  • self-disgust
  • particular distress around bodily changes in puberty.

Coming out as trans may be a relief, but it also opens them up to:

  • bullying and abuse
  • discrimination at work
  • rejection by family or friends.

Some transgender people use hormones or surgery to alter their bodies to match their gender. Some do not, and some choose to change some parts of their bodies but not others. This is a personal choice.

For those who do wish to transition, the process can be long and distressing. Before being offered surgery, trans people are required to live as their true gender. NHS waiting lists for medical treatment are very long.

Our clients have reported great results!

Mr K
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“I was attending sessions at One Therapy practice for about 1 1/2 years. I am very happy with the result, sessions there really helped me. I am really grateful to my therapist. Someone recommended him to me as a high professional and it proved right, thank you.”
Mrs M
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“I can only provide positive comments on my sessions with (my therapist). This was my first experience with a therapist, and she managed to make me feel comfortable. And I must say that the sessions were helpful and efficient.”
Mrs E
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“My therapist was extremely helpful, considerate and understanding. I felt she properly understood what the issues I had were, and their underlying causes, and I feel I benefited considerably from the sessions with her.”
Mrs N
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“I immediately felt completely at ease as they were very professional while showing genuine care and interest in helping me. I was able to confront many issues which I had so far chosen to ignore despite their negative effects on my personal relationships and happiness. I would have no hesitation in recommending (One Therapy) to anyone looking to improve their relationships and self-esteem.”
Mrs L
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“I learned a lot about myself and about the relationships I make with other people. I was able to see where I was going wrong and I now make better personal choices. Thank you, again.”
Mrs R
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“I can’t thank you enough for the help and support I got from my appointments. I would highly recommend therapy to anyone now. Therapy helped me in more ways than I could have imagined. Please tell (my therapist) how grateful I am for her help.”

Counselling needs to be trans-aware

Awareness of trans issues in society is fairly low; many people don’t understand what’s involved or what language is appropriate. Understandably, many trans clients don’t want to spend their therapy sessions educating their therapist; they want to work with therapists who already understand trans issues. 

Many of our therapists are experienced in this area, and we have held internal training on working with trans clients. 

We also understand that trans people aren’t just trans! The issues that you bring to therapy may have nothing to do with being trans.

It shouldn’t need saying, but no therapist should ever try to change a trans client’s gender identity. None of ours would.

Getting started with trans counselling

Your first appointment will provide an opportunity to speak with a therapist about your concerns. Your therapist will help determine how we might best support you and you will have an opportunity to ask any questions you may have.

If you are looking for a therapist experienced in working with trans clients, take a look through our profiles or contact us.

Appointments are usually available within one week of your initial contact.

What to expect in counselling

When I trained as a psychotherapist, me and my fellow students were given the assignment of doing something we’d never done before. The course tutors wanted us to get in touch with how scary it can be to do something new, to feel the fear of the unknown. I chose to …

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How does therapy help?

Over the years that I’ve worked as a therapist, I’ve been asked numerous times by prospective clients, “How does counselling help?”  And I’ve yet to come up with a satisfactory answer. Not because I’m in any doubt that it helps, but because the ‘how’ bit is so hard to articulate concisely…

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Counselling for individuals

Personal counselling can be about anything that is on your mind.

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Couples counselling

Couples counselling provides space for couples to discuss problems in their relationship and find solutions.

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Our therapists

We have over 30 qualified and experienced therapists to choose from.

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One Therapy London

Counselling, psychotherapy, couples counselling in London since 2006

Therapist Roz Urquhart
Roz Urquhart

Roz is a psychoanalytic psychotherapist, who offers both long- and short-term psychotherapy She works with a varied client group offering a welcoming, safe and confidential therapeutic space in which to help her clients explore and process the issues that are bringing them into therapy Roz supports her clients to focus on unconscious processes, inner conflicts and...

Oxford Circus

Therapist Andreea Gligore
Andreea Gligore

Andreea is an experienced integrative therapist who works with individuals, offering short- and long-term therapy Since qualifying in 2017, she has offered therapy in private practice, the NHS and community services She works with many issues including relationship dynamics, role and life stage transitions, bereavement, life-altering events, loneliness and isolation,...

Kensington

Therapist Stamatia Lorentzou
Stamatia Lorentzou

Stamatia draws on a broad range of theories of psychotherapy She works collaboratively with her clients to understand the causes of their concern and find ways to move forward Stamatia offers both short-term and longer-term therapy She has worked in various organisational settings with individuals seeking to address relationship issues, low self esteem, separation,...

Bloomsbury

Therapist Geraldine Lothian
Geraldine Lothian

Geraldine (she/her) is a psychodynamic psychotherapist who works with individuals Geraldine’s style of therapy is to work collaboratively with her clients and at each client’s pace  It is sometimes difficult to make the decision to start therapy but Geraldine works together with her clients to address any issues that may feel difficult to explore on their own ...

Oxford Circus

Therapist Amrita Athwal
Amrita Athwal

Amrita works with adults in an integrative way, drawing on various therapeutic approaches tailored to meet the needs of each client She provides a safe space to help clients better understand themselves She offers short term and long term therapy Amrita has experience of working with clients on issues such as trauma, addiction, depression, anxiety, relationship...

Bloomsbury

Therapist Evan Bates
Evan Bates

Evan is a psychodynamic therapist, offering both long and short term therapy He creates a non-judgemental and reflective space to help clients explore their difficulties and concerns Working together to understand the connections between past and current relationships, Evan supports clients in developing a deeper awareness of their recurring emotional patterns and further...

Soho

Therapist Tatjana Strbac
Tatjana Strbac

Tatjana uses an integrative approach to support individuals and couples through personal, professional and relationship difficulties, in a collaborative and relaxed environment in which they can safely explore their past and present experiences Tatjana aims to understand your needs and explore possible solutions by identifying the thinking, behaviour and emotional...

Oxford Circus

Therapist Ben Brackenbury
Ben Brackenbury

Ben believes that at times we all struggle with the challenges life has to offer and therapy provides a safe, confidential, non-judgemental space to explore this Ben works with individuals to make sense of who they are and how they respond to the world today, and to explore new ways of being Ben is also sensitive to how difficult it might be for a client to talk to a...

Oxford Circus

Therapist James Eve
James Eve

James is a psychosexual and relationship therapist who has been in private practice for five years He works with individuals and couples on sexual and relationship difficulties, understanding that these can be significant causes of distress in one's life Prior to working in private practice, James worked for the psychosexual team at Croydon University Hospital He is a...

Oxford Circus

Therapist Natasha Maidment
Natasha Maidment

Natasha is a person–centred counsellor and psychotherapist who will provide you with a safe, empathetic and non-judgemental space to explore any thoughts or concerns you wish to bring She works with a range of issues including anxiety, stress, critical thoughts, trauma, relationship issues, identity, depression, loss and low self-esteem Natasha offers a...

Oxford Circus