As a Gender Specialist working with the transgender community since 1999, I can help you to improve your self-confidence and create the gendered life you want. We'll discuss your specific gender goals including the coming out process.  You may also want to work on life issues not related to gender, with a trans affirmative therapist.   I am a cisgender (born female) with over twenty years of personal experience within the queer/LGBT communities. 

I have nearly twenty years of experience as a Gender Specialist providing psychotherapy for the diverse transgender and non binary community.  Since 2002 I have been a member of World Professional Association for Transgender Health, a consultant to other therapists and am now a Certified WPATH Provider and WPATH GEI Mentor for therapists working on becoming Certified WPATH Providers.

Working with Me​

At this time my therapy practice is full though I have time to consult with therapists.   However, I have room for one adult to register for my Gender Therapy Intensive Program

I have a great deal of experience writing letters to help people begin medical interventions (a.k.a. Assessments/ Gender Health Evaluations) for blockers, hormones or surgeries. Our meetings never involve you having to "prove you are trans or non binary" but do include discussion of your history and goals.  We explore the health, fertility and social/occupational impact of your changes.   If you want to access other therapists who offer letter writing free of charge visit The GALAP


Check out the resource page and book shop to learn about what it means to be transgender or non binary and for resources.


I also work with people who happen to be trans, intersex or non binary and simply want a therapist who understands their experience and never asks questions just because they are curious. 

I support people considering re-transition, finding a new path on their gender journey or those considering going off hormones.  

Our work together is flexible and takes into account your individual situation, story and needs. 
SUICIDAL? IN CRISIS? Follow this link to get help immediately. There are trans-specific resources at the bottom of the page.
​Consultation for Therapists
Since 2002 I have provided consultation for therapists doing clinical work with transgender, non binary, intersex and questioning clients. Consults take place individually or in monthly consult groups. Learn more about opportunities to expand your expertise as a gender therapist.  I am a Certified WPATH provider and Certified WPATH GEI Mentor so your hours of consultation can count toward your certification.  
I keep learning by being a part of gender therapist groups:
Mind the Gap  A gender affirming network of mental health providers serving gender diverse youth in Northern California.
World Professional Association for Transgender Health
GAYLESTA (LGBTIQQA Therapists) Peer Consult Group 2007-present
Past groups:
Bay Area Gender Associates (2008-2014)  Longest established peer consultation group in the world of licensed psychotherapists who work specifically with gender identity issues.
Bay Area Gender Therapists (2015-2019) Mental health professionals in the San Francisco Bay Area who work with transgender, and non binary people.

Unique Visitors since 2016

© 2019 Lisette Rose Lahana, LCSW
LCS #23663 State of California