We are a group of transgender, nonbinary, and allied mental health clinicians in the U.S. who believe in improving access to letters for clients who are seeking gender-affirming medical care. We resist the harmful practices of gatekeeping and believe in an informed consent model where clients can affirm their gender identity without the steep cost of sessions with mental health professionals and reductionist clinical practices. As such, we want to create a movement towards to providing free and low-cost letters for gender affirming access to medical care.
We are a group of transgender, nonbinary, and allied mental health and medical providers based in the U.S. who have come together to:
a) State our position on the requirement that transgender and nonbinary people and/or people seeking gender-affirming medical interventions acquire a letter of support from a mental health provider;
b) Make public our commitment to making letters, when required by medical systems who adhere to the WPATH SOC, accessible and free.
It may be years before clinical practice shifts toward a more socially just model. We aim to raise awareness in order to shift the culture of compulsory letters by eliminating the share of cost from our clients. We recognize that this movement is only an intermediary step towards a more ethical, just, and accessible model of gender-affirming care.
We urge all mental health providers to:
The GALAP is not a health system, service, or group psychotherapy practice. We are independent clinicians, and we practice as such. We do not represent any particular organization. While all of the providers who sign our pledge are committed to providing gender affirming care, The GALAP is not liable for the work of any of the pledge signers, and cannot attest to the skills or expertise of anyone who signs the pledge.