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Transgender counseling and coaching

Dealing with gender conflicts can be a very lonely experience. Some people spend their entire life concealing their feelings, unsuccessfully praying away their cross-gender feelings, hiding clothes, going to great lengths to find the privacy needed to express their true gender, and sometimes take extreme measures to cover up their true gender. These unsuccessful efforts lead to tremendous shame and emotional pain.

It doesn’t have to be this way.

Whether your struggle is with cross-dressing, gender dysphoria, gender confusion, gender-bending desires, fetishes that confuse you, unwanted desires or behaviors, or if you have a Gender Dysphoria, we would like to share this journey, toward your true self, with you. We are here to assist you, offering guidance, support, helpful resources, and the necessary information to help you succeed in living your very best, most authentic life possible, however that looks for you.

Michele O’Mara is a mental health professional, licensed in the state of Indiana with a PhD in Clinical Sexology. She has been providing services to transgender men and women for the last decade, and she has assisted hundreds of men and women in their search for gender peace. To schedule an appointment for any of the following services, you can do so online here, at any time.

  • Individual and Family Counseling
  • Gender clarification, diagnosis (if applicable), and exploration of options for making peace with your gender
  • Letter of referral for Hormone Replacement Therapy (HRT) based on SOC’s
  • Letter of referral for Sex Reassignment Surgery (SRS) also known as Gender Reassignment Surgery (GRS) based on SOC’s
  • Support through Real Life Experience (RLE) also known as Real Life Test (RLT)
  • Emotional and psychological support and assistance assistance through the steps necessary for a gender transition
  • Workshops and Trainings

Michele O’Mara, PhD, LCSW is a gender specialist, providing gender care to transgender men and women throughout the United States.  Her services are available online, as well as in her Indianapolis (Plainfield) based office.  Michele is a great resource for anyone experiencing conflicts around their gender, as well as those who are clear about their truest internalized gender and simply need assistance in bringing your true gender to the surface.

As a gender specialist, Michele has worked with hundreds of transgender identified men and women over the last decade, and she has written over a hundred letters of referral for hormone replacement therapy (according to the Standards of Care), as well as 10 letters of referral for Gender Confirmation Surgery, and additional letters for chest reconstruction.  Services available for mtf, ftm, as well as those simply experiencing gender identity dysphoria.

Gender Services Inquiry Form

Gender Services include:

  • Individual and Family Counseling
  • Gender clarification, diagnosis (if applicable), and exploration of options for making peace with your gender
  • Letter of referral for Hormone Replacement Therapy (HRT) based on SOC’s
  • Letter of referral for Sex Reassignment Surgery (SRS) also known as Gender Reassignment Surgery (GRS) based on SOC’s
  • Support through Real Life Experience (RLE) also known as Real Life Test (RLT)
  • Emotional and psychological support and assistance through the steps necessary for a gender transition

About Gender Identity Dysphoria

Gender dysphoria, which has previously been known as ‘gender identity disorder’ or (GID), is a set of characteristics (feelings, thoughts, behaviors) that describes an experience of anxiety, confusion, and discomfort about the discrepancy between one’s biological sex, and one’s self-defined gender identity which does not match their biological sex.

Gender confusion, and conflict may ebb and flow over the years, with some periods of time being more difficult than others.  Eventually, however, it will begin to permeate every aspect of life, causing increasing amounts of distress, confusion, and anxiety for the gender incongruent person.

For diagnostic purposes, the mental health community relies on a manual commonly referred to as the DSM-V.  This is being revised in 2013, moving Gender Identity Dysphoria (GID) to a section in the book reserved for issues requiring more research.   The definition of GID involves a strong and persistent cross-gender identification.  This means the person wants to be, or is insistent they already belong to, the opposite sex.  A person must be persistently uncomfortable in their current gender role, and feel that it’s not congruent with their physical self.  GID does not fit if a person is motivated to transition for the purposes of experiencing a cultural advantage of the other sex. Likewise, Gender Identity Dysphoria is not appropriate for someone with intersex conditions.  There has to be evidence of clinically significant distress, or damage to important aspects of the person’s life to label someone with Gender Identity Dysphoria.

Gender dysphoria is an overwhelming and widely misunderstood condition that causes significant distress for those experiencing these conflicts.  It is common for gender dysphoric men and women to develop anxiety and depression.  The longer these issues go un-addressed, the more severe the conflicts can become.  Many people make choices to affirm their biological sex by over-compensating for their gender identification with the other sex.  Men may go to extremes to prove their masculinity, including marriage and fatherhood, and biological women may also go to extremes  to prove their femininity.

Transsexualism can be defined as incongruence between the biological sexual differentiation and the gender identity.  In a nutshell, a man or woman who experiences the feeling that they have the mind of one gender and the body of another.  The intensity of conflict for a transsexual is such that relief can only be experienced by changing their body to match their mind.

Transitioning one’s gender role typically involves a regimen of Hormone Replacement Therapy (HRT), which may or may not be followed by Sexual Reassignment Surgery (SRS) / Gender Reassignment Surgery (GRS) / Gender Affirming Surgery (GAS) depending on how a person defines their own gender.   Some men and women are able to find relief for their gender-incongruence by changing their physical self enough to be perceived by the world in the gender that is most true for them, regardless of the genitals they have.  Others, despite the private nature of what one’s genitals are, feel persistently uncomfortable until their entire physical self, genitals and all, match their gender identification.

There are no studies, currently, that reflect an accurate representation of the percentage of people who experience gender dysphoria.  Because of the highly-stigmatized, often shame-based nature of this condition, it is common for those with gender issues to censor and conceal their feelings, thus compromising our ability to know how many people are experiencing this pain.

If you would like to work with Michele O’Mara, PhD to find relief from your gender conflicts, be sure to complete the Gender Services Inquiry Form.