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Welcome to therapy first Psychotherapy as firstline treatment for gender dysphoria Were here to help. The purest form of listening is to listen without memory or desire. Wilfred Bion Therapy First is a nonprofit professional association of over 300 mental health providers worldwide who view psychotherapy as the appropriate firstline treatment for gender dysphoria. We aim to support psychotherapists working with gender dysphoric children adolescents and young adults in providing high quality evidencebased mental healthcare and to offer public education on mental health and psychotherapy Start here Therapy First exists because we see a great need arising from the current oversimplification and politicalization of gender dysphoria in the field of mental health.