Clinical Tools for Gender Affirming Care
Templates, reference guides, and clinical resources built by a practice owner who does this work every day.
Who These Resources Are For
Whether you’re a therapist learning to hold space more skillfully, a prescriber navigating GAHT alongside psychiatric medications, or a practice leader building affirming infrastructure from the ground up — there’s something here that meets you where you are.
You don't need to be an expert yet.
You just need to be intentional.
These resources give you the foundation to start.
For All Clinicians
A real case. A real oversight. A real recovery.
This case study walks you through the moment I missed POTS in a patient whose life was falling apart — and the evidence-based interventions that took them from complete disability to functional independence in months. You'll see what I missed, why I missed it, and exactly what changed when I caught it.
What you'll learn: how medication changes can trigger POTS symptoms, the constellation of symptoms most clinicians write off as anxiety, specific treatment protocols that transformed this patient's life, and why clinical humility isn't optional when treating complex chronic illness.
Gender IQ Self-Audit
$17A reflective tool for clinicians ready to move from performative allyship to embodied, liberatory care.
Based on the Gender IQ™ Framework, this audit is designed for supervision, consultation, or your own journaling practice. It helps you honestly assess where your clinical work lands on the spectrum between good intentions and intentional, intersectional, queer-celebratory care — and gives you a clear path forward.
Gender IQ Handbook
$49The clinical reference guide that goes beyond awareness.
A comprehensive handbook for providers who want practical frameworks, assessment tools, and intervention strategies grounded in current research. This isn't a sensitivity primer — it's the depth-first resource for clinicians who already care and want to actually know what they're doing.
Practitioner's Portfolio (most popular)
$75 Your complete documentation toolkit for gender-affirming care.
WPATH-compliant templates, surgery letters, assessment guides, and EHR best practices — everything you need to make sure your trans clients get timely, competent care through precise documentation. Because the letter you write can be the difference between a six-month wait and a life-changing surgery.
POTS Case Study for Psychiatric Providers
FREEFor Psychiatric Providers
If you're a psychiatric NP, psychiatrist, or prescriber managing medications in patients on GAHT — these were made specifically for you. Clinical quick-references, decision guides, and documentation tools built from real experience.
The interaction reference your prescribing software doesn't have.
A 9-page clinical quick-reference covering every major pharmacokinetic and pharmacodynamic interaction between GAHT agents and psychiatric medications — organized by severity, with monitoring schedules and clinical pearls. Includes the lamotrigine-estrogen interaction (the single most important and most frequently missed interaction in this space), prolactin concerns for transmasc patients on antipsychotics, and affirming care considerations that go beyond pharmacology.
If you prescribe to gender-diverse patients, print this and keep it in your desk beside your Stahl guide!
When It's Not Just Anxiety: A Differential Guide
FREE
Your patient's symptoms changed. Was it the GAHT dose adjustment or the SSRI? This decision guide helps you differentiate psychiatric symptoms that may stem from hormone therapy rather than requiring medication changes. Built around a simple principle: timing is your most diagnostic tool.
Includes the 3–6 Month Rule, clinical rules of thumb, and a quick-reference table organized by symptom presentation.
Informed Consent for GAHT: What Prescribers Need to Know
FREE
Many psychiatric NPs have the clinical knowledge to prescribe GAHT — and don't. The barrier usually isn't competence. It's uncertainty about the consent process, documentation requirements, and what happens if something goes wrong.
This guide walks through what informed consent for GAHT actually requires, what your documentation should include, and answers the questions prescribers are quietly Googling at midnight. No therapist letter required (WPATH SOC8 moved past that). Psychiatric diagnoses don't disqualify patients. And you're probably more ready than you think.
Hormone Lab Reference Card
FREE
Target ranges, timing, and monitoring guidance for feminizing and masculinizing GAHT — on a single reference card you can keep at your workstation. Covers when to draw labs, how to interpret results when your lab uses sex-assigned-at-birth reference ranges, and two critical clinical callouts: the prolactin emergency in transmasc patients on antipsychotics and the lamotrigine clearance shift with estradiol.
Short. Clinical. Designed to be used mid-appointment.
Hormones or the Meds? A Clinical Decision Guide
FREEGender-diverse patients are disproportionately referred for anxiety treatment when the underlying driver is something else entirely. This guide covers the most common "anxiety mimics" in this population — POTS, dysphoria, autism, ADHD, trauma, and connective tissue disorders — conditions that present with anxiety-like symptoms but require a completely different clinical approach.
Missing these diagnoses doesn't just mean inadequate treatment. It can mean years of ineffective care.
Affirming Documentation Templates
FREE
Three SOAP note starter templates for the encounters that trip prescribers up most: initiating GAHT co-management, reassessing ADHD during gender transition, and the 3-month mood review on hormones. Plus a language quick-reference so your documentation is affirming from the first line to the last.
Adaptable to any EHR. Built to model what affirming clinical language actually looks like in practice — not just in theory.
GAHT & Psychiatric Medication Interaction Guide
FREE