Gender-affirming care is a range of medical, psychological, and social services that support a person's gender identity. This may include psychological assessment and diagnosis, gender-affirming hormone therapy (GAHT), puberty blockers (GnRH analogues), gender-affirming surgery, and social support. As a psychologist, Fedora's role in gender-affirming care is to provide psychological assessments, formal diagnoses, referral letters for medical procedures, and a safe, non-gatekeeping space for clients to explore their gender identity.

A gender-affirming psychologist provides psychological support and clinical documentation for transgender, non-binary, and gender-diverse individuals. This includes formal assessments and diagnosis of gender dysphoria, referral letters for surgeries and hormone therapy, and therapeutic support for people navigating gender identity, transition, or gender incongruence. Fedora does not pathologise gender identity. Her approach is grounded in WPATH SOC 8 and affirms each client's self-identified gender.

Yes, when provided by a licensed professional following international clinical standards. Online psychological care is legal, ethical, and widely used across the UK, Europe, and beyond. Fedora is a psychologist registered with the Brazilian Federal Council of Psychology (CFP), which explicitly authorises remote and international care. She follows WPATH Standards of Care (SOC 8) in all assessments.

Gender dysphoria (DSM-5) describes the clinically significant distress that can arise from the mismatch between a person's assigned sex at birth and their gender identity. Gender incongruence (ICD-11) is a broader, less pathologising term that describes the mismatch itself — without requiring distress to be present. The ICD-11 framing reflects a global shift towards depathologising trans identities: being transgender is not a disorder. In clinical practice, Fedora uses the ICD-11 framework in line with WPATH SOC 8, though documentation can reference either system depending on what your surgeon or clinic requires.

No. The World Health Organisation's ICD-11 explicitly moved gender incongruence out of the mental disorders chapter and into a chapter on sexual health, recognising that being transgender is not a pathology. Fedora's entire practice is built on this non-pathologising foundation — her role is to support and document, never to question or gatekeep your identity.