Rethinking Gender Affirmation: A Critical Discussion with Pamela Garfield-Jaeger

In this episode, I sit down with Pamela Garfield-Jaeger, aka The Truthful Therapist, a seasoned social worker and the author of "A Practical Response to Gender Distress." With over two decades of experience in the mental health field, Pamela shares her transition from traditional practice to becoming an advocate for a more nuanced approach to gender identity issues. This episode delves into the complexities of gender distress, the impact of social media, and the importance of addressing underlying psychological and familial issues.

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Pamela Garfield-Jaeger brings a critical and compassionate perspective to the conversation on gender identity and mental health. Her book and insights offer valuable resources for families, mental health professionals, and anyone interested in understanding the multifaceted nature of gender distress. Join us as we explore these important topics and more in this episode.

What You'll Learn:

  • The evolution of gender identity issues from Pamela's professional perspective.
  • The distinction between gender dysphoria and gender distress.
  • The role of social media in shaping young people's perceptions of gender.
  • Practical advice for families navigating gender distress.
  • The legal landscape surrounding gender-affirming care for minors.
  • Pamela's journey to becoming an expert witness in cases related to gender identity.

Pamela’s Book: A Practical Response to Gender Distress: Tips and Tools for Families 

Connect with Pamela:

Website: The Truthful Therapist

Instagram: Pamela Garfield-Jaeger, LCSW (@the.truthfultherapist) • Instagram photos and videos

Twitter: Pamela Garfield-Jaeger, LCSW (@truththerapist) / X (


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