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Sasha Ayad, LPC
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Sasha Ayad, LPC
@SashaLPC
Therapist; Decade of experience w gender dysphoria. "Gender" is a metaphor. Let's exhibit more wisdom, discernment, and compassion with dysphoric youth.
sashaayad.substack.com
Joined November 2016
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    Sasha Ayad, LPC
    @SashaLPC
    Nov 1, 2025
    What Therapists Get Wrong with Adolescent Gender Dysphoria read here:
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    What Therapists Get Wrong with Adolescent Gender Dysphoria
    From sashaayad.substack.com
    2.5K
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    Sasha Ayad, LPC
    @SashaLPC
    Aug 28, 2023
    When a therapist “affirms” a child’s new identity (calling her a boy’s name and calling her “him”), he won’t get to meet the hurt young woman who is suffering - the girl who is using the boy persona as a shield She is trying to make herself disappear And it works when the
    84K
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    Sasha Ayad, LPC
    @SashaLPC
    Jun 18, 2020
    Someone tell me why FtM transmen make up approximately 75 percent of young trans people but almost all media coverage of trans issues focuses on MTF transwomen?
  • user avatar
    Sasha Ayad, LPC
    @SashaLPC
    Apr 14, 2022
    Thank you @nytimes 1/3 "So to end more straightforwardly, I will make a prediction: Within not too short a span of time, not only conservatives but most liberals will recognize that we have been running an experiment on trans-identifying youth without good or certain evidence,
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    Sasha Ayad, LPC
    @SashaLPC
    Mar 12, 2025
    Reminder: Never take advice from anyone who says Dylan Mulvaney is AGP
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    Defiant L’s
    @DefiantLs
    Mar 12, 2025
    Here is Dylan Mulvaney on The Price is Right
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    wilder
    00:00
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    wilder
    234K
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    Sasha Ayad, LPC
    @SashaLPC
    Nov 9, 2024
    The greatest ruse of gender identity ideology is the way it attempts to obfuscate basic material reality. It’s Orwellian to claim that boys are girls and that girls are boys. In this clip, a man says it’s a slur to call boys what they are: boys. It is NOT A SLUR to tell the
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    36K
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    Sasha Ayad, LPC
    @SashaLPC
    Aug 3, 2024
    #OlympicBoxing 🧵 cultural context and the role of the IOC (and whether Khalif “knows he’s a man”) First off, I am hesitant to analyze someone else’s life in this forum, but on the public world stage of the Olympics, Iman Khalif’s status has become a point of debate so I’ll say
    164K
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    Sasha Ayad, LPC
    @SashaLPC
    Aug 19, 2020
    1/ Gender dysphoria is just one particular way that anxiety, fixation, and fantasy can manifest and obsess a person. GD means imagining one’s “truest self” and being lead by the fantasy of happiness one thinks they’ll attain in that transformed physical state.
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    Sasha Ayad, LPC
    @SashaLPC
    Apr 9, 2024
    Plowing through emails today. I just read 3 different emails from parents with whom I've consulted with in the past. All 3 of their kids desisted after years of gender distress, and are now thriving, happy, and at peace with themselves. Onwards and upwards!
    71K
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    Sasha Ayad, LPC
    @SashaLPC
    Jan 16, 2021
    Replying to @DonovanCleckley
    This is literally so disgusting and enraging - I wouldn't even know where to begin responding to this.
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    Sasha Ayad, LPC
    @SashaLPC
    May 1, 2021
    WOAH! Caitlyn Jenner, perhaps due to having ACTUALLY been a champion athlete, understands that there is a real, tangible, and undisputable advantage male-bodied people have in sports. I'm really impressed that CJ has taken such a reasonable, non-woke stance on this issue!
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    Caitlyn Jenner
    @Caitlyn_Jenner
    May 1, 2021
    I didn’t expect to get asked this on my Saturday morning coffee run, but I’m clear about where I stand. It’s an issue of fairness and we need to protect girls’ sports in our schools. tmz.com/2021/05/01/cai…
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    Sasha Ayad, LPC
    @SashaLPC
    Mar 19, 2022
    Replying to @jk_rowling
    I actually saw this...
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    Sasha Ayad, LPC
    @SashaLPC
    Apr 23, 2025
    Want to avoid medicalization? Don't socially transition your child... It's nearly impossible to socially transition your child, "affirm" them in their new gender identity, and later try to draw the line at medicalization Social transition by adults leads to medical
    33K
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    Sasha Ayad, LPC
    @SashaLPC
    Dec 1, 2020
    So how many lesbians do we have left?
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    Elliot Page, Star of ‘Juno’ and ‘Umbrella Academy,’ Comes Out as Transgender
    From glamour.com

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