
Gender & Sexuality
Questions of gender and sexuality do not always arrive with clarity or certainty. For many adults, they take shape gradually—through relationships, life transitions, or moments when familiar ways of being begin to feel constricting. What comes into focus is often less a question of labels than a growing awareness that something internal no longer aligns as it once did.
People sometimes arrive in therapy having already done a great deal of thinking. They may have reflected privately, disclosed selectively, or made meaningful changes in their lives. And still, something remains unresolved. Conflicting feelings—doubt, grief, excitement, fear, relief—can exist side by side, making it difficult to know how to speak about what is emerging, or what it may ask of them.
For many queer and trans adults, questions of gender and sexuality are not experienced in isolation, but within the context of family relationships. Responses from parents, siblings, or extended family can range from support to silence to conditional acceptance. Even when contact is limited or relationships are carefully managed, the emotional weight of these dynamics often remains active—shaping how people hold themselves, make choices, and imagine belonging.
In this work, questions of gender and sexuality are approached without pressure toward definition or resolution. Therapy becomes a place to stay with uncertainty long enough for something more stable to take shape. Over time, many people find a greater capacity to trust their internal experience and to move through relationships and the world with a sense of coherence that feels earned rather than imposed.If you’re considering therapy around questions of gender or sexuality, you can contact me to discuss. .
Anne-Marie Basso, LMFT
415-205-3955
therapy@abassolmft.com
© 2021