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Latest writing

Short essays for the people who want the truth.

A few hand-picked pieces from Pam the Truthful Therapist on Substack. No outrage cycle. No performance. Just the things twenty-five years of experience have taught me, said plainly.

Pamela is an accomplished author and editorial writer.

For parents of adult children

Helping an adult child in gender distress.

A free online workshop on supporting your adult child while protecting your relationship and your own boundaries.

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For parents

Open letter to parents

A direct, compassionate letter to parents who are worried, exhausted, and wondering if they are allowed to ask questions.

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For parents

Yes, parents should be involved

Why excluding parents from a child’s mental health care is not neutral, and why loving involvement is part of the solution.

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For parents

A therapist's advice to parents

Practical guidance for parents navigating therapy, diagnoses, and a system that sometimes stops listening.

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For parents

Does your kid really need therapy?

A clear-eyed look at when therapy helps, when it doesn’t, and how to tell the difference before the first appointment.

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For parents

How to get the most out of therapy

What to ask, what to expect, and how to partner with a therapist so the work actually serves your family.

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For clinicians

Spirituality and mental health

On the role of meaning, faith, and moral framework in clinical work, and why ignoring them can leave patients half helped.

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For clinicians

To all the therapists who aren't captured

An encouragement to clinicians who still believe curiosity, ethics, and the patient come before ideology.

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Story

My Origin Story

Pamela’s own path through the profession: what she saw, what changed her, and why she started writing publicly.

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For clinicians

Therapists: Do you have strong clinical skills?

For therapists with excellent clinical skills who hesitate to treat gender-distressed patients. Strong clinical fundamentals are the expertise.

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From the book

"It's just a pronoun, or is it?"

An excerpt from A Practical Response to Gender Distress on the small language shifts that carry big clinical weight.

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For parents

The suicide lie

A careful, evidence-based response to the claim that affirmation is suicide prevention, and why fear should not guide care.

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For parents

Holiday message for parents of trans-identified kids

A short, warm word for parents carrying a hard season: you are not alone, and love is still the most truthful thing you can offer.

Read on Substack →

Featured articles

Bylined work in the press.

Selected pieces written for outside outlets.

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