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.

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.
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.
Read on Substack →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.
Read on Substack →For parents
A therapist's advice to parents
Practical guidance for parents navigating therapy, diagnoses, and a system that sometimes stops listening.
Read on Substack →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.
Read on Substack →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.
Read on Substack →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.
Read on Substack →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.
Read on Substack →Story
My Origin Story
Pamela’s own path through the profession: what she saw, what changed her, and why she started writing publicly.
Read on Substack →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.
Read on Substack →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.
Read on Substack →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.
Read on Substack →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.
The Daily Wire (Upstream)
The Therapy Industry's Most Controversial Advice Yet
On the growing trend of therapists encouraging estrangement between adult children and their parents, and why this advice is tearing families apart.
Read article →The Daily Wire
The Group Gender Ideology Seems to Attract, Again and Again
A look at the patterns that keep appearing wherever gender ideology takes hold, and what they reveal about the movement.
Read article →The Federalist
NYT Finally Admits What We Therapists Have Known for Years: Weed Makes People Insane
On the mental-health risks of high-potency cannabis and the pressure to look away from what clinicians are seeing.
Read article →The Epoch Times
Author archive at The Epoch Times
A collection of Pamela’s bylined reporting and commentary for The Epoch Times.
Read article →Human Events
Author archive at Human Events
Pamela’s articles for Human Events on therapy, culture, and the politics of mental health.
Read article →The Post Millennial
Author archive at The Post Millennial
Includes the viral piece that introduced many readers to The Truthful Therapist.
Read article →Subscribe
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