14th September 2025
In this talk, Anastassis Spiliadis, a systemic and family psychotherapist reflects on what’s missing in the gender care conversation: clear, evidence-informed psychotherapeutic alternatives. While debate often focuses on medical interventions (and the limits of the evidence base), far less attention has been given to what clinicians can offer in the therapy room, how to work with families, and how to evaluate outcomes in a more systematic way.
00:00 The Missing Evidence for Psychotherapy
04:09 The Clinical Pivot: From Affirmation to Exploration
07:33 Why Was Psychotherapy Abandoned?
10:37 Modifying Therapy for Gender Distress
12:38 The Systemic Approach: Working with the Whole Family
19:30 Intergenerational Trauma & “Consent” to Explore
21:41 Case Study: Online Misinformation & “PowerPoint Parents”
25:06 Outcomes & Conclusion: Defining the Clinical Model