"Me Being Myself Isn't a Barrier": Identity and Praxis of Nonbinary Psychotherapists

Experiences of nonbinary psychotherapists have largely gone unexamined in the present literature. Using critical-constructivist grounded theory, we explored the experiences of 13 nonbinary licensed psychotherapists through qualitative semistructured interviews. Interviews were an average of 1.36 hr, and participants were recruited via social media and professional listservs. We found that nonbinary therapists ground their professional praxis-the embodiment of professional theory, action, and practice-in identity across four interconnected areas: navigating minority stress, disclosing identity, utilizing identity, and centering anti-oppression ideologies. Findings add to the nascent examination of experiences of marginalized mental health professionals and note the value of identity integration into professional work. For this population, identity is used in praxis, as it permeates their entire professional sphere. We highlight how these clinicians use their identity in challenging binary understandings of the therapeutic profession. Furthermore, nonbinary therapists demonstrate resilience among systems of oppression and are empowered when challenging binary ways of thinking with clients, supervisors, and peers. Our results indicate the importance of supporting and training nonbinary clinicians in how to use themselves and identity disclosures as effective therapeutic tools and how to manage minority stress and microaggressions that occur in their professional practice. It also underscores the general need for increased training targeted to educators and binary mental health professions aimed at increasing competence in working with nonbinary people. Public Significance Statement This study explored the unique experiences of nonbinary psychotherapists in their multiple professional roles. Findings indicate that nonbinary therapists' identities are integrated into their work, positively impacting their professional responsibilities and providing means for self- and client-empowerment, despite experiences of marginalization.