Transgender Counselling By Renowned Sex Therapist In Sydney And Australia-Wide Online

Transgenderism is NOT sexual addiction. However, individuals may be at risk of developing sexual addiction, with no difference to other communities.

Transgender refers to male-to-female (MtF), or female-to-male (FtM), and is a general term applied to persons who vary from traditional gender roles. Transgender is a brain state of sexual identity, and is typically not matching one’s birth gender. Transgender persons identify with sexual orientations as common in general society, heterosexual, homosexual, bisexual, fluid, or asexual.

A person’s gender is usually assigned at birth, based on the female or male genitalia. Most individual’s development will match their birth-assigned gender, also referred to as ‘cisgender’, but in some cases, brain development shifts to the opposite gender direction. A transgender person may be male bodied, but is an emotional female, and verse visa, a transgender person may present in a female body, but the brain determines an emotional male.

Transgender may appear on a continuum scale anywhere between the more male predominant, and the more female predominant characteristics.


The term transsexual originates from the medical and psychological profession, and was first defined by Harry Benjamin, who invented the ‘Benjamin scale’, measuring intensities of transsexualism.


Many transgender or transsexual persons desire to transition to their chosen gender, and want to be addressed and identified as a man, or as a woman. Sexual reassignment surgery (SRS), and hormone therapies are available. Careful consideration should be given, as certain health risks may apply.

Some transgender persons want to continue with being addressed as transgender, and remember their life prior transitioning.


Brain based research has repeatedly shown that female-to-male transsexuals present several male-like characteristics in their neuroanatomy. Research conducted in 2010, using MRI techniques, evidenced a shift of white matter structures in the brains of the female-to-male transsexual samples in the direction of biological males, even prior to starting hormone therapy.

Genetic studies, undertaken in 2008, attempting to explain transsexualism, and suggesting that a decrease in testosterone levels in the brain during development might result in incomplete masculinization of the brain in male-to-female transsexuals.


Intersex in humans is understood to be congenital, and involving abnormalities in chromosomal, genital, gonadal, and morphological characteristics. Intersex is a condition with atypical combinations of physical male and female features in the same person. This is usually understood to be a diversion of the typical XX-female, and XY-male presentation, with a sex reversal to the XY-female, and XX-male chromosomal order. Intersex persons may be born with ambiguous genitalia. Some individuals may have difficulty with identifying as exclusively male, or as exclusively female, and may be referred to as ‘Androgyny’.


Researchers differ in opinion and estimate 0.1% – 1.7% (Fausto-Sterling) of alive birth being intersex.

Dr. Milton Diamond, a university professor and based in Hawaii, is a distinguished leading authority in the field of gender and sexuality studies. Dr. Diamond strongly cautions against early surgery, and emphasises the importance of postponing sex reassignment surgery until the intersex person is at an age of giving informed consent, and is able to choose the gender they are most likely to adapt to. Dr. Diamond describes in his famous book ‘The “John/Joan” Case’ the devastating consequences of sex reassignment surgery on the life of a patient, who was under the age of giving informed consent, although the surgery itself was a success.


Transgender, Transsexuals, Intersex or other Diverse Sex individuals may face serious difficulties with ‘coming out’. More often than not, disclosing gender and sexual identity, and/or sexual orientation has resulted in painful and avoidable losses of family, friends, relationships, and children, and experiencing social discrimination and physical violence. Other daily life difficulties, when transitioning, may include choosing clothing and fashion styles, hairstyles, and gender-appropriate social appearance. Self esteem issues, self acceptance, and professional and social acceptance issues by others can add to the list of road blocks for transgender people personal happiness and contentment. Transgender females and males often come to my office to find clarity about their sexual orientation in relation to their new gender, as well as discussing sexuality issues, attractiveness, relationships, love, family, children, and health and personal safety issues.


Our Professional Counsellor and Sex Therapist Heide McConkey welcomes your contact for further information or booking a confidential consultation with you Face To Face, Online, or as a Phone appointment. Book Anytime Online or call our office Today  (+61) 02 9380 4486 or email