Evolve Online Counselling & Hypnotherapy

Evolve Online Counselling & Hypnotherapy Professional Transgender Counselling (online and face to face) over 20 years of experience

Please check out our latest blog.
10/12/2025

Please check out our latest blog.

I watched an interview yesterday with a trans woman who underwent electroconvulsive therapy when she was still a teenager. Sadly, it’s a story I’ve heard many times over the years from my trans sisters who were brave eno...

09/12/2025

The recent conclusion of the Sandie Peggie tribunal has stirred a lot of emotion for many people following issues around trans inclusion. Although the tribunal dismissed all claims against Dr Beth Upton, cases like this can still contribute to a climate that feels uncertain or distressing for trans people, allies, and anyone affected by ongoing public debate.

If this story has brought up difficult feelings, it may help to reach out to supportive spaces. Charities such as **Switchboard LGBT+**, **Mind**, and **Stonewall** offer free, confidential listening services and information for anyone who needs emotional support.

Evolve Online Counselling also provides a safe, private space for those who feel longer-term or more in-depth support would be helpful. You can find out more at: **[www.evolveonlinecounselling.com](http://www.evolveonlinecounselling.com)**

Wherever you choose to turn, you deserve understanding, compassion, and a place to talk things through.

I watched an interview yesterday with a trans woman who underwent electroconvulsive therapy when she was still a teenage...
07/12/2025

I watched an interview yesterday with a trans woman who underwent electroconvulsive therapy when she was still a teenager. Sadly, it’s a story I’ve heard many times over the years from my trans sisters who were brave enough to come out as children. I think all trans people of my generation have heard these stories. When I first began interacting with what was then called the “Trans Scene,” rather than a “community,” we all spoke about our journeys to womanhood.

For those who don’t know—though I admit I’m not completely certain of the full medical process—electroconvulsive shocks were administered to the brain. It was painful and deeply distressing, especially for individuals who had no mental health issues. The intention was to change a person’s brain activity and “stop” them from being transgender. It was used against gay men as well. This form of conversion therapy was used predominantly from the 1950s through to the 1970s and, in some cases, into the 1980s.

The reason I mention this now is that throughout much of the 20th century, the belief that you could “cure” gay and trans people was widespread. Being transgender was classified as a mental health disorder internationally until 2019, when the World Health Organization formally removed “gender identity disorder” from the ICD. In the UK, trans healthcare has long been a lucrative field for some NHS clinicians who also run private practices. In 2020, a conference was organised by several of these same clinicians to lobby the government to reclassify being trans as a mental health condition.

The premise from the ignorant has always been: make life unbearably difficult for gay and trans people and they will “grow out of it.” There has never been any evidence that conversion therapy of any kind works. Based on the number of damaged souls I’ve met over the last 30 years, I can say that even when people told doctors they were “cured,” trust me—they weren’t. They simply wanted the torture to stop.

I bring all of this up because we are now a quarter of the way through the 21st century, and politicians in both the UK and the US have learned nothing. There is a reason that J.K. Rowling, Graham Linehan, Sharron Davies and others campaign with such confidence in their ignorance: this is what many people of the Boomer generation were raised to believe. We rarely questioned authority, and if a doctor said someone was mentally ill, it was taken as gospel. The issue now is that we know better. Searching for a “cure” for being gay, trans, non-binary, or any other facet of human identity is a folly. You cannot “fix” something that was never broken.

In the UK, the ban on puberty blockers is state-organised conversion therapy. In my ten years working with trans people of all ages, I have yet to see a negative impact when gender-affirming care is properly administered. I’m not claiming that the damage caused by stigma is always reversed, but I have seen comfort and relief in every patient I’ve worked with. Fewer than 0.5%—so few I can barely quantify it—have stopped treatment, usually because of the hostile environment, family concerns, or financial issues. I have never seen someone who felt their transition was a mistake. Either I’m incredibly lucky, or gender-affirming care, when provided with appropriate support, genuinely works.

When society stigmatises you, it creates long-lasting and deeply rooted harm. The cure for that harm is not more punishment, more restriction, or more stigma. For many, gender-affirming care is a turning point; for others, it marks the completion of a lifelong journey, as it has been for me. And for many, it is everything in between.

If you are a parent of a trans child, or if you have a trans family member, please know this: their gender does not need fixing. They need support that builds resilience in a world telling them they are wrong. They need acceptance, not endless interrogation. They need you to seek help, to understand your own biases, and to avoid projecting your fears onto your loved ones.

As many of you know, I am a counsellor with Evolve Online Counselling and the Lead Counsellor at Anne Health. Links to both websites are below. I also have my own podcast where you can hear trans people, parents, and clinicians speak about their experiences—and about trans joy. The link is below as well.

Please share if you’ve made it this far, and thank you for taking the time. xx

[https://evolveonlinecounselling.co.uk/](https://evolveonlinecounselling.co.uk/)

[https://anne.health/?srsltid=AfmBOopPa58lFOmAp6T2aN0HdpH5Hxl2vLEh_ZeCnqaZ2tB1PfQgS637](https://anne.health/?srsltid=AfmBOopPa58lFOmAp6T2aN0HdpH5Hxl2vLEh_ZeCnqaZ2tB1PfQgS637)

Podcast: [https://evolveonlinecounselling.co.uk/podcast](https://evolveonlinecounselling.co.uk/podcast)

Trans & non-binary wellbeing services By your side on the journey towards your new life

I’m a bit late to the party—I missed Transparent Day (as I usually do, sorry!)—but I still wanted to share this with you...
20/11/2025

I’m a bit late to the party—I missed Transparent Day (as I usually do, sorry!)—but I still wanted to share this with you.

I recently had the privilege of hosting Kellie Maloney on my podcast (link below). Among the many things we discussed—trans life, our journeys, our families—the topic of our children came up. Despite our very different lives, our deep love and concern for our families is something we share.

Both of us spent years agonising over how our transitions might affect our children. That fear is something many trans people carry, and sadly, some never make it through those darkest moments.

Near the end of the episode, Kellie reads a poem written by the daughter of a trans woman who couldn’t find the strength to come out to her family and ultimately took her own life. The poem is stunning—beautifully written, heartbreaking, and powerful. You can hear the emotion in both of us as she reads it. I haven’t transcribed it because it’s hers to share, so you’ll need to listen to the episode to hear it.

I hope some of you will take the time. For those of us who survived coming out, it’s a reminder of what our children might have gone through had we not. And for anyone who loves a trans person—parent, child, friend—it’s a reminder of the pain and love that sit beneath these stories.

This episode isn’t just two trans people talking about trans issues; it’s two trans mums, from very different backgrounds, simply chatting about life. I think for a casual listener it offers a rare, honest window into the lives of older trans women.

It’s episode 4 in the series. I hope you find it interesting and meaningful.

[https://evolveonlinecounselling.co.uk/podcast](https://evolveonlinecounselling.co.uk/podcast)

Trans & non-binary wellbeing services By your side on the journey towards your new life

14/11/2025
Please help in anyway you can, this is such an important cause and could save a Trans persons life this Christmas. Even ...
03/11/2025

Please help in anyway you can, this is such an important cause and could save a Trans persons life this Christmas. Even if you can’t donate, then at least share and spread the word, it all helps, xx

2,416 Followers, 1,964 Following, 133 Posts

13/10/2025

If your in emotional turmoil, feeling distressed of overwhelmed with dysphoria, it’s always better to have someone assured and calm by your side. Counselling fills this space between friendship and family, detached from your everyday life.

Don’t face these issues alone, contact us and we will be there for you and with you.

24/09/2025

**"Don’t you hate transphobes?"**
It’s a question I’ve been asked — often by people who expect anger or rage in return.

And honestly, no one would blame a trans person for feeling that way. The hate we’re subjected to is relentless — from media narratives, political figures, and public voices who paint us as threats, problems, or something to be erased.

As a trans woman, I know how deeply those messages can wound. The pain is real. The injustice is real. The desire to fight back with hate? That’s human. It's protective.

But over time — personally, and professionally as a therapeutic counsellor — I’ve learned something:
**Hate might feel like strength in the moment, but long-term, it weighs heavy.**

It keeps us locked in a cycle we didn’t create. A cycle rooted in fear, projection, and systems that are designed to dehumanise. And while anger is a valid and important emotion, staying stuck in hate often disconnects us from the parts of ourselves that need care, healing, and peace.

I don’t hate individuals like J.K. Rowling or those who push anti-trans ideologies. I see the pain behind their beliefs — the need for control, the fear of complexity. That doesn’t excuse their harm, but it reminds me that hate is a symptom, not a solution.

So if you're trans and feeling overwhelmed by hate — towards those who’ve hurt you, those who invalidate you, or the system that seems stacked against you — please know this:

✨ **You’re not broken for feeling this way.**
✨ **You don’t have to carry it alone.**
✨ **There’s space for you to explore what you feel — without judgement, without fear.**

Counselling can offer that space. Not to take your anger away, but to hold it safely. To help you reconnect with who you are beneath the pain. Because *you* deserve peace — even if the world hasn’t made it easy to find.

If any of this resonates, I’m here. You don’t have to do this alone. Feel free
to check out our website if you feel we can help?

22/09/2025

Entering therapy is still stigmatised in the UK, but don’t let that stop you. Because of therapy, as a trans woman,
I built a resilience and over came so much more.

14/09/2025

It’s Sunday, and as usual, I find myself reflecting on all things trans. It’s a bit strange, really — I spend my week working in trans healthcare, surrounded by trans and non-binary people, and yet we rarely talk about politics beyond a tired, shared glance and a “yeah, it’s a s**t show out there, isn’t it?” So Sundays end up being my time to catch up, to think more deeply, and to try and process everything that’s been happening.

This week has felt different, of course — the killing of Charlie Kirk has been heavy on many of our minds. But honestly, most of these thoughts, even when I share them here, tend to take shape on a Sunday. It’s when the emotional backlog settles in.

One thing I keep coming back to is just how resilient the trans community is. That word — *resilient* — gets thrown around a lot, and I don’t want to erase the very real vulnerabilities and challenges we face by using it. But there’s something undeniable in the way we keep going. I’ve never had a trans person in my care tell me they’ve decided not to transition because of the political climate. It just doesn’t come up like that. The desire to live authentically, to transition, to move closer to ourselves — it doesn’t bend to hostile headlines or political fearmongering.

We continue — not because things are easy, but in spite of how hard they are. Many of us have already survived more than most people can imagine. And the younger ones… honestly, they blow me away. Facing bullying, public ridicule, being shamed just for needing a toilet or showing up to gym class — and yet, still, they continue.

What’s more, the rate of detransition doesn’t seem to fluctuate with the rise of right-wing hate or policy rollbacks. I’m not suggesting that everything is fine — far from it. Suicidal ideation, mental health crises, homelessness, family rejection, GPs who can’t (or won’t) even make a basic referral to a GIC — the barriers are brutal and, frankly, often inhumane. And still, we’re growing. Still, many of us are thriving.

I don’t want to romanticise any of this, and I’m definitely not here to eulogise the community. But I do think it speaks to the depth of dysphoria many of us feel — and equally, to the profound sense of euphoria or peace that can come with transitioning, or even just having the space to explore our place in the wider spectrum of gender.

To those on the outside looking in — if they truly understood what we endure just to be ourselves, I think they’d be humbled. But most don’t take that time. Too many still see us through years of media distortion and fear. If they could just take those glasses off for a moment, they’d see that for many of us, this isn’t a lifestyle — it’s a necessity.

And look, I want to be careful with how I say this — I can’t pretend to know what it’s like to leave your home, your family, everything you know because you fear for your life. But I do know what it’s like to risk everything just to feel safe in your own skin. And as hostile as the climate can feel here in the UK right now, it still pales in comparison to the internal war that dysphoria can wage when it's left unmanaged. That kind of pain is hard to describe — and even harder to ignore.

I also want to say this clearly: my empathy doesn’t end at the edges of the trans community. I feel deeply for everyone who’s struggling in the world right now — refugees and immigrants fleeing unimaginable circumstances, people on the poverty line relying on food banks just to survive, those being scapegoated, ridiculed, or dehumanised simply for existing. My heart aches watching how widespread the hate has become — how normalised the cruelty is, across so many different groups of people.

And I, for one, will never stay quiet about it.

Marianne Oakes, Evolve online counselling founder.

13/09/2025

As a therapeutic counsellor, I often hear the sentiment, “What good can talking do? It doesn’t change anything.”

To those who feel this way, I’d ask you to consider this: when you’re feeling down, overwhelmed, or as though things are hopeless, what’s the first thing you do? You talk to someone close to you, or perhaps to a stranger in passing, even if only to vent. As humans, we naturally process our emotions through communication. Historically, in times when society functioned in a more connected way, we had the luxury of people willing to listen. But in today’s fast-paced world, where time is often seen as money and many are lost in their headphones or phones, it can feel harder to find someone who truly listens.

This is where counselling offers a unique space. A therapist is there, not just to hear you, but to listen, reflect, and help you explore your emotions safely. It’s a dedicated time and space for you to do what humans do best to heal: talk. Holding in emotions can be harmful, but expressing them in a safe and supportive environment can be incredibly therapeutic.

At Evolve Online Counselling, we work with all forms of gender diversity, including transgender men and women, non-binary individuals, and anyone who identifies with gender nonconformity. We also offer support to family members, loved ones, friends, allies, and spouses—anyone connected to someone who is questioning or exploring their gender identity. We want everyone who is part of or affected by this journey to feel able to access our services.

As a trans woman myself, and with my son Joe having witnessed my journey firsthand, we know the struggles and complexities involved. Our experience working in Trans Healthcare has allowed us to support and guide others through their own journeys—and it’s something we’re passionate about.

If you’d like to learn more or discuss how we can support you, please don’t hesitate to reach out via email: [evolveonlinecounselling@gmail.com] or visit our website: www.evolveonlinecounselling.co.uk

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