Prompted by Kristin Brubaker, a licensed pediatric occupational therapist who works at the Center for Therapeutic Intervention (CTI) in Gig Harbor, WA, the researchers set out to answer the following question: “What evidence supports the use of occupational therapy (OT) interventions in improving the psychosocial health of children and youth between the ages of 0 to 25 experiencing gender dysphoria (GD)?” After reading and evaluating 29 articles from qualitative and quantitative research, systematic reviews, and additional evidence, the researchers concluded that occupational therapists can assist this population by affirming the experience of GD, encouraging exploration of gender identity, providing a safe and supportive environment, maximizing strengths and resources, reflecting upon long-term consequences of various treatment approaches, facilitating social transition into preferred gender roles, and preventing loss of engagement in meaningful occupations. After summarizing these findings, the researchers conducted an in-service presentation at CTI regarding GD and the role of OT. In order to assess effectiveness, the researchers administered three surveys to monitor the clinicians’ knowledge, confidence, and implementation of the aforementioned practice recommendations. Future continuations of this project could focus on compiling additional evidence to determine what constitutes effective parent/caregiver education for children with GD, and examining occupational deprivation within this population.

Publication Place

Tacoma, Washington


University of Puget Sound

Project Chairperson

Kirsten Wilbur, Ed.D., OTR/L

Project Chairperson

Publication Date



Capstone Project





Degree Program

Occupational Therapy

Degree Level

Master of Science


Occupational Therapy


University of Puget Sound