Body Image Counseling for Transgender Individuals in Philadelphia, PA

LGBTQ Affirming Therapy Philadelphia

No One Told You That Body Image Could Get More Complicated After Transitioning

Maybe you hated your body before transitioning, and the only way to cope was to pretend it didn’t exist. You just started HRT or you finally went out in public in clothes that felt aligned with your gender. You wore make-up for the first time leaving the house, and you feel excited when a stranger holds the door for you in public. 

However, looking in the mirror is still hard sometimes. Certain clothes feel awkward, and you always feel restless and on edge.  

Perhaps you finally got top surgery and while the results are great, you still find  yourself picking apart your flaws. You keep thinking with the next surgery, then you’ll finally feel okay with your body. 

A smiling woman with short black hair, glasses, large hoop earrings, and a nose piercing, wearing a patterned top with eye designs.

Maybe you…

  • Spend hours scrolling social media because you can’t help comparing yourself to the trans people who look thin and seem to pass. 

  • Exercise to the point where it’s no longer enjoyable because taking a rest day feels too stressful.

  • Blame yourself when you get misgendered, especially on a day when you were feeling good about how you looked. 

  • Cringe when you see pictures of yourself while that voice in your head keeps picking apart how you look.

  • Count calories, skip meals, and avoid going out to dinner with your friends.

Gender transition can feel exciting, and it can stir up so many complicated feelings about your body, sometimes more intensely than before. 

My Approach to body image counseling…

Helping You Build Confidence Beyond Cis-Normative Expectations

Your struggles aren’t personal failings, they are natural responses to living in a world that puts impossible standards on people.

As a white, cisgender queer woman, I’ll never fully know what it’s like to be you. However, I am committed to creating the safest place possible where you can be vulnerable and do deep, meaningful work in therapy. I know I can’t cure systemic oppression, or fix gender dysphoria.  My goal is to create a space where you can talk openly about all of the complicated feelings around your body. My approach is rooted in helping you build self-compassion, rather than body positivity. 

In our work together, we’ll call out the harmful systems that put certain bodies and identities above others. We’ll explore how these cis-het expectations have impacted how you see yourself and move through the world. 

Together we’ll explore how you experience gender outside of your body, and what brings your gender euphoria. We’ll use mind-body approaches like art therapy and IFS to rewrite the parts of your self-narrative that came from societal messaging.

Therapy Services

I offer specialized, experiential approaches that support queer and gender affirming care.

A picture of two BIPOC femme-presening people standing outside and reaching towards the sky, with trees in the background.

LGBTQ-Affirming Eating Disorder Therapy in Philadelphia

Are you tired of counting calories and checking the scale? Maybe you want to stop tracking your food, but you’re afraid of gaining weight. Maybe you want to change your body to feel more aligned in your gender, but the mental load is becoming too much. 

I understand that traditional recovery narratives don’t land for queer and trans folks. My approach to eating disorder therapy is nuanced and collaborative, where you define what recovery means to you. 

There is a path forward, and it doesn’t have to be perfect. There is space for all of your conflicting feelings, wants, and fears. I’d love to help you find more peace with food and confidence in who you are.

body image counseling can help you…

Let Go of Cis-Het Ideas of Attractiveness

Shifting focus onto what makes you feel good in your gender instead of what makes you more acceptable to others.

Feel Confident in Yourself

Feel validated and real in your gender regardless of what the world is staying. Harmful systems will still have their impact, but your worth won’t be defined by them. 

Learn Self-Compassion

Therapy helps you look at every side of yourself with kindness, not criticism. Even the parts buried in shame and guilt.

Separate Gender Dysphoria from Body Image Issues

We’ll explore gender-affirming options that are within your control to help alleviate gender dysphoria, while also finding ways to cope with aspects of your body that you can’t change. 

Reduce Self-blame

The beliefs you inherited from oppressive systems aren’t yours to carry. It’s time to start directing your anger where it belongs—at the systems that caused the harm, not you.

Celebrate Your Identity

You’ll identify and connect with your values, goals, and passions that that make up who you are. Find ways to notice small moments of gratitude and what brings you happiness, even in a cis-het world.

Societal beauty standards don’t have to define your worth

Find freedom from the rules that don’t serve you.

Questions?

FAQs

A picture of Christine Ruberi-Bruning ATR-BC, CEDS, LPC, a queer licensed therapist who specializes in LGBTQ and transgender affirming care in Philadelphia, PA.

Creating Your Path Forward

Living authentically as your true self is possible, even when facing societal challenges. Through our work together, you can develop more self-confidence, improve your relationship with your body, and build hope for your future. My role is to provide consistent, compassionate support while you navigate your journey towards self-discovery.

Recovery from eating disorders, healing from trauma, and embracing your gender identity aren't linear processes. There will be challenges along the way. What matters is having steady support from someone who understands the unique experiences of transgender and non-binary individuals.

In Person Therapy in Philadelphia, PA