Support for Partners and Transgender Spouses in Pittsburgh, PA

Supporting transgender partners and spouses in Pittsburgh, PA

While Pittsburgh has a lot of therapy resources, there is a lack of support for transgender partners. Maybe your partner came out as trans after you got together, and you’re reeling from this new revelation. Perhaps you feel torn between wanting to be supportive and grieving what you thought you knew about your partner and your relationship. You’re afraid that you’ll lose your partner when they start HRT, or that your parents won’t accept them. When partners transition, life doesn’t stop. You might be navigating this change to your relationship, while dealing with aging parents and parenting young children. It can feel like too much is happening all at once and it’s hard to cope. 

As the spouse of a transwoman, I understand the ups and downs of having a transitioning partner. Whether you identify as straight or queer, your partner’s journey affects you too. The vision for your relationship has changed and that can feel scary. It can feel like there is a lot to lose. I offer a neutral space where partners can sort through their feelings, process changes, and make decisions that work for you. Whether you’re staying together or divorcing, I’m here to walk alongside you on your journey.

Did your partner come out as trans, and it feels like your world has been turned upside down?

Career life and adult responsibilities in Pittsburgh can already feel like a lot. When your partner comes out, routines change and everything can feel out of balance.

Even if you’re feeling completely positive about your partner’s transition, the changes can still feel stressful for both of you


  • Coming out to friends and family, and worrying about how they’ll react. Especially if you have conservative family members. 

  • Friendships fading and people who you thought were your true friends, suddenly ghost you. 

  • Financial stress from gender affirming surgeries and medical interventions

  • Going from passing as a straight couple to a visibly queer couple

  • Fear of your queer identity being erased due to your relationship passing as straight

  • Worry of losing your attraction to your partner due to their transition 

  • Changes in your sex life, intimacy, and relationship structure. 

  • Deciding whether to stay together or needing support while separating. 

It can be easy to lose yourself while trying to support your transitioning partner

You deserve a safe, neutral space for you where you can share all of your feelings and be honest with yourself.

A picutre of a computer with a plant and purple office chair.

Online Therapy for Transgenger Spouses and Partners in Pittsburgh, PA

As the trans partner, you need your own support. While you and your partner can lean on each other, they will be dealing with some massive change and can’t be the only support in this area. There are some feelings and thoughts that are best shared in a neutral space. As a trans spouse myself, I know there is a lack of support for partners. That’s why I offer it virtually to people in Pittsburgh and online across PA. 

You might have a job with strict project deadlines or you might be a busy parent with young children. Online therapy can help you make space for yourself without having to disrupt your entire routine. It offers the flexibility to work from anywhere as long as it’s private.

A picture of Christine Ruberti-Bruning ATR-BC, CEDS, LPC, a queer licensed therapist with over 15 years of experience. As someone with trans spouse, she provides therapy to partners and spouses of transgender individuals.

Support from a Queer Therapist With a Trans Spouse and Over 15 Years of Clinical Practice


My approach is insight oriented and experiential. That means I’ll help you pay attention to what’s happening in your inner world as you process these changes. The goal is to help you be honest with yourself and make decisions based on what you truly want.


Together we work to: 

  • Process any feelings related to your partner’s transition, whether that’s anxiety, joy, grief, or anger.

  • Talk about coming out and explore changes in your identity as a result of your partner’s gender jouney

  • Identify ways to take care of yourself while supporting your partner

  • Build a support network of people you can trust

  • Learn practical strategies to respond to gender dysphoria episodes (if your partner has any) 

  • Discuss ways to navigate conversations with loved one and set boundaries when needed.

A picture of a candle on desk with a laptop. Virtual support group for transender spouses in Pittsburgh, PA.

Virtual Support group for Partners and Spouses in Pittsburgh, PA

ages 18 and up | Wednesday 5- 6 pm | Starting 9/16 | $50 per group session

Gender transition can feel lonely, especially if your partner isn’t ready to come out yet. Or you might already be out, but your friends may not fully understand what you’re going through. Group therapy can provide a space to talk through your experiences and get support from people who get it. As someone with a trans spouse, I met a close friend through my support group. It’s one more way to build a support network for yourself.

Topics Covered: Sex life and intimacy, coming out, navigating family dynamics, ending the relationship or separating, changes in identity.

You can book a free video or phone call to register. Group will be capped at 8 members.

therapy can help you…

Talk About the Hard Stuff

Regardless of how you move forward in your relationship, you’ll have more strength to face difficult conversations while remaining grounded. 

Reconnect with yourself

You’ll have the space to sort through your thoughts so you can find clarity on what you want for your life. You’ll have a stronger sense of self in this new normal.

Feel Less Alone

I’ll help you identify the people in your life that can be there for you, and explore other types of support such as support groups and couples therapy, if needed. 

Accept Change

Therapy can help you process any losses associated with this journey, and roll with the many changes your partner is going through.

Prioritize Self-Care

You’ll explore ways to take care of yourself that are truly aligned with who you are.  Together, we’ll brainstorm ways to make room for rest and pleasure in your life. 

Cope with Uncertainty

The future you once pictured has now changed, and you don’t know what comes next. I’ll help you find ways to sit in the unknown and take it one day at a time.  

You don’t have to lose yourself to be a supportive partner.

Together, let’s find a path forward that feels right for you.

Questions?

FAQs

A picture of Christine Ruberti-Bruning, a therapist who supports spouses and partners of transgender individuals in Philadelphia, PA.

What Makes My Practice Different

As someone married to a trans woman, I bring personal understanding alongside professional expertise to our work together. I know firsthand the joys and challenges of supporting a partner through transition. This personal experience, combined with advanced training in gender-affirming care, means I can offer insights and support that many therapists simply cannot provide.

My practice specifically serves the queer and trans community, with particular expertise in the intersection of eating disorder recovery and gender identity—a complex area that few therapists understand. For partners whose trans loved ones are also navigating body image issues or disordered eating, I provide uniquely qualified support that addresses these intertwined challenges.

I reject one-size-fits-all approaches to therapy. Your relationship, your partner's transition, and your personal journey are unique. Together, we'll develop strategies tailored specifically to your situation, drawing from various therapeutic modalities to create an approach that truly serves your needs.