Welcome To the Anne M. Vitale PhD Website

Notes on Gender Role Transition
...Real Life Implications

About this site

This web site addresses issues regarding gender dysphoria, crossdressing, transsexualism, transgenderism, cross sex hormones, sex reassignment surgery (SRS), the WPATH Standards of Care (SOC v7 & 8) and gender variant issues in general. Female-to-Male (FTM) and Male-to-Female (MTF) issues are covered.

The section entitled Practicum contains specific information to facilitate gender role transition. The section called "A Significant Other View" is written by the wife of a crossdresser.The Essays are fully referenced papers on gender identity issues. Guest Speaker includes writings from invited guests. T Notes serves as an informal forum regarding issues of current interest in my private practice. I hope to make monthly contributions to the T Notes; the other sections will be added to less frequently.

The observations listed and opinions expressed herein are derived primarily from my work with clients presenting with gender related issues. Additional information was and continues to be derived in consultation with colleagues, endocrinologists, and surgeons who specialize in treating Gender Dysphoria. The period of observation is from 1978 to the present. The accent of this web site will be on gender role transition.


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Anne M. Vitale - PhD

Featured Article: The Gender Variant Phenomenon--A Developmental Review



By Anne Vitale Ph.D.

January 27, 2003

NOTE: This is taken, in part, from a paper I wrote in 2001 entitled Implications of Being Gender Dysphoric: A Developmental Review. It was peer reviewed and published in Gender and Psychoanalysis, An Interdisciplinary Journal, Vol. 6 No. 2, Spring 2001, pp 121-141. I have updated it and post it here to make it available over the internet.


Living in conflict with one of the basic tenets of existence (Am I male or am I female?) is understandably anxiety provoking. This fact leads me to suggest that Gender Identity Disorder as this conflict is described in the DSM IV, is an indequate descriptor. I suggest here as I have elsewhere (Vitale, 1997, 2001) that instead the condition be termed Gender Expression Deprivation Anxiety Disorder (GEDAD). After explaining my thinking on gender expression deprivation anxiety, I will describe how this anxiety, if left untreated, is manifested in each of the five developmental stages of life: confusion and rebellion in childhood, false hopes and disappointment in adolescence, hesitant compliance in early adulthood, feelings of self induced entrapment in middle age, and if still untreated, depression and resignation in old age.

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Services Provided & New Client Inquiry

Please read my New Client Information Page before submitting a  request for an appointment.

Please use the word INQUIRY in the Subject Line for direct access:     anne@avitale.com

 Services Provided via Telehealth (Skype, Zoom, FaceTime)
* In-depth psychotherapy--pre and post-op life issues explored 

* Registered Medicare Provider
* Evaluations for hormones, top surgery (chest reconstructive surgery) and Genital Reassignment Surgery (Gender Confirming surgery)

* PhD level Second Opinion Evaluation letters for surgery and insurance coverage.
* Individual Consultation
 * Peer consultation for Licensed Mental Health Professionals

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The Gendered Self-- Further commentary on the transsexual phenomenon

By Anne Vitale Ph.D.

Available at Apple, Lulu.com, Google $19.99

From the Introduction:

The material in this book represents my experience in working with more than 500 gender-variant clients over the last 26 years (1984-2010) --covering everything from intake to long-term outcomes. Far from being a strictly medical treatise, this book is about otherwise mentally healthy people with a special existential problem that has and will continue to color their entire lives. It has been a privilege to have worked with these outstanding individuals. Despite their almost overwhelming handicap, the vast majority of people I have worke...


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Nothing on this site should be viewed as providing therapeutic advice. No formation of a client/therapist
relationship with Dr. Vitale is intended or to be implied or inferred. The information provided in this site is for educational
purposes only. I attempt to keep the information current but make no representation or warranties in that regard. You should
not rely upon this information as a substitute for consul with a qualified mental health professional.