ICATH is a collaborative project supported by advocates, allies and providers.  

ICATH promotes the use of informed consent as a recognized standard of care to support the ultimate well-being and autonomy for people who are transgender, intersex, and gender non-conforming.

The ICATH model reflects the basic human right to self-actualization.

ICATH is not an institution, an agency or an organization: Informed Consent is a standard of care that is acknowledged and honored by medical providers around the world.

ICATH promotes a departure from a system that uses the Gender Dysphoria diagnosis, formally known at Gender Identity Disorder,  as a means for accessing gender-confirming health care.      

In the traditional Standards of Care model:
  • Transgender, intersex and gender non-conforming people may be required to attend therapy and to spend time living as the "opposite gender," before they are able to access gender-confirming health care.
  • Those whose gender identity is non-binary or fluid are not visible in this model and they must either adopt a narrative that is not their own, or be excluded from accessing gender-confirming health care.
  • Transgender, intersex and gender non-conforming people may have to get permission from providers to assess health care. Health care providers often have the task of assessing "eligibility" for services.
The ICATH model :

  • Transgender, intersex and gender non-conforming people are not required to attend therapy to receive desired gender confirming health care. No one should have to go to therapy to prove their true gender, or to get permission to change their bodies.

  • Transgender, intersex and gender non-conforming people are able to decide what is best for themselves and their bodies, and when.

  • Therapy is an option, not a requirement, for accessing gender confirming health care.


  • Featured in Campus Progress, an article by Shay O'Reilly with A. Canelli and Talcott Broadhead.

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