Special Topics – WPATH and Trans Work


Develop your work with gender-diverse clients with Nick Marzo, Emma Smith, and Lucie Fielding. Expert lecturers. Earn up to 10 CE credits.


June 22-23, 2023

Held via live simultaneous webcast; no asynchronous registration allowed.
Full day: 10 am – 6 pm Eastern/7 am – 3 pm Pacific
Half day: 10 am – 1 pm Eastern/7 am – 10 am Pacific

– Discounts for Early Registration End May 18th

Thu – Jun 22

  • Standards of Care for the Health of Transgender and Gender Diverse People with Nick Marzo, MS LPC, LMHC, CST, ACS, NCC, CCMHC
  • Trans Sex with Lucie Fielding, MA, Ph.D.

Friday – Jun 23

  • Clinical Interventions with Gender Expansive Partners with Emma Smith, MS, LPC, NCC, CCTP, CTC
**Not available as a resale course. This item will be live only, do not miss your opportunity to attend this special training. 
Courses are often available at a later date as an eLearn. eCourses and presenters may be adjusted periodically. Please check this page or contact our Administration for the most up-to-date schedule. You must attend the entire course live to receive CE credit, no asynchronous registrations are allowed.

In this 2-day training, you can fulfill these requirements:


AASECT Sex Ed: AASECT Core Sex Therapy: AASECT Sex Counseling: ISTI Categories:
THU: A, C, D, F, I, P THU: F THU: B
THU: 1a, 1b, 1c
FRI: A, C, D, F, I, P FRI: F FRI: B FRI: 1a, 1b, 1c


Special Topics – WPATH and Trans Work; Clinical Gender Expansive with Sensate

June 22 (Thu) 10 am – 1 pm – Standards of Care for the Health of Transgender and Gender Diverse People with Nick Marzo, MS LPC, LMHC, CST, ACS, NCC, CCMHC


June 22 (Thu) 2 pm – 6 pm – Trans Sex with Lucie Fielding, MA, Ph.D.

All of us grow up with toxic narratives of how our bodies are “supposed to” function and how we “should” experience pleasure, but for trans and non-binary folx these narratives pose particular problems, as they prematurely foreclose the stunning erotic possibility of trans sexualities and designate potential pathways of exploration un-safe or off-limits. And when conversations are foreclosed, we unwittingly replicate oppressive structures and become tools of social control. Unfortunately, few therapists are trained to help trans and non-binary folx navigate pleasure-positive sexuality, and the therapeutic relationship is frequently marked by imaginative failures concerning our erotic lives.

Through lecture, experiential activities, value clarification exercises, and explorations of case material this highly-interactive, four-hour course will provide a set of frameworks and tools to help sex and relationship therapists better attend to the heterogenous sexual health concerns of trans, non-binary, and gender expansive clients as well as support trans erotic embodiment. Students will learn how to re-orient their practices around gender-pleasure, radically queer and enliven clinical practice, approach their clients from a place of ethical curiosity, and deploy somatic, pleasure-centered frameworks and tools that are steeped in “intimate justice.”


June 23 (Fri) 10 am – 1 pm – Clinical Interventions with Gender Expansive Partners with Emma Smith, MS, LPC, NCC, CCTP, CTC

When we talk about the issues of sex and intimacy related to gender transition or couples with one or both partners identifying as transgender, gender nonconforming, nonbinary, etc., it’s important to have a couples therapist that understands the nuances of these experiences for each partner and can work with couples in savvy and respectful ways, challenging cisheteronormative structures, understanding the impact of marginalization on desire, while also not making assumptions about the issues present in these relationships or the desired outcome. Providing sex therapy to these couples involves an emphasis on communication, finding compassion within the conflict, and learning new ways of navigating their intimate and sexual relationship as identity and sexuality change and evolve.

About the Trainers:

Nick Marzo, MS LPC, LMHC, CST, ACS, NCC, CCMHC (he/him/none), is a white trans masculine genderqueer therapist and supervisor. Nick has been working in the behavioral health community for close to 25 years with experience in direct care and administrative oversight capacities. When Nick opened Modern Path, LLC in 2017 it was his goal to create a space in Atlanta where gender, sexuality, and relationship structure minorities would be able to access therapy in a way that minimized the power in the room and centered the experience of the client. Nick is an active member of the American Psychological Association Division 44 Consensual Non-monogamy Taskforce with a role on the Inclusive Education Committee, an AASECT Certified Sex Therapist, and a Coalition Partner of the National Coalition for Sexual Freedom. Nick Marzo wears a blue button down shirt with buttons open and a dark blue shirt underneath. He smiles into the camera with his hair pulled back.
Lucie Fielding, MA, Ph.D. is an expert in kink and CNM-/ENM-knowledgeable, and she also specializes in providing affirmative support to sex workers as well as queer, trans, non-binary, and gender-expansive adults. As a queer and trans provider, she is particularly attuned to the ways that social stigma, discrimination, and oppression manifest in disruptive ways and can lodge themselves in the body. Her book, Trans Sex: Clinical Approaches to Trans Sexualities and Erotic Embodiments aims to equip clinical providers with both conceptual frameworks and concrete tools for better engaging their trans, non-binary, and gender-expansive clients in pleasure-centered discussions of sexual health. Lucie Fielding headshot, their fingers linked at their chin as they smile at the camera.
Emma Smith, MS, LPC, NCC, CCTP, CTC (she/her) is a licensed professional counselor in private practice in Washington, DC, and serves populations in DC, Maryland, Virginia, and Texas. In her private practice, E.J. provides individual and relationship therapy, supervision, and consultation with special emphasis on sexual trauma and LGBTQ+ clients. She works from an existential-feminist and trauma-informed lens and is committed to supporting the queer, trans, and nonbinary communities. In addition to being a therapist, E.J. is a sought-after presenter on clinical issues related to interpersonal/relational trauma, and working with sexually and gender-diverse clients. E.J. can be contacted through her website, http://www.unicornhealthcare.com/, or at ej@unicornhealthcare.com. EJ Smith is a woman with long dark hair. In her photo she wears a dark shirt and is smiling at the camera. Her photo is black and white.


This program meets the educational requirements of the American Association of Sexuality Educators, Counselors, and Therapists (AASECT) and is approved for 10 CE credits. These CE credits may be applied toward AASECT certification and renewal of certification. Completion of this program does not ensure or guarantee AASECT certification. For further information please contact info@assect.org or go to www.AASECT.org.  Please contact your local certifying organization for detailed information on courses they accept for CEs.

Integrative Sex Therapy Institute policies on attendance, refunds, and grievances are available here.

Additional information

Days to Attend:

2-Day Series, Fri AM, Thurs


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