Conversion Therapy Is Harmful
As a Colorado-based mental health practitioner, I remain attentive to both evolving legal standards and the ethical foundations of the counseling profession. Following the U.S. Supreme Court’s ruling in Chiles v. Salazar (2026), which raised constitutional concerns about Colorado’s previous restrictions on conversion therapy for minors, there is understandably renewed conversation about the role of therapists in supporting identity development.
While this decision speaks to First Amendment considerations, it does not change the established clinical consensus across the mental health field. Organizations such as the American Counseling Association and the World Professional Association for Transgender Health (WPATH) provide clear guidance through their ethical codes and the Standards of Care, emphasizing that therapeutic approaches should be affirming, client-centered, and grounded in evidence-based practice.
These standards consistently caution against attempts to change or suppress a person’s sexual orientation or gender identity. Instead, they emphasize supporting individuals in exploring identity, reducing distress, and strengthening overall well-being. Research and clinical experience continue to show that non-affirming or coercive approaches can contribute to increased anxiety, depression, shame, and disconnection—particularly for LGBTQ+ youth.
In my practice, I am guided first and foremost by these professional standards, along with a deep commitment to ethical care and the well-being of those I serve. I do not provide conversion therapy. Rather, I offer a safe, respectful, and affirming space where clients can explore their experiences and identities without pressure, judgment, or predetermined outcomes.
I recognize that legal frameworks and clinical best practices do not always move in parallel. My responsibility is to remain grounded in what supports healing: thoughtful, trauma and evidence-informed care that honors each person’s autonomy, dignity, and lived experience.
You are welcome here! And you are not alone!
Candice Dow, MA, LPC, NCC
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