Dr. Gary Bischof is a professor and coordinator of the Marriage, Couple and Family Counseling Program in the Dept of Counselor Education and Counseling Psychology at Western Michigan University. He is a licensed marriage and family therapist specializing in the treatment of couples navigating the gender transition of one of the partners. In this episode, he discusses the pitfalls for couples negotiating gender transition, the factors that can lead to couples staying together, and what competent couples therapy looks like for couples in this situation.