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Dr Z is a Los-Angeles-based therapist who specializes in gender identity.

California residents only: if you need surgical evaluations for transgender surgeries, Dr Z offers them for free.


From 2008 to 2011, Dr Z (aka Natalia Zhikhareva) worked at theĀ Sexual & Gender Minority Youth Resource CenterĀ in Portland,Ā Oregon. In 2014, she earned a PhD in Clinical Psychology from Pacifica Graduate Institute. She has since set up a practice in Los Angeles.

“I invite you to join me in an ongoing conversation on topics of gender identity, transition, and transgender mental health on the TRANSFORMED Blog and on the DR Z PHD YouTube Channel, where I welcome your comments and questions.”

Transition & Beyond and The Man Within are both free monthly support groups for transwomen and transmen in LA.”

“I hold a license in clinical psychology in the state of California (PSY28888) and Iā€™m a member of theĀ Los Angeles County Psychological AssociationĀ and theĀ World Professional Association for Transgender Health.”


Dr Z PhD (

  • Professional website

YouTube (