Kate MacShane, M.Ed., MSW, LCSW-C
Psychotherapist & Director
pronouns: she/her
Kate founded the Maryland Center for Gender & Intimacy in 2019 and serves as its Director.
She received her Bachelor of Arts in English from Smith College. She holds a Masters degree in Education from the American University, and a Master of Social Work degree from the Smith College School for Social Work.
Kate is an independently licensed clinical social worker in Maryland, Pennsylvania, Virginia, and West Virginia, and offers telehealth sessions with clients physically located in those states. Kate sees clients in person in our Frederick office.
Kate is a queer, gay, biracial (Chinese and white), cisgender therapist. Her work is informed by her experiences in culturally liminal spaces, and her holding of identities both visible and invisible, dominant and marginalized.
Kate practices from anti-oppressive framework that incorporates transfeminist, queer, anti-white-supremacist, and other liberatory perspectives. Kate is committed to forming transformative therapy relationships with clients seeking healing, deeper connection, and increased self-awareness. Kate’s integrative approach to therapy incorporates relational, psychodynamic, Internal Family Systems, attachment-based, and narrative therapies. Kate has completed EMDR Basic Training and is pursuing certification with EMDRIA. She enjoys using EMDR as a tool with clients seeking to recover from many kinds of trauma and abuse.
Kate works with adolescents, couples/partners, and individual adults, and is dedicated to providing effective therapy to gender-expansive, trans, queer, nonbinary, and otherwise LGBTQIA2S+ adolescents and adults. She believes that therapy can be an important space to explore identity across the lifespan.
Kate is proud to be a Certified Sex Therapist with the American Association of Sexuality Educators, Counselors, and Therapists (AASECT). She enjoys supporting individuals and partners to feel more sexually confident and connected with themselves and in their relationships. She works from a kink- and sex-positive perspective, welcoming and affirming people with traditional (i.e., monogamous) and nontraditional (i.e., open, polyamorous, consensually nonmonogamous) relationship structures.
As a former public school teacher, Kate continues to enjoy opportunities to train and educate others, especially adult learners. Kate holds an Advanced Certificate in Clinical Supervision from the Smith College School for Social Work and is privileged to serve as clinical supervisor to several early-career social workers and professional counselors.
Kate works with gender-expansive, transgender, non-binary, and gender-nonconforming individuals from a gender-affirming perspective that centers the client’s self-determination and values them as the expert on their own identities. Kate is a World Professional Association of Transgender Health (WPATH) GEI SOC8 Certified Member, meaning that she has undergone a rigorous course of training and mentorship and has passed a certification exam evaluating competence in the treatment of T/NB/GNC people in accordance with the current WPATH Standards of Care.
Kate especially enjoys working with gender-diverse young people and their families, helping to support families in affirming their loved ones, improve communication, and deepen family connections. Kate founded, and for many years facilitated, TransFamily, a free support group for adult family members of gender-expansive young people. Kate offers private consultation meetings with adult family members of gender-expansive people seeking to better understand and affirm their loved ones.
SERVICE LOCATION:
Frederick office
Telehealth
SERVICES PROVIDED:
Individual therapy for adolescents and adults
Relationship therapy
Coaching and consultation for family members of gender-expansive people
Clinical supervision and consultation
AREAS OF SPECIALIZATION:
Gender identity and transition
Sexual orientation
Challenges with sexual desire, sexual function, arousal, and orgasm
Trauma & relational abuse
Adolescent/teen identity development
Relationship challenges
Recovering from the impacts of harmful parenting
Mixed & multi-racial identity concerns
CLINICAL & TEACHING EXPERIENCE:
Adjunct professor in the Hood College Graduate Department of Counseling & Psychology
Solo private therapy practice 2016-2019
Public elementary and middle school special education (including master’s degree in special education)
Therapeutic preschool
Addiction and substance abuse recovery
Child and family outpatient mental health
Sexual assault survivor counseling and advocacy
POST-GRADUATE EDUCATION & TRAINING IN GENDER AND SEXUALITY TOPICS FROM:
Institute for Relational Intimacy
The Couples Institute
Center for Excellence in EMDR Therapy
World Professional Association of Transgender Health (WPATH)
American Association of Sexuality Educators, Counselors, and Therapists (AASECT)
Institute for Sexuality Education & Enlightenment
Gender Spectrum
National LGBT Health Education Center
Fenway Health
The Mazzoni Center
Greater Washington Society for Clinical Social Work
ONGOING TRAINING OPPORTUNITIES:
Kate’s recorded webinars for the American Psychological Association (APA) are available online:
Fundamentals of Gender-Affirming Therapy for Cisgender Clinicians
Each webinar offers 3.0 CEUs for most clinicians.
Kate can be reached directly at kate@marylandcenterforgenderandintimacy.com.
Please be aware that Kate is not accepting new individual psychotherapy clients.
Reach out to info@marylandcenterforgenderandintimacy.com if you are interested in relationship therapy with Kate.

