Mission Statement:

The UNC Gender Equality Psychiatry clinic provides integrated and coordinated, high-quality and gender-informed care for transgender and gender non-binary individuals ages 5 – 24 years and their families exploring or undergoing gender affirming treatment in the state of North Carolina and the local Southeast region.


  1. Provide an educated and informed evaluation on gender identification and expression in transgender and gender non-binary individuals.
  2. Serve as a resource locally for high quality gender informed psychiatric and psychologic consultation to individuals and their families exploring or undergoing gender affirming treatments.
  3. Provide psychiatric and psychologic consultation to other partners providing care for individuals seeking gender affirming interventions.
  4. Collaborate with other UNC transgender care providers in areas to improve quality of care such as department and hospital wide workgroups and clinical research projects.
  5. Follow the most recent standards of care published by the World Professional Association for Transgender Health (WPATH) and educate coordinating providers on relevant recommendations.
  6. Link with and outreach to community stakeholders in order to coordinate and expand care models.

Our Services:

On average, we provide an evaluation and 1 – 4 follow up sessions with an informed and experienced psychologist or board certified psychiatrist to provide assessment and support to individuals and families experiencing gender dysphoria and who are undergoing the decisions that surround gender affirming care. Treatments can include assessment of gender expression, identification, and dysphoria, guidance on social transitioning, recommendations for family therapies, recommendations on medical consultations, guidance on medical transitioning, and when relevant, recommendations for supportive therapies.

About Our Team:

Dr. Echo Meyer graduated Summa Cum Laude from Emory University, with a B.A in Psychology and Biology. Dr. Meyer completed graduate school with the University of Massachusetts with training in Boston and Cambridge hospitals. Dr. Meyer completed a Child and Adolescent Internship and Child and Adolescent Fellowships at the University of North Carolina. Dr. Meyer is a licensed Clinical Psychologist. After graduating from fellowship, Dr. Meyer joined the Departments of Psychiatry and Pediatrics with the University of North Carolina School of Medicine Consultation and Liaison Programs (2004). Throughout Dr. Meyer’s career, the experience of multidisciplinary care has been prominent. Dr. Meyer is experienced in working with individuals and family in various stages of personal transition.

Dr. Cathy Lee graduated Magna Cum Laude from Amherst College, with a B.A in Political Science. She completed medical school, General Psychiatry Residency and Child and Adolescent Psychiatry Fellowship at the University of North Carolina and is boarded in both General Adult and C&A Psychiatry. After graduating from her fellowship at the University of North Carolina, she joined the Department of Psychiatry and Human Behavior at the Warren Alpert Medical School of Brown University in Providence, Rhode Island, as an Assistant Professor. During her time at Brown, Dr. Lee served as the medical director for the Bradley School and started a school based mental health clinic for children with psychiatric disorders. She has worked with very young children on the Bradley Hospital Pediatric Partial Hospital Program. Dr. Lee has been key in the development of the UNC Gender Equality clinic.

Drs. Meyer and Lee work closely with their colleagues in Pediatric Endocrinology, Primary Care and Surgery in a collaborative model to provide tightly coordinated services across disciplines for transgender and gender non-binary individuals seeking gender affirming care. Drs. Meyer and Lee also work in coordinated care with young adult endocrinologists and with the related fertility and gynecological disciplines. Drs. Meyer and Lee are both members of the World Professional Association for Transgender Health (WPATH).


We accept referrals from other mental health providers and medical providers seeking consultation on their transgender or gender non-binary patients (ages 5-24 years) undergoing or exploring gender affirming care.

We also accept self-referrals from individuals or family members of individuals (ages 5-24 years) who are exploring or undergoing gender-affirming evaluation, and are in need of support or consultation during the time of transition.

UNC accepts most insurances. If there is a difficulty with coverage, or if you have any questions or would like to set up an appointment, please contact the UNC Psychiatry Gender Equality clinic at 984-974-3989 and leave a voicemail for the referral coordinator.


Please see PDF referral form here for families to use and fax to intake please.