What Does Non-Binary Mean?
Non-binary is a gender identity that does not fit exclusively within the traditional categories of male or female. Non-binary people may identify as both, neither, somewhere in between, or as a different gender altogether. Some use they/them pronouns, while others may use neo-pronouns or a mix of pronouns. Non-binary is an umbrella term that includes identities such as genderqueer, agender, bigender, and genderfluid.
Why Gender Recognition Matters in Occupational Therapy
Occupational therapy is grounded in the belief that everyone should have the opportunity to engage in meaningful activities that support their health, identity, and wellbeing. When a person’s gender identity such as being non-binary is not recognised or respected, it can create significant barriers to accessing services and participating fully in daily life.
For example, many standard OT assessments and documentation tools still rely on binary gender categories or make assumptions about gender roles. This can leave non-binary clients feeling unseen or misrepresented, which may lead to disengagement or reluctance to fully participate in therapy. Similarly, therapeutic environments often include gendered spaces such as bathrooms, uniforms, or group activities that can cause discomfort or exclusion. Occupational therapists have a responsibility to adapt these environments to ensure they are inclusive and affirming.
Gender identity is also deeply connected to occupational identity the sense of who we are and the roles we occupy in our lives. When someone’s gender is invalidated, it can disrupt their self-concept and limit their ability to engage in meaningful occupations. This might affect how they dress, interact socially, or participate in work, education, or leisure activities.
Communication is another critical area. Using incorrect pronouns or gendered language can undermine trust and psychological safety, which are essential for effective therapeutic relationships. Misgendering and exclusion also contribute to minority stress, anxiety, and depression. By affirming a person’s gender identity, we create a foundation of safety, trust, and respect.
Ultimately, respecting gender diversity is not just inclusive it’s ethical. It aligns with the RCOT Code of Ethics and the global values of autonomy, justice, and person-centred care that underpin our profession. As occupational therapists, we are uniquely positioned to challenge systemic barriers and support non-binary individuals in living full, authentic, and meaningful lives.
What Can We Do?
- Use inclusive language: Review your documentation, forms, and email signatures. Are they gender-neutral? Do they allow people to self-identify?
- Respect pronouns: Using someone’s correct pronouns is a basic act of respect and inclusion.
- Adapt environments: Ensure your service spaces and interventions are welcoming to people of all gender identities.
- Celebrate contributions: Non-binary people bring creativity, insight, and resilience to our teams and communities. Let’s recognise and uplift those voices.
Research Spotlight: DEIJA in Occupational Therapy
The American Journal of Occupational Therapy (AJOT) recently published a special issue on Diversity, Equity, Inclusion, Justice, and Accessibility (DEIJA) in OT practice and education (Volume 79, Issue 2). This issue explores how occupational therapists can better support gender-diverse individuals, including non-binary people, through inclusive service design, affirming language, and culturally responsive care.
One key theme is the importance of recognising gender identity as a meaningful aspect of occupational identity. The articles call for systemic changes in both clinical and educational settings to ensure OT services are not only accessible but also affirming and empowering for people of all gender identities.
A Moment to Reflect
Whether you’re a student, clinician, educator, or leader in OT, today is a chance to pause and reflect on how we can better support gender diversity in our practice. When non-binary staff and service users feel safe and valued, engagement improves, innovation grows, and people thrive.
Happy International Non-Binary People’s Day 💛🤍💜🖤
Referances
Richards, C., Bouman, W.P. and Barker, M.J., 2017. Genderqueer and non-binary genders. London: Palgrave Macmillan.
American Occupational Therapy Association (AOTA), 2025. Special Issue: Diversity, Equity, Inclusion, Justice, and Accessibility in Occupational Therapy. American Journal of Occupational Therapy, 79(2). Available at: https://ajot.aota.org [Accessed 14 July 2025].
Vincent, B.W., 2018. Studying trans: Recommendations for ethical recruitment and collaboration with transgender participants in academic research. Psychology & Sexuality, 9(2), pp.102–116.
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