This paper presents new psychodynamic treatment options for trans* (transgender, transsexual, gender-variant, genderqueer, gender fluid, agender, two-spirit) and gender non-conforming (GNC) clients. It addresses the need for these options by highlighting the pervasive heterosexist and transphobic attitudes within the mental health field, including the history of pathologizing trans* identifications and experiences within psychodynamic theory itself. Its focus is on the recent and ongoing transformations of the field as it relates to trans* and gender non-conforming individuals and suggests how contemporary psychodynamic practice might be used to empower trans* and gender non-conforming clients.