https://doi.org/10.29101/crcs.v32i1.24561 e-ISSN 2448-5799, UAEM, vol. 32, 2025, e24561 *Autora de correspondencia: Grecia Guzmán Martínez, greciaguzmar@gmail.com Recepción: 26/08/2024 Aprobación: 10/03/2024 Publicación: 10/04/2025 Una revisión crítica del abordaje de la salud mental trans A Critical Review to Trans Mental Health Approaches Dau García Dauder https://orcid.org/0000-0002-7978-5263 Universidad Rey Juan Carlos de Madrid, España, dau.dauder@urjc.es Silvestre Barragán Gómez https://orcid.org/0009-0008-8442-6688 Abolición de las Lógicas de Castigo y Encierro A.L.C.E, Colombia, silvestrebarragang@gmail.com Grecia Guzmán Martínez* https://orcid.org/0000-0002-2264-0397 Universidad Nacional Autónoma de México (UNAM), México, greciaguzmar@gmail.com Abstract: In this article we present a critical review of the psychological and psychiatric perspectives that address trans mental health. We highlight how their expansion, in the form of diagnostic and therapeutic culture, has impacted everyday language and social movements, sometimes to the detriment of political action and reflection. We draw on genealogies of feminist, queer, racialized and mad collective resistances to rethink the frameworks of meaning and response surrounding distress and madness. From this perspective, we propose trans-mad alliances as urgent and necessary, viewing them as depathologizing and anti-oppressive strategies that can expand these frameworks and translate them into social justice, transcending individualization through collectivity. We seek to reclaim the communities of affection, care and support that have historically characterized the trans collective in the face of various forms of violence and exile of cisheterosexist, racist and sanist societies. Keywords: therapeutic culture, trans community, mad movement, critical psychology, depathologization. Resumen: En este artículo presentamos una revisión teórico-crítica sobre las perspectivas psicológicas y psiquiátricas que abordan la salud mental trans. Señalamos cómo su expansión, en la forma de cultura diagnóstica y terapéutica, ha impactado desde el lenguaje cotidiano hasta los movimientos sociales, a veces en detrimento de la acción y reflexión política. Recuperamos genealogías de resistencias colectivas feministas, queers,