What pronoun practice is recommended in PT settings?

• A. Assume pronouns based on appearance
• B. Use gendered pronouns for all patients
• C. Ask for and use the patient’s preferred pronouns
• D. Avoid pronouns entirely

Answer: (C)

Using the patient’s preferred pronouns is essential in PT settings because pronouns signal respect for a person’s identity and help build a trusting therapeutic relationship. When patients feel seen and valued, they’re more likely to engage in sessions, share concerns, and participate fully in treatment. Practically, introduce yourself and invite patients to share their pronouns, for example: “Hi, I’m [name]. What pronouns would you like me to use?” Then consistently use those pronouns in conversation, during manual therapy cues, and in notes, and make sure the entire care team follows suit. If pronouns aren’t provided, avoid guessing from appearance and use neutral language while you confirm their preferences as soon as possible, updating charts and documentation accordingly. This approach supports inclusive, person-first care and helps minimize bias, misgendering, and discomfort.

Other approaches fall short because guessing pronouns based on appearance can misgender someone and cause distress, using gendered pronouns for all patients imposes assumptions about identity, and avoiding pronouns altogether reduces clarity and respectful communication.