Which statement best reflects a person-first approach to pronouns in practice?

• A. Assume pronouns based on appearance.
• B. Never use pronouns; refer to them by name only.
• C. Ask about pronouns and use them.
• D. Wait until a problematic situation occurs to address pronouns.

Answer: (C)

Respecting each person’s pronouns is a fundamental part of person-centered communication. In practice, this means asking how someone wishes to be addressed with their pronouns—such as he/him, she/her, they/them, or another option—and then consistently using those pronouns in conversation, documentation, and all interactions. This approach honors the person’s identity, reduces the risk of misgendering, and helps build trust, which is essential in a therapeutic relationship. If you slip up, briefly acknowledge the mistake and continue using the correct pronouns. By contrast, assuming pronouns from appearance, referring to someone by name only without pronouns, or waiting for a problematic situation to occur before addressing pronouns can lead to discomfort, disrespect, and barriers to effective care.