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Non-Binary Gender Identity


Gender identity is a wide spectrum. Can learning the language used to describe various gender identities and non-binary pronouns help explain the difference between gender expression and help in inclusivity?

Non-Binary Gender Identity


Non-binary is a term used that describes individuals who do not identify exclusively as male or female. The term addresses various gender identities and expressions that are outside of the traditional gender binary system, which categorizes individuals as either male or female.


  • Non-binary individuals are those whose gender identity and/or expression fall outside of the traditional binary categories of a man or woman. (Human Rights Campaign. (n.d.))
  • Some non-binary individuals identify as a blend of male and female; others identify as a gender different from male or female; some do not identify with any gender.
  • The term “non-binary” can also be “enby”/phonetic pronunciation of the letters NB for non-binary, although not every non-binary individual uses this term.
  • Non-binary individuals may use various terms to describe themselves, including: (Outright International. 2023)


  • An individual who does not follow conventional gender norms.


  • An individual who does not identify with any gender.


  • An individual whose gender identity is not fixed and can change over time.


  • An individual who feels a partial connection to a particular gender.


  • An individual who identifies as both male and female or a combination.


  • An individual who identifies as many genders.


  • An individual whose gender expression is a mix of masculine and feminine traits or…
  • Who identifies as having a gender that is neither male nor female.

Gender Nonconforming

  • An individual who does not conform to societal expectations or norms of gender expression or identity.


  • An individual whose gender identity differs from the gender assigned at birth.

Non-Binary Pronouns

A pronoun is a word used to replace a noun.

  • In gender context, pronouns refer to an individual without using their name, like “he” – masculine or “she” – feminine.
  • Non-binary individuals may use pronouns that do not fit the pronoun associated with the gender assigned at birth.
  • Instead, they will use pronouns that more accurately reflect their gender identity.
  • They/them” are gender-neutral pronouns that refer to someone without assuming their gender identity.
  • Some non-binary individuals use “they/them” pronouns, but not all.
  • Some may use “he/him” or “she/her” or a combination.
  • Others may refrain from using pronouns and instead ask you to use their name.
  • Some nonbinary individuals use newer gender-neutral pronouns known as neopronouns, like ze/zir/zirs. (Human Rights Campaign. 2022)
  • Gender pronouns and neopronouns include: (NYC Department of Social Services. 2010)
  • He/him/his – masculine
  • She/her/hers – feminine
  • They/them/theirs – neutral
  • Ze/Zir/Zirs – neutral
  • Ze/Hir/Hirs – neutral
  • Fae/fae/faers

Are Transgender Individuals Non-Binary?

Transgender individuals and non-binary individuals are two distinct groups that are related.

  • There are some transgender/trans individuals who are non-binary, however, most transgender individuals identify as either male or female. (National Center for Transgender Equality. 2023)
  • To understand the difference, it can help to know the meanings of transgender, cisgender, and nonbinary: (GLAAD. 2023)


  • An individual who identifies with a gender different from the one assigned at birth.
  • For example, someone assigned male at birth/AMAB, but identifies as a female is a transgender woman.


  • An individual whose gender identity follows the one they were assigned at birth.
  • For example, someone assigned female at birth/AFAB and identifies as a woman.


  • An individual who identifies with a gender outside the traditional binary of male and female.
  • This can include individuals who identify as genderqueer, agender, or genderfluid and others.

Using Pronouns

Using non-binary pronouns is a way to show respect and validation for an individual’s gender identity. Here are some recommendations on how to use pronouns: (National Center for Transgender Equality. 2023)

Ask for the individual’s pronouns

  • It’s recommended to avoid assuming an individual’s pronouns based on appearance or stereotype.
  • If unsure of someone’s pronouns, ask respectfully.
  • “What pronouns do you use?”
  • “Can you share your pronouns with me?”

Practice using the pronouns

  • Once you know an individual’s pronouns, practice using them.
  • This can be accomplished by using their pronouns when referring to them in conversation, emails, written forms, and/or other types of communication.
  • If you make a mistake, apologize and make the correction.

Gender-neutral language

  • If unsure of an individual’s pronouns, or if someone uses gender-neutral pronouns like they/them, use gender-neutral language instead of gendered language.
  • For example, instead of saying he or she, you can say they or their name.

Continue Learning

  • Learn as much as possible about identities and pronouns to better understand and support the LGBTQ+ community.

Injury Medical Chiropractic and Functional Medicine Clinic wants to help create a more inclusive and affirming environment for everyone.

Is Motion Key to Healing?


Human Rights Campaign. Transgender and nonbinary people FAQ.

Outright International. Terminology surrounding gender identity and expression.

Human Rights Campaign. Understanding neopronouns.

NYC Department of Social Services. Gender pronouns.

National Center for Transgender Equality. Understanding nonbinary people: How to be respectful and supportive.

GLAAD. Glossary of terms: transgender.

Post Disclaimer

Professional Scope of Practice *

The information herein on "Non-Binary Gender Identity" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

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Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182

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Presently Matriculated: ICHS: MSN* FNP (Family Nurse Practitioner Program)

Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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