Cohen maintains that gender orientation is a “human rights issue,” and that the choice to either identify or seek change is an individual one, a position that has generated controversy. In 2002, Cohen was expelled from the American Counseling Association for multiple violations. Opponents claimed that Cohen practiced a form of “Conversion Therapy,” which has been associated with coercion and labelled unethical. Cohen and PATH have publicly rejected Conversion Therapy, while insisting that "change is possible" and advocating for “equality, tolerance and diversity for all views of sexuality and gender identity.”