If saichel is being used, gender matching the client to the therapist is a must. As with any rule, there are exceptions. It is virtually impossible to avoid the issue altogether, but it is certainly beyond recognized morals for anyone to "specialize" in working davka with the opposite gender. It creates continual shailos of yichud. There is a known record of some of those who claim such "specialty" of working with opposite gender clients, whether doing kiruv, counseling, therapy, etc. of becoming involved in non-professional ways. Only a select few of these situations make it to public knowledge, and get attention in the media and the blogs. One should wonder why anyone would put themselves at such risk.
Source: http://www.theyeshivaworld.com/coffeeroom/topic/opposite-gender-therapists
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