Gender-Affirming Care, Parent Support & Clinical Evaluations

  • Affirming, Evidence-Based Care for Transgender, Non-Binary & Gender-Diverse Individuals

    My approach is gender-affirming without assuming where that exploration should lead. I work with youth, adults, and families to explore gender identity and expression, better understand what fits, and make thoughtful decisions based on the individual’s goals, values, and circumstances. This includes supporting people whose identities remain stable, shift over time, or involve detransition or retransition.

    For youth, questions around gender can also bring uncertainty or stress for parents and families. Therapy can provide a space to ask questions, work through concerns, and support the young person without presuming a particular identity or trajectory.

  • Children & Adolescents: Family Evaluation & Referral Letters

    I provide guidance for youth and families exploring gender identity and expression.

    • Clinical Focus: Ongoing support for gender exploration or functioning as a "gender consultant" for teens (16+) and younger adolescents. (Note: Ongoing therapy for primary concerns like depression or school refusal for children under 16 is not provided).

    • Medical Referral Letters: Comprehensive evaluations for puberty blockers and hormone therapy.

    • Session Structure: Typically requires at least 3 to 6 sessions. This includes 1 to 3 joint sessions with child & parents, 1 to 2 individual sessions with child & parents separately, and feedback session to review the evaluation report and recommendations.

  • Adults: Therapy, Gender Evaluations & Surgery Letters

    Individual online therapy and referral letters for gender-affirming care and embodiment procedures:

    Services & Referral Letters Offered:

    • Hormone Therapy: Referral documentation for gender-affirming HRT (rarely needed for adults).

    • Surgical Procedures: Letters for top surgery (mastectomy, breast augmentation), bottom surgery (phalloplasty, metoidioplasty, hysterectomy, oophorectomy, orchiectomy, vaginoplasty, vulvoplasty), facial feminization, tracheal shave, and vocal surgery. Evaluation Timeline: Typically completed within 2 to 3.5 sessions.

    • Specialized Documentation: Federal Aviation Administration (FAA) Gender Dysphoria Mental Health Status Reports (typically 1 to 2 sessions).

    Additional sessions are less common and depend on surgical preparation, insurance policy review, or co-occurring considerations.

A silver medal with a teal border, reading "WPATH World Professional Association for Transgender Health 2025," with a silver ribbon below that says "Full Member."
World Professional Association for Transgender Health (WPATH) Standards of Care 8 for the Health of Transgender and Gender Diverse People, Certified Member Logo
World Professional Association for Transgender Health (WPATH) Standards of Care, version 8 (SOC8) For the Health of Transgender and Non-Binary People Certified Mentor Logo

  • Parent Support

    Parenting a gender-diverse child can involve navigating confusion, healthcare systems, and social stigma. While research demonstrates that family support significantly protects youth mental health, parents also need space to process changes. Services include parent education, disclosure strategies, and connecting families with local community networks.

  • Support for Partners

    Individual therapy for partners of transgender and non-binary individuals navigating relationship transitions, communication shifts, and emotional processing with empathy and non-judgment.

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Gender Therapist in Nevada, Oregon, Arizona, California & 33+ States.

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