Gender Therapy & Evaluations for Letters of Support for Gender-Affirming Care
I am a doctoral-level psychologist licensed to provide therapy and evaluations in Texas, New Mexico, and Colorado as well as other PSYPACT states
Queerbomb 2015, Austin
I have extensive personal and professional experience working with adult transgender and non-binary clients for well over a decade. I also started the first support group for transgender veterans in Central Texas during my time at the Central Texas VA. (And I also happen to be queer and non-binary myself.)
I know that gender isn't always the most pressing issue for transgender clients. I also know that at times, thoughts and feelings related to gender can seem overwhelming. I'm here for all of it. Having a hard time feeling valid as a non-binary person? Trying to figure out how to navigate school or work during transition? Dealing with depression, PTSD, or anxiety? Trying to recover from an abusive relationship, other complex trauma, or narcissistic abuse? Feeling stuck and unable to move towards your goals? I can help.
Don't need therapy but you’re an adult age 19+ who needs a letter for surgery, hormones, or gender marker change? I do that too. In fact, as a service to our community, I offer single-session evaluations for letters on a pay-what-you-can basis. I know transition is expensive, and I'm happy to help reduce at least one of the costs of it. I’ve been doing these letter evaluations for years and am familiar with WPATH criteria and what most surgeons (and insurance companies) want in a letter.
Through the wonders of technology and recent agreements between certain states, I can now offer these evaluations for surgery letters and hormone letters over video to the following states: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, and Wisconsin. (More states coming soon!)
Perhaps you feel like you don't need a therapist at this point, but your partner, parent, or friend is struggling to adjust to your transition? I'm happy to help them process their concerns and offer information.
If this sounds like a fit, schedule whenever you’re ready to meet for an evaluation for a letter or a free 15-minute consultation for individual therapy. I'm looking forward to meeting you!
FAQ
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I am a licensed clinical psychologist with a doctorate in clinical psychology. Over the years, I have had additional supervision, consultation, and continuing education about gender dysphoria and supporting transgender and non-binary clients. I have over fifteen years of experience doing evaluations for letters for gender-affirming care. I also have lived experience as a non-binary queer person..
For therapy, I have training and experience using tools like Acceptance and Commitment Therapy and Cognitive-Behavioral therapy to help clients learn to cope with challenging emotions and experiences. -
These evaluations are usually done in one 45-minute session. Occasionally we might need a second appointment if there’s a lot to cover or if I need more information.
We’ll meet over video. First, I’ll explain things like confidentiality policies and answer any questions you have. Then, I’ll ask you questions about your experience with gender and transition. I’ll also ask some basic questions about any mental health treatment you may have had. You’ll be able to ask questions any time. At the end, we’ll talk about the criteria for surgery and letters and next steps.
I try to have letters completed and securely delivered electronically within a week of the evaluation. -
I offer these evaluations on a pay-what-you-can basis using the honor system. You can decide what amount would work for your budget. (I wish I could do them totally free, but I just can’t do that right now.)
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Here’s how my online scheduling for evaluation appointments works:
Each Friday morning at 10:00 am Central time, I open up appointments for the coming week. There are usually 2-4 appointments per week available on the website..
If you don’t see any open appointments, check back on the next Friday when scheduling opens up again.
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If you already got a letter and need it updated or need a letter for another procedure, you don’t need to schedule online. Reach out to me and we’ll find 15 minutes when we can do a brief call to update your information.
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Everyone is different, but most research suggests that it takes approximately 12-15 therapy sessions to start to see clinically significant change. It may be longer if there are many issues you’d like to address and/or if they are complex.
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If you’re interested in seeing if we would be a good fit for therapy, I start with a free 15-minute consultation. If we both feel we can work together, then we meet for a 60-minute initial session for $175 where I can get more information to be able to better help you. After that, follow-up therapy sessions are 45 minutes and the rate is $150.