Gender Care

  • Gender Affirmative Model

    Via the gender affirmative model, gender identity is defined as the gender which the individual articulates and communicates via their gender expression. This model supposes that health providers, parents, and society cannot presume a particular gender identity or trajectory and must allow the individual to explore and define gender identity for themselves. People flourish best when they are allowed to find and explore who they are and are supported in their identities. A useful way to understand gender diversity is the gender health model, which encourages people to fully explore all parts of their gender identity and gender expression.

    Gender and sexuality are more fluid than previously thought. Gender and sex are more complex than most people realize. Exploration and shifts in the understanding of our identity can occur at any age. And there is no one “right way” to be transgender, non-binary, or gender creative. I want to help you, or your child, find and discover what fits them best, whatever that may be. I believe gender care should be conceptualized as encompassing all forms, manifestations, and expressions of gender identity throughout the lifespan, including support for those who detransition or retransition.

    When youth identify as transgender or non-binary, it may be stressful both for them and their parents. Parents may initially experience confusion or a sense of loss for the child they thought they had. Depending on the age of the youth, they may experience loss of hope and despair if they are not allowed to express themselves or if they can’t get access to gender-affirming medical interventions (e.g., puberty blockers, hormones). The youth and their parents may have to cope with societal stigma and discrimination. While research tells us trans youth are at higher risk for suicide, we know that parental support helps lessen this risk.

  • Children & Adolescents: Family Evaluation & Referral Letters

    I can provide ongoing support for the parents and/or child as the child navigates and explores their gender identity and gender expression. However, I do not provide ongoing therapy to treat depression, anxiety, school refusal, etc. for children younger than 16. Though I do provide individual therapy, or can function as a “gender consultant,” for teens (16+) and for younger adolescents if the concerns are related to gender identity, gender exploration, or gender expression.

    Referral letters for services include puberty blockers and hormone therapy for transgender and non-binary teens. For adolescents and their families, we’ll meet several times (usually between 3 to 5 sessions) in order for me to gather enough information to provide a diagnosis, evaluation report / referral letter, and assist the family in making an informed decision about next steps. This process usually involves 1 to 3 sessions with the child and parents together, and 1 or 2 sessions with the child and parents separately. Then, a final feedback session where we review the evaluation and recommendations.

  • Adults: Therapy, Evaluations, & Letters For Surgery

    I provide online therapy for transgender, non-binary, or questioning adults. I also provide referral letters for services including hormone therapy and surgery. Including, but not limited, to: letters for top surgery (e.g., mastectomy, breast augmentation), bottom surgery (e.g., phalloplasty, metoidioplasty, hysterectomy, oophorectomy, orchiectomy, vaginoplasty, & vulvoplasty), and other gender-affirming options (e.g., facial feminization, tracheal shave, vocal surgery).

    We’ll meet in order for me to gather enough information to provide a diagnosis, ensure you are making a fully informed decision based upon values, desires, and what is important to you, and to review the evaluation letter with you.

    Note: The evaluation / letter writing process usually requires 2.5 to 4 sessions in total. Though uncommon, we may require additional sessions. Factors that influence the number of sessions needed include: your level of preparation (e.g., identifying a surgeon, knowledge of your insurance’s gender-affirming coverage/policy, recovery planning, etc.), prior knowledge of the specific intervention (e.g., research conducted on the intervention, risks involved, reasonable expectations of the intervention, etc.), and any co-occurring presenting concerns. I can also provide Federal Aviation Administration (FAA) Gender Dysphoria Mental Health Status Reports, which typically requires 1 to 2 sessions.

  • WPATH GEI Mentoring

    I am a World Professional Association for Transgender Health (WPATH) Global Education Initiative Certified Member and a Certified Standards of Care 8 (SOC8) for the Health of Transgender and Gender Diverse People Mentor. I am available to provide the 10-hour mentorship requirement to members who are working to complete their coursework through the WPATH GEI Certification process.

    The process includes 10 meetings (scheduled at your preference, e.g., weekly, every other week, or monthly). During the 10 meetings, we would discuss a few cases, any relevant topics related to your work, or serving transgender or non-binary clients. Also, during our meetings, you will be asked to share two cases and discuss the relevant guidelines and standards.

World Professional Association for Transgender Health (WPATH) Full Member Logo
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

    It sometimes can be challenging to meet all of your child’s needs while also addressing your own. If you are a parent of a transgender, non-binary, or gender-questioning child, I can help you understand and assist you in navigating this new journey. I approach this work with sensitivity and understanding, and aim to always prioritize the well-being and happiness of your child. Specifically, I can provide you with education about gender identity and help you understand and accept their child's identity. I can help you navigate challenges you face in supporting your child (e.g., discrimination or navigating the healthcare system, disclosing your child’s gender identity to others). As a parent, you may also benefit from being connected to support groups.

  • Support for Partners

    Through individual therapy, I offer support to partners of transgender and non-binary (TNB) individuals by helping them to understand their partner's gender identity and the process of transition. This includes navigating the practical and emotional changes that may happen in the relationship, as well as addressing any feelings of confusion, anger, guilt, sadness, and uncertainty that may arise. Additionally, I help partners find ways to support their TNB partners during this time and to communicate effectively with them and other relevant people. This may also include exploring how the partner's transition may impact their own understanding of their sexual orientation. Throughout this process, I approach this work with sensitivity, empathy, and a non-judgmental attitude.

Featured
Understanding Gender Therapy: What is a Gender Therapist?
Understanding Gender Therapy: What is a Gender Therapist?

A gender therapist usually has specific training and experience and operates from the gender-affirmative model.

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

Red Rock Canyon National Conservation Area in Las Vegas, NV

My Background in Nevada

Multnomah Falls in Oregon

My Background in Oregon

Arizona landscape with yellow flowers.

My Background in Arizona

PsyPACT states for virtual therapy

And All PsyPACT States