Ongoing Counseling
Gender Affirming Counseling
Ongoing clinical care for transgender, nonbinary, and gender expansive people. Affirming, intersectionally aware, and shaped to where you are in your story.
What Gender Affirming Counseling Looks Like
Ongoing clinical care for transgender, nonbinary, and gender expansive people. Affirming, intersectionally aware, and shaped to where you are in your story.
How This Is Different from Letter Writing
Gender affirming counseling is the ongoing clinical work. Letters of support are documents a clinician writes for a specific medical purpose. Counseling is the relationship across time.
People come to gender affirming counseling for many reasons: to explore their gender, to navigate transition, to process the cumulative weight of minority stress, to repair from harmful past care, or to talk about anything in their life where they want a clinician who already speaks the language.
You do not have to be transitioning to come here. You do not have to want to transition to come here. You do not have to be sure of your gender to come here. The work is shaped to you.
Methods and Modalities
- Informed-consent and WPATH-aligned care as the foundational frame.
- Trauma-informed practice, grounded in CCTP training, when minority stress, family-of-origin trauma, or past clinical harm is part of the story.
- Strengths-based and narrative work to help you reclaim authorship of your story.
- Intersectional analysis, naming how gender intersects with race, neurology, class, family system, faith, and disability.
- Practical, take-home tools (grounding techniques, communication frames, scripts for hard conversations).
What Sessions Look Like
Sessions are virtual telehealth on a HIPAA-secure platform, available across New York State. Most clients meet weekly to start, with cadence adjusted as the work matures. Sessions are 50 minutes. Fees match the standard individual rate ($80, sliding scale available).
Some clients work with me for both ongoing counseling and a letter of support. Others work with me for one or the other. The two services live separately so each is clear about what it is.
Common Questions
- No. People come to this work at every point on the gender map: people exploring, people who decided they are cisgender after exploring, partners and family members, and people whose gender is one part of a larger story.
- Yes. Some clients do the letter intake sessions and continue into ongoing counseling. Others come for counseling and request a letter later. The two services are billed and tracked separately.
- Yes. The work shifts based on where you are. Early-transition work often involves practical support and identity exploration. Long-after-transition work often shifts to the rest of life: relationships, career, family, the quieter ongoing work of being a person.
- No. The training, the language, the community awareness, and the clinical groundwork are in place. You bring you. I bring the rest.
- Welcome here. The work is not built on you arriving at a label. It is built on you having a place to think out loud with someone who can hold the question with you.