Gender-Affirming Therapy for Trans and Nonbinary Adults
A Safe, Supportive Space for Every Stage
Therapy and evaluation services for transition, exploration, and surgical readiness—supportive care grounded in respect and collaboration
You've done the internal work. You know yourself.
What's in front of you now isn't a question of identity — it's a question of how to actually move forward when the path feels complicated, scary, or just really hard to navigate alone.
Maybe you're preparing for surgery and need a letter from a therapist. Maybe you're early in your transition and processing everything that's shifting — in your body, your relationships, your sense of yourself in the world. Maybe you've been out for years and are hitting a new stage of transition that's bringing up things you didn't expect. Or maybe you're somewhere in between — you know, but you're not sure you're ready. And the world right now isn't exactly making it feel safer to move.
Wherever you are in that, this is a place to be honest about it.
Gender-affirming care means different things for different people, so here's what I actually offer:
Transition Support Therapy
Ongoing sessions to process the emotional and relational dimensions of transition. The grief that can come alongside joy. The relationships that shift. The parts of yourself you're still getting to know. The exhaustion of existing in a world that makes you fight for things that should just be yours.
Surgical Readiness Evaluations & Letters
If you need a letter supporting gender-affirming surgery, I provide comprehensive evaluations that meet the clinical standards required by surgeons and insurance providers. I approach these as a collaborative process, not a gatekeeping one. You're not here to prove yourself to me. You're here to get what you need.
Exploration and Support
If you're still working out what transition looks like for you — or just beginning to question your gender — there's room for that too. This page leads with transition support because that's where most of my clients are, but you don't have to have it figured out to reach out.
It would be dishonest to write this page without addressing what's happening.
The current administration has made gender-affirming care a target. Access to transition-related healthcare is being restricted. Executive orders and legislation are attempting to roll back protections that trans people fought for and relied on. The legal landscape is shifting in real time, and for many trans folks, the anxiety isn't hypothetical — it's about real decisions with real consequences happening right now.
I want to be clear about where I stand: I believe trans and gender diverse identities are valid and deserving of respect, safety, and affirming care. For some people that includes social or medical transition, which can be a deeply life-affirming process. I am not a neutral party on this. I will advocate for you, write on your behalf when appropriate, and support your access to affirming care to the fullest extent possible in my role as your therapist.
“…We’re entitled to be loved, and seek happiness, and share that with the people that we care about.”
— Miss Major Griffin-Gracy
If you're trying to move quickly on a letter or evaluation because you're worried about access narrowing, I hear that urgency. Reach out and let's talk about timing.
If you're feeling paralyzed by fear about what comes next, that's worth talking about too. The fear is reasonable. You don't have to carry it alone.
The Process of Therapy
What Working Together Looks Like
Step 1: Free Consultation
Start by scheduling a free 15-minute video consultation. We’ll use this time to talk about what’s bringing you to therapy, what you’re hoping for, and whether working together feels like a good fit.
Step 2: Getting to Know You
In our first few sessions, you’ll have space to share your story at your own pace. We can start wherever feels most important to you, and I’ll ask questions to help us understand your experiences, patterns, and goals.
Step 3: Ongoing, Consistent Support
We’ll pick regular times to meet for ongoing sessions. Therapy is a collaborative process—I’ll support you in exploring what’s coming up, offer practical tools, and help you make sense of patterns as they emerge. You’ll have a steady, affirming space to process, grow, and build new skills.
We might be a good fit if…
You're a trans or nonbinary adult — or someone beginning to question your gender — who needs both clinical support and a therapist who genuinely gets it.
You may be actively navigating transition or still figuring out what that might look like for you.
You need a surgical letter and want the process to feel collaborative rather than like an obstacle course.
You're processing the emotional weight of transition — the joy, the grief, the complexity — and want a space that can hold all of it.
You're scared about what's happening politically and want a therapist who won't ask you to minimize that fear.
You're LGBTQ+ and BIPOC, and you want someone who understands that your identity doesn't exist in just one box.
You deserve care that doesn't make you fight for it.
I offer a free 15-minute consultation. If you're in a time-sensitive situation around a letter or evaluation, mention that when you reach out and I'll do my best to prioritize your timeline.
Currently accepting clients in Michigan and Florida. Virtual sessions only.