all services are currently being offered via telehealth through TherapyNotes. after scheduling, a video link will be emailed to you. all video communication is HIPAA compliant.

due to my state licensing board regulations, i unfortunately cannot provide services to anyone living outside of california.

individual psychotherapy

i often work with:

  • trauma, complex trauma, ptsd

  • exploring & embodying sexual and gender identity

  • lgbtqia+ affirming counseling

  • cultivating & maintaining boundaries

  • relationship issues

  • adjusting to new life circumstances

  • adhd

  • stress, anxiety, depression

  • codependency

gender affirming care support letters

my hope is that soon we will not need to meet with someone for a letter to make decisions about our own bodies and healthcare, and that california will operate on an informed- consent model for gender affirming medical care. for now, adults in california can generally access HRT without a support letter (there may be some exceptions based on a medical provider’s clinic policy) but may need support letters for various surgeries.

my role is not to determine the validity of your gender- you know who you are. the letter-writer’s role is to vouch that you are an appropriate candidate for a procedure (for example, have considered aftercare, are familiar with expected risks and benefits, etc.).

you do not need to participate in ongoing therapy to qualify for a support letter. generally, we can gather sufficient information during consultation and 1 or 2 meetings.

“caring for myself is not self-indulgence, it is self-preservation, and that is an act of political warfare.”

— audre lorde