About me
Hi, I'm Elliot.
Dr. Elliot Marsh, PsyD (he/they) · Licensed psychologist and founder
Accepting new clients
I opened Rowhouse in 2019 in a second floor studio on Frankford Avenue, with a lot of plants and a simple idea: queer and trans people deserve care from a therapist who already understands the basics, so sessions can be about your life rather than educating your therapist.
I draw on relational, attachment based and narrative therapy, and I pay attention to the real conditions of your life, including family, money, work, housing, faith and the news cycle.
Whether you are exploring your gender, navigating a new relationship structure, healing from family rejection or simply want a therapist you do not have to brace yourself around, you are welcome here.
I founded Rowhouse after a decade working in community mental health and a university counseling center, where I saw how often trans clients had to fight for basic dignity in care.
I specialize in gender-affirming therapy and write letters for hormone therapy and surgery in line with the WPATH Standards of Care, Version 8. I approach every letter as a conversation between two adults, never an evaluation you have to pass.
Outside the office you will find me at the Fishtown library, or losing at board games with my partner.
Specialties
- Gender-affirming therapy
- Letters for hormones and surgery
- Queer and polyamorous relationships
- Anxiety, depression and religious trauma
Approaches
- Relational psychotherapy
- Acceptance and Commitment Therapy
- Narrative therapy
Insurance accepted
- Independence Blue Cross
- Aetna
My commitments
Four promises I keep.
You never have to justify who you are.
Your identity is the starting point, not the subject of debate. I will not ask you to prove, explain or defend it.
Your chosen name is used everywhere I control.
Portal, emails, invoices and sessions. Where a legal name is unavoidable, I tell you exactly where and why.
You set the pace.
What we talk about, how fast and how deep is your call. You can pause, change direction or stop anytime.
I keep learning.
I invest in ongoing training and consultation, and I welcome correction when I get something wrong.
Who I work with
People of all genders and loves.
Gender identity
Exploring, questioning and living your gender.
Coming out
At any age, to anyone, or not at all.
Queer and trans couples
Partners of all genders.
Polyamory and ENM
Every relationship structure, without judgment.
Family rejection
Grief, boundaries and chosen family.
Religious trauma
Untangling faith, shame and belonging.
Anxiety and depression
Including minority stress.
Young adults
Ages 18 to 30 building an adult life.
Neurodivergent clients
Autistic and ADHD friendly sessions.
Asexual and aromantic people
Your experience is real and complete.
Ready when you are.
Book a free 15 minute consult. No forms beforehand, no pressure after.