My approach
How I begin.
Three unhurried steps, and you lead the way. Here is what to expect and what I promise.
- 01
A free 15 minute call
We talk briefly about what brings you in and whether I am the right fit. Ask me anything.
- 02
Your first session
A relaxed 50 minutes to get to know you. You lead, I listen, and nothing is required of you.
- 03
Find your rhythm
Together we decide how often to meet and what you want from the work. You can adjust anytime.
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.
Letters for gender-affirming care
Letters, made simple.
Support letters for hormone therapy and surgery, aligned with the WPATH Standards of Care, Version 8. A collaborative conversation about your goals, never a test to pass.
Hormone therapy letter
For providers or insurers that ask for a letter before starting estrogen, testosterone or blockers.
Surgery letter
For top surgery, bottom surgery, facial surgery and other gender-affirming procedures.
How it works
Book a letter consult
Tell me what your surgeon or provider needs. I will confirm requirements and timing before you pay anything.
Talk it through
One or two relaxed sessions about your goals, your support system and planning for recovery.
Receive your letter
I write it, review it with you, and send it directly to you or your provider.
Letters are sent within 5 business days of your final session. Already a Rowhouse client? Your therapist can usually write your letter within your regular sessions.
- Relational psychotherapy
- Acceptance and Commitment Therapy
- Narrative therapy
Ready when you are.
Book a free 15 minute consult. No forms beforehand, no pressure after.