Services
Letters for gender-affirming care
Support letters for hormone therapy and surgery, aligned with WPATH Standards of Care, Version 8, written collaboratively and quickly.

Many surgeons and some insurance plans still ask for a letter from a mental health professional. I think of that letter as paperwork you are entitled to, and I make the process as simple and respectful as I can.
I follow the WPATH Standards of Care, Version 8, which center informed consent and your own understanding of your gender. The sessions are a conversation about your goals, your support and your readiness for recovery, never a test of whether you are trans enough.
You can see a Rowhouse therapist only for a letter, or as part of ongoing therapy.
Other services
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LGBTQIA+ affirming therapy
Individual therapy for anxiety, depression, grief, burnout and everything else, with clinicians who understand queer and trans life from the inside.
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Gender-affirming therapy
Space to explore, question and live your gender on your own terms, with or without medical transition.
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Queer couples and relationship therapy
Therapy for partners of all genders and every relationship structure, including polyamorous and ethically non-monogamous relationships.
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Coming out and identity exploration
A steady place to figure out who you are and who, when and how to tell, at whatever pace feels right.
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Ready when you are.
Book a free 15 minute consult. No forms beforehand, no pressure after.