I regularly provide surgery assessments and letters for people who are 18 and older. If you are only seeking to meet for that, I can generally get you scheduled. If I am able to bill your insurance, I charge your co-pay. Otherwise there is no fee. Things are shifting in the requirements around trans health care. Your primary care provider or other medical provider may be able to conduct the assessment (in addition to submitting the specialist referral). If that’d be easier for you: 1. Check with them to see if they are able to do that then 2. Contact your insurance and/or the surgical department/trans health program where you are seeking care to verify that this meets their requirements Standards are also shifting away from requiring two assessments/letters for lower surgeries. Before seeking a second letter, you may prefer to ask your insurance provider and/or talk to the surgical department/trans health program where you are seeking care if a second letter is required.

I only work with legal adults. So 18 years and older only unless you're emancipated.

I only work with individuals. It's just my specific focus. If you have other people who are down to go to therapy with you, relationship/couples/family counseling could be a great option.

Well it’s not you, it’s capitalism. And probably other forms of oppression intersecting with that. I believe that if someone has hiring and firing power over you and you rely on that paycheck to afford the things you need to survive, that is a fundamentally unsafe situation. It’s also what almost all of us are living through and regularly comes up in therapy. It can be hard for me to figure out how to address this in therapy. So if your job is the main thing that’s bringing you to therapy, I think you’ll be better served by someone else. What I can offer around work feels small and any progress is generally an uphill battle: If some of your personal “stuff” is coming up at your job, I might be able to help you with that. That said, I am cautious about approaching a job as a safe enough place to work on personal growth. I can help you try to challenge the boss in your head: things like judging yourself around performance and putting even tougher expectations on yourself than are already there. I might be able to help you feel less defined by your job, think through how you want to relate to work, and prioritize other parts of your life. And I am here to support you around any sort of worker organizing or other trouble you decide to get into. Of course there are a lot of challenges there too, but I think the ways therapy can help you be in relationship with others has something to offer to organizing.

I offer a discounted rate of $125 when I can’t bill your insurance or you don’t want them involved in your therapy. I am able to bill most Health Share (OHP), First Choice Health (including Kaiser Added Choice), and PacificSource insurance plans. If you have out of network benefits, I can generally bill your insurance as an out of network provider. Having insurance pay for therapy means your insurance company gets involved in your therapy. Insurance coverage is dependent on your symptoms and our work meeting medical necessity criteria, including diagnosis. We’ll talk about that more if we work together. If you won’t be using your insurance or will be using out of network insurance benefits, please see the No Surprises Act PDF at the end of this site for information about your rights and protections as a healthcare consumer.

It varies when I have openings and I am not able to keep this site up to date with those changes. That said, do reach out if you're interested. I'm good about getting back to folks either way.

Just email, text, or call. I do my best to respond within a couple of business days (Monday-Thursday). If you're looking at ongoing therapy and I have openings, we'll plan a time to talk about what you're looking for and what I offer before scheduling an appointment. I look forward to hearing from you!

Below are some local resources. Click on the underlined name to access the website and up-to-date information. Please be aware that staff/volunteers may contact 911 if there is imminent risk. They may also report suspected abuse of children, elders and vulnerable adults. And if a crisis team comes to assess someone in person, they may bring police. These are very reasonable things to ask about and staff/volunteers should be prepared to answer your questions. Contact the Multnomah County Crisis Line, 24/7, at 503-988-4888. Cascadia Urgent Walk-In Clinic provides in-person services without an appointment Click here for Clackamas County crisis line Click here for Washington County crisis line Click here for Clark County crisis line Trans Lifeline Peer support by and for trans, non-binary, and questioning folks. Racial Equity Support line Staffed by and for Black, Indigenous, and People of Color. Call to Safety Support focused on intimate partner, domestic and sexual violence. The Trevor Project Support for LGBTQ+ young people (25 years old and younger). Rose City Resource Search for local resources.