Letters of support are often required for gender-affirming care, but they come with a cost. This post explains why, where the money goes, and how my queer-led practice approaches letters differently—with transparency, care, and accessibility at the center.

Gender-affirming care in 2026 comes with shifting policies and emotional complexity. This post explores what to expect and how to protect your mental health while navigating care.

Gender-affirming care can bring relief and alignment, but also emotional complexity. Therapy can help you navigate anticipation, dysphoria, life changes, and setbacks while supporting your well-being.

Making decisions about gender-affirming medical care can feel complex. This post explores how gender-affirming therapy supports clarity, confidence, and preparation without questioning identity or pushing outcomes.

Cannabis can impact anesthesia, pain control, and recovery. Whether for medical or recreational use, stopping before surgery is important. Learn risks, timing, and tips to manage withdrawal safely.

Preparing for gender affirming surgery? A clear, well-written letter of support can streamline your care. Discover what to include, why it matters, and how therapy can support you before and after surgery.

Surgery is just one step in gender affirming care. Therapy before and after surgery helps you process emotions, handle recovery challenges, and stay connected to your goals.

Gender-affirming care is emotional and transformative. Therapy helps trans and nonbinary adults prepare, navigate, and adjust to care with clarity, support, and self-compassion.

Support for adults managing chronic illness and building healthy habits. Reduce stress, improve routines, and gain confidence with evidence-based therapy.

Discover how The Evergreen Initiative, LLC supports LGBTQ+ adults with gender-affirming therapy, WPATH-aligned letters, and mental health care to reduce stress, anxiety, and dysphoria.