Gender Affirming Care: Respectful, Virtual, Life-Affirming Support in 35+ States

What is it?

  • Gender affirming care is a range of supportive services—social, psychological, medical, and behavioral—that help gender diverse individuals live more fully as themselves (Boyle, 2022).

  • It's designed to support people in aligning their identity, expression, and life with authenticity, joy, and safety.

What is it not:

  • Gender affirming care is NOT conversion therapy

  • It’s not about rushing into or forcing medical treatments.

  • It’s never about “fixing” anyone.

Gender affirming care is about validation—not correction.

A vibrant dark green plant somewhat blurred.
A person holding up a mini dry erase board that reads "HELLO my pronouns are.."

Available Services

  • Letters of Support

    I provide respectful, compassionate letters for all gender affirming care needs—whether you’re seeking HRT, top surgery, bottom surgery, or other procedures.
    - Meets medical, legal, and insurance requirements
    - Available in 39+ states
    - Fast turnaround, no shame, no judgment

    Learn More Here

  • Individual Therapy

    Gender Affirming Therapy and LGBTQ+ Affirming Therapy to help you build resilience, process identity, and live with more ease.

    Sessions available to adults (18+) in Florida, Michigan, Virginia, Texas, Illinois, Georgia, North Carolina, Pennsylvania, and more.

    Gender Affirming Therapy

    LGBTQ+ Affirming Therapy

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Rates & Payment

I’m a licensed psychologist and PSYPACT provider, which means I can provide virtual care to adults (18+) in 35+ states, including:

Florida, Michigan, Virginia, Texas, Illinois, Georgia, Pennsylvania, North Carolina, and more.

All appointments are 100% virtual.

View full PSYPACT Map

Letter of Support (self-pay):

  • Letter for Gender Affirming Hormones (GAHT): $160

  • Letter for Gender Affirming Surgery: $210 

Individual Therapy (self-pay):

  • Initial evaluation: $175

  • 60 Minute Appointment: $170

  • 45 Minute Appointment: $160

Insurance (FL, MI & VA RESIDENTS ONLY):

  • Aetna

  • Carelon Behavioral Health

  • Cigna

  • Oscar

  • Oxford

  • United Healthcare (including Medicare Advantage)

  • Quest Behavioral Health

  • Blue Cross Blue Shield of Massachusetts (virtual network only)

  • Horizon Blue Cross Blue Shield of New Jersey (virtual network + FL residents only)

    I do not accept Medicaid or traditional Medicare plans.

Get Started Today

Gender affirming care is life saving care