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

  • 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

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 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