Trans • Nonbinary • Questioning • Oregon and Washington
Gender-affirming therapy
for trans and nonbinary
adults.
A place where your gender is the starting point, not the thing on trial. Telehealth across Oregon and Washington. No gatekeeping, no proving anything. WPATH-based surgery assessments available.
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WHAT THIS CAN LOOK LIKE
Gender stuff, in real life
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Gender stuff isn’t only about identity. It seeps into sleep, relationships, work, and the body. Some of what people bring:
Translation fatigue: the tiredness of explaining and softening yourself so others stay comfortable.
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Dysphoria that hijacks the day. A reflection, a misgendering at the pharmacy, and the afternoon is gone.
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Euphoria you don’t fully trust yet. The flashes of “oh, THIS is what feeling like myself is.”
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Family weather systems. Relatives who “need time,” holidays, a deadname still on an insurance card.
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Decision fatigue around transition: medical, social, legal, none-of-the-above, plus everyone’s opinions.
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Minority stress wearing you down. Hypervigilance in public, and a culture that keeps litigating you.
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If you read those nodding and also bracing, yeah. Let’s give that bracing somewhere to rest.
No gatekeeping
Nothing to prove
Telehealth across OR & WA
WPATH assessments available
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HOW WE WORK HERE
Your gender is not a debate we’re hosting
Not scrutinizing whether you’re “really” trans, nonbinary, or questioning — that’s your knowledge to hold, not ours to grant.
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Affirming means affirming
No gatekeeping cosplay, no “exploring whether.” You won’t have to prove your identity, and your transness will never be treated as a symptom to investigate.
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Decolonial, by design
The rigid two-box system is itself a colonial export. Many cultures hold expansive understandings of gender long before it. We name the systems pressing on you.
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Your gender, your pace, your call
We will never tell you who you are, nor hold a “right” destination. Certain or somewhere in the valid figuring it out space. Both get the same respect.
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COMMON QUESTIONS
A few things worth knowing
Clear answers on certainty, pacing, and scope.
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Not even a little. Uncertainty is a completely valid place to begin and arguably the most honest one. If you already had it all figured out, you might not need a space to think out loud.
Gender is something you get to explore, question, sit with, and change your mind about, as many times as you need. You don't have to arrive with a label, a plan, or a tidy narrative. "I don't know, but something feels off / worth examining" is a real and welcome starting point. This is a space to figure it out, not a checkpoint where you have to show your papers first.
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Neither. Full stop. My job isn't to steer you toward hormones and surgery, and it's absolutely not to talk you out of them. Both of those are agendas, and you didn't come here for mine.
You are the expert on you. Some people I work with pursue medical transition, some don't, some do part of it, some are still deciding, and every one of those paths is legitimate. What I offer is a space to explore what you actually want. Free of the pressure to justify yourself in either direction. I'll help you sort through your own feelings, values, and hopes; the destination is yours to choose. (If and when you do want letters or assessments for gender-affirming surgery, I offer those too, with the same anti-gatekeeping approach. That's a specific service we can talk about separately.)
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Yes to all three. Gender doesn't happen in a vacuum, and neither does support around it.
If you're questioning — cracking the egg, wondering, exploring — you belong here, no certainty required (see above). If you're a partner navigating your own feelings while someone you love transitions, or a family member who wants to show up well and isn't sure how, that's real, worthy work too. Loving someone through a transition can bring up grief, fear, excitement, and a hundred questions nobody handed you a manual for, and you deserve a place to process it that won't ask you to perform either perfect allyship or quiet resentment. Wherever you sit in relation to gender—your own or someone else's—there's room for you.
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Please do. You are a whole person, not a gender case study.
Being trans, nonbinary, or questioning might be why you sought out an affirming therapist, but it doesn't have to be the entire content of our work. Plenty of what we talk about may have nothing to do with gender at all: anxiety, work, relationships, family, grief, trauma, burnout, the ordinary weather of being alive. The relief of an affirming space is often precisely that you don't have to spend the whole hour explaining or defending your gender, so we can get to everything else you're carrying. Your gender is safe here; so is the rest of you.
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I'm based in Camas, Washington, and I see clients entirely through telehealth across both Oregon and Washington. So wherever you are in those two states, from Portland to Seattle to somewhere with more trees than people, you can work with me from your own space.
For a lot of trans and questioning folks, that matters: no waiting room to be perceived in, no commute to brace for, just you in an environment where you already feel safe. If you're a resident of Oregon or Washington, you're eligible and there's a free 20-minute consultation to see if we're a good fit before anything else.
Still have questions? Click the link below to book a free 20-minute consultation
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ACCEPTING NEW CLIENTS
Come as you are
One free conversation. Nothing to prove, no history to justify, and no version of yourself to arrive as except the one you already are.
Confidential telehealth throughout Oregon and Washington —
Portland, Salem, Eugene, Bend, Seattle, Tacoma, Spokane, Vancouver, and everywhere between.
Need a surgery letter? See gender-affirming surgery assessments (WPATH) · Trauma in the mix? See trauma therapy →