Testimonials.

  • "I have been working in gender-affirming care for years and attended many trainings. This training was by far the most comprehensive training on gender-affirming surgeries that I have ever attended. Thank you!"

    - "Gender-Affirming Surgeries for Mental Health Professionals" training participant in 2023

  • "This was very helpful and provided real life examples that many could relate to on a personal and professional level. Lotus facilitated a very support space and provided opportunities for engagement."

    - "SO/GIE in School Settings" training participant in 2022

  • "As a transgender person of color, I have been searching for a training like this. Thank you for generously sharing your clinical wisdom and personal experience navigating offering gender affirming care as a community member. I feel more prepared to begin offering letters."

    - "Gender-Affirming Care Assessments, Letter Writing and Clinical Considerations" training participant in 2021.

Gender Specialist Services.

Letter of Support

As not only a mental health professional but a community member that is still accessing gender affirming surgeries, I am committed to providing high quality, accessible care. I offer gender-affirming care letters of support on a sliding scale ($20 - $200) with limited pro bono ($0) assessments.

I have extensive experience producing effective Gender Affirming Care Letters of Support for:

  • Puberty Blockers

  • Hormone Replacement Therapy

  • Breast Augmentation

  • Chest Masculinization Surgery

  • Gender-Affirming Facial Surgery

  • Gender-Affirming Body Contouring

  • Orchiectomy

  • Hysterectomy

  • Genital Surgeries, including various configurations of Metoidioplasty, Phalloplasty, Vaginoplasty.

On-going therapy is not required to work with me for Letters of Support. I do offer short-term counseling to aid in the decision-making process involved with gender affirming surgeries and on-going therapy for those who are interested.

Consultation

I offer both one-time or short-term and on-going consultation services.

My areas of consultation expertise include:​

  • Assessment, Differential Diagnosis and Treatment Planning for Gender Dysphoria

  • Writing Letters of Support

  • Gender Client/Patient Needs Assessment

  • Gender Clinician Needs Assessment

  • Gender Peer Navigation Needs Assessment

  • Building a Gender Peer Navigation Program

  • Building a Gender Clinical/Behavioral Health Program

  • Gender-Inclusive and Trans-Affirming Organizational Culture Needs Assessment

Available Trainings.

What Mental Health Providers Need to Know About Gender-Affirming Medical Care

This 3-hour training will provide:

  • An overview of Transgender Medicine in the United States

  • A holistic framework to conceptualize Gender Dysphoria symptoms that incorporates culture, language and spirituality.

  • A comprehensive review of Gender-Affirming Medical Care including hormone therapy and surgeries.

  • Case Vignettes to explore common clinical considerations including, but not limited to, substance use and suicidality.

This training is ideal for mental health providers and organizations that are ready to expand their clinical services to support individuals struggling with Gender Dysphoria and seeking Gender-Affirming Medical Care.

Gender-Affirming Medical Care Letter Writing and Clinical Considerations

This 3-hour training will provide:​

  • A review of the mental health provider’s role in Gender Affirming Care in the United States.

  • A holistic framework to conceptualize Gender Dysphoria symptoms that incorporates culture, language and spirituality.

  • An overview of non-surgical interventions for Gender Dysphoria and Gender Affirming Surgeries.

  • Best Practices for Gender-Affirming Medical Care letter writing and assessment.

  • Clinical Considerations including severe depression, suicidality, disordered eating, substance use and more.

This advanced training is ideal for licensed providers and organizations that are ready to deepen their knowledge and clinical practice of treating Gender Dysphoria.

Due to the advanced subject matter, it is highly recommended that providers have at least 1 year of experience working directly and on-going with individuals struggling with Gender Dysphoria symptoms.

Working with Trans Youth and Their Families

This 2-hour training will provide:

  • An overview of gender identity development.

  • A holistic framework to conceptualize, evaluate and treat gender dysphoria symptoms among children, adolescents and teenagers.

  • Best practices working with trans youth and their families.

  • Case Vignettes to explore common clinical considerations including working with hesitant or unsupportive parents and informed consent.

This training is ideal for providers and organizations that are ready to expand and improve their clinical services to support trans youth and their families.