I am an experienced therapist with years of expertise in helping individuals deal with addiction, anxiety, depression, ADHD, and post-traumatic stress disorder (PTSD). I also assist clients with career development and re-entry challenges. My background in Correctional and Mental Health Services, along with my Ph.D. and credentials (Licensed Clinical Professional Counselor, Certified Rehabilitation Counselor, Master Addiction Counselor, and National Certified Counselor), enables me to provide reliable, knowledgeable support to individuals who are ready to work toward a brighter future.

Welcome! I work with individuals who have experienced trauma in their childhood as well as throughout their lives. This compiled trauma over the years can often cause trouble emotionally regulating or feeling strong in your sense of self. Maybe you struggle with perfectionism, all or nothing thinking, or self criticism. Perhaps you have struggled with controlling your impulses, relationships never seem to stick, and chaos and crisis seems to follow you wherever you go. We can process and relieve feelings such as shame, distrust, overwhelm, panic, irritability, anger, and depression without judgement.

Hello! I am a licensed counselor in Maryland with a NCC national certification, board certified telemental health counselor, and certified clinical trauma professional designation. I have had ten plus years in graduate education in counseling and approximately 5 in diverse clinical settings. I work with clients in managing their anxieties, exploring attachment for healthier relationships now, and career counseling for all ages and stages. I feel led and called to this job and enjoy the gentle guidance this job offers my clients.

Hi, my name is Jen Bowman and I have been a Social Worker since 2007. I am passionate about helping young adults and adults struggling with depression, anxiety, OCD, and grief and loss. I have worked in various settings throughout the years including foster care, out-patient mental health clinics, dialysis clinics, assisted living facilities, and nursing homes. We can all feel depressed or anxious at times, but when we feel that way for a prolonged period, it may be time to consider getting support. People suffering from depression often experience symptoms such as isolation, negative self-talk, low motivation, sleep disturbance, low energy, hopelessness, helplessness, etc. When someone is suffering from anxiety, they often experience excessive worrying, agitation, irritability, restlessness, intrusive thoughts, difficulty concentrating, difficulty in social situations, panic attacks, etc. These are all things that I can help you with.

Greetings! I am licensed in Maryland as a (LCPC) Licensed Clinical Professional Counselor with almost 24 years of professional work experience and serving in this vocation field almost 40 years in various positions. (The company is trying to fix the credentials) I have experience in helping clients with relationship issues, family conflicts, trauma and abuse in individual modality, & career difficulties. I work primarily with married couples, providing both premarital and post-marital services in a specific protocol. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage and I am glad you are getting started! The purpose of my services is to provide counseling and treatment, not evaluation services.

Hello! My name is Klaudia Bialy, PsyD, and I am a licensed psychologist in VA and MD. I specialize in anxiety, depression, and life transitions. I have prior experience in private practice, psychiatric hospitals, and correctional facilities. It takes a lot of courage to look for a therapist, and I am so glad you did! Life is full of challenges, and I am here to walk along side you during your journey. I will meet you where you are and work on goals we collaboratively create. My goal is to make you feel comfortable sharing your personal experiences with me. I believe the therapeutic relationship is the most important when working together. Together, we will explore your unhelpful thoughts, learn coping skills, and at times share a laugh!

Hey there! I’m a licensed psychologist helping adults who feel overwhelmed by anxiety, stress, sleep problems, or trouble focusing. If life feels exhausting even when everything looks “fine” on the outside, therapy with me offers a calm, practical space where you can slow things down, be understood, and build tools that actually help you feel better in daily life. I blend evidence-based techniques with a down-to-earth style, just therapy that fits you. I create a supportive, inclusive environment for people from diverse backgrounds, including LGBTQ+ clients. If you’re ready to feel less stuck and more grounded, let’s get started. I look forward to connecting with you!

I have been working with individuals, families and couples for over 25 years in Maryland. Over that time, I have experience on how to engage and team with clients to help them make meaningful progress in their lives. Most often, I use a trauma-focused cognitive-behavioral approach to the work. Trauma events (single events or long-time exposure) can affect how we think and behave. Understanding how trauma impacts us biologically as well as emotionally can help us I adhere to a strength-based perspective in treatment. Even when times are rough, it is important to remember that everyone does have strengths. A key purpose of going to therapy is to build confidence in yourself. Identifying and highlighting successes is important. Research shows that it is easier to implement change if you are building on existing strengths rather than developing brand new ones.

Greetings, my name is John Luke. I am a licensed clinical social worker and specialize in helping people to effectively manage anxiety, depression, and other mental health concerns using cognitive behavioral techniques. I have worked with a range of populations, nearly all ages, and also have experience with addiction treatment and life-coaching. I work with people to develop insight into the source of their problems, how their core beliefs about the world might be hindering their progress, and focus on their natural strengths to overcome those barriers with practical skills that generate sustainable change. Some of my other specialties include short-term, solution-focused therapy; cognitive behavioral therapy techniques; psychodynamic approaches; and marital counseling. Some of the problems I am particularly keen on solving with my clients include issues with self-image and confidence; dating and relationships; boundary-setting and assertive communication; as well as general anxiety management; and learning to identify and productively resolve emotional unrest. I am also very experienced in cognitive restructuring, which is just a fancy way of saying helping to change the way a person thinks about the world and their place in it. I also enjoy aiding people in goal setting and identification, meaning-making, and navigating family conflicts. If you feel any of this could be helpful or useful to you, please do not hesitate to reach out! (Note: I do work with couples, but only on a cash-pay basis. Also, I only work with ages 18+)

SATURDAY and NIGHTTIME appointments. Welcome. I’m an LCSW-C practicing in Maryland, and I earned my MSW from the University of Maryland School of Social Work in Baltimore. With almost 40 years of experience in mental health settings, I bring a warm, thoughtful, and grounded approach to helping people better understand what they need and where to begin. Having worked in mental health across several decades, I’ve seen the field become both richer and more complex. There are now many more kinds of therapists, areas of specialization, and approaches to care than most clients know how to sort through on their own. I’m especially helpful for people who have struggled to find the right therapist fit. Many come in feeling overwhelmed, discouraged by past starts and stops, or unsure why therapy has not felt as helpful as they hoped. One of my strengths is listening carefully, noticing patterns, and helping people clarify what kind of support may fit them best. For some, that may mean continuing therapy with me. For others, it may mean leaving with more clarity about what kind of therapist, style, or approach they may want to look for. I offer virtual therapy throughout Maryland and make evening appointments available because I know many people need options that are both convenient and accessible.

In today's fast-paced world, our emotions can become a tangled mess, causing us to feel overwhelmed, anxious and helpless. As a mental health therapist, my goal is to help you untangle these knots of emotions that are holding you back and keeping you from living your life to the fullest. I work with you to identify the underlying causes of your distress, helping you develop effective coping strategies and empowering you to reclaim your mental health and happiness. With my guidance and support, together, we can help you to overcome your challenges, heal your emotional wounds, and create a brighter future for yourself.

Hi! I'm Alexis and I am glad you are here. I'm a Licensed Professional Counselor in the DMV with over 12 years of experience and I've worked with individuals navigating a wide range of concerns — from anxiety and relationship trauma to life transitions and unexpected turns. I’ve earned a Master's in Mental Health Counseling and a Master's in Nonprofit Management, and that dual background shapes how I work. I care about outcomes as much as I care about the therapeutic process — which means you'll leave sessions with more than just insight. You'll leave with practical methods to apply to your everyday life.

Greetings, I am a licensed mental health clinician licensed in Maryland, DC and Virginia with over seven years of experience working with individuals from diverse backgrounds and life experiences. My approach to therapy is holistic and strength-based, focusing on helping clients navigate and resolve a wide range of life’s challenges. By drawing upon each individual’s unique strengths, I work to foster resilience and encourage a continuous journey of healing, growth, and self-discovery. My goal is to create a supportive environment that empowers clients to uncover deeper insights, develop effective coping strategies, and enhance their overall well-being.

Hi, I’m Dr. Josh Gonsher, a licensed clinical psychologist with a warm, down-to-earth approach to healing. I specialize in helping people navigate anxiety, worry, and stress—not by fighting their symptoms, but by creating a new internal landscape where those struggles no longer take center stage. My approach is grounded in Contextual Therapy. I don’t just help clients “fix” thoughts or behaviors—I work with them to build a more meaningful life, one where old patterns and problems naturally begin to lose their grip. It’s about shifting the frame, not just adjusting the picture. I offer a space that’s collaborative, gently challenging, and deeply respectful of your unique path. You don’t need to “have it all figured out”—just a willingness to begin. Whether you’re dealing with social anxiety, overthinking, burnout, or a general sense of feeling stuck, my goal is to help you move toward a version of life that you choose, one that often feels more grounded, spacious, and aligned with whom you truly are.

Hi! I am a Licensed Professional Counselor (LPC) based in DC, Virginia, Maryland and Pennsylvania. I help young adults struggling with career stress and burnout become the best versions of themselves. I obtained my PhD in Human Behavior at Capella University, a Masters Degree in Clinical Counseling at Eastern University, and a Bachelors in Psychology Degree at West Chester University.

Hello and welcome! I am a Licensed Individual Clinical Social Worker in DC (LICSW); and also a Clinical Social Worker in MD (LCSW-C). I received my Master's degree in Counseling Psychology in 1985 and my Master's degree in Social Work in 1999. I earned my LICSW in DC in 2002. In December 2025, I earned my Clinical license in Maryland (LCSW-C). I like talking with people--but more importantly, listening to people. To me, therapy is a block of time. It is an opportunity for people to talk to someone who is not a parent, brother, sister, spouse or even best friend. My goal is to listen to you and to help you consider options in your life.

Hi, I’m Nancy Paz Welsh, a bilingual (English & Spanish) Licensed Clinical Social Worker serving clients in Maryland, Virginia, and Illinois. As a proud second-generation American of Salvadoran descent, I’m passionate about advocating for mental health awareness and normalizing therapy as an essential part of overall well-being. I specialize in helping individuals navigate life’s challenges with compassion, curiosity, and evidence-based support. My goal is to create a safe, affirming space where you feel heard, understood, and empowered. Together, we’ll build on your strengths, develop effective coping strategies, and foster greater self-awareness to support lasting, meaningful growth. I work with individuals experiencing anxiety, depression, trauma, relationship challenges, and life transitions. My therapeutic style is warm and collaborative, combining empathy with gentle accountability to help you make progress at your own pace. Starting therapy can feel like a big step, and I’m here to meet you exactly where you are—without judgment. Whether you’re overwhelmed by emotions or simply seeking more balance, I’ll walk alongside you with compassion and curiosity as you move toward the life you want. Outside of therapy, I’m a wife, mom to two toddlers, and dog mom of three—so life is rarely quiet! I enjoy reading, video games, trying new foods, and teaching my kids about their Salvadoran roots (yes, they’re already pupusa fans). My self-care must-haves? Coffee strong enough to launch a spaceship, food that makes me dance, podcasts that keep me grounded, and laughs that double as ab workouts! If you’re ready to explore new perspectives and make meaningful change, I’d be honored to support you on that journey!

If you're experiencing inner turmoil that’s affecting your peace of mind and daily life, therapy can help—and I’m here to support you through it. Often described as a “therapist’s therapist,” I offer a grounded, compassionate approach to help you reconnect with your sense of clarity and purpose. Life is too short not to live as your best self. My goal is to meet you where you are, focus on what matters most to you, and build on your strengths through healthy coping and healing practices. If you're ready to begin that journey, I invite you to reach out—let’s work together to help you become the best version of yourself.

Hello, My name is Tierra Evans. I am a Licensed Clinical Social Work Supervisor and Mental Health Clinician. I have been a licensed Social Worker for nine years and counting. I am a Texas native and have traveled extensively. I received my Master’s degree in Social Work from the University of Texas at Arlington. I specialize in Cognitive Behavioral Therapy (CBT), strengths-based therapy, Dialectical Behavior Therapy (DBT), and other therapeutic modalities. My passion is to nurture and cultivate positive energy and high vibrations throughout my life journey. Services are provided within a short-term, goal-oriented framework. Treatment typically consists of 6–8 sessions. Progress is formally reviewed around session six, at which point the client and therapist mutually determine whether to conclude services, extend treatment for an additional time-limited phase, or pursue other appropriate options.

Hi I am Asia, but not like the continent. Think Aseeyah! I am a Licensed Clinical Professional Counselor (LCPC) based in Maryland I received my Masters in Clinical Psychology from Loyola University Maryland,and my MBA from UMGC. I have been practicing for 6 years and have been in the mental health field for over 14 years. I am also a Goodwill Career Coach and Navigator. I help those in transition figure out how to live their best and fabulous lives. I would love the opportunity to do the same for you.

I’m Jessica Oyefusi, a Licensed Clinical Professional Counselor, who is passionate about supporting individuals as they navigate life’s challenges and create meaningful change. I love spending time outdoors, going on adventures, exploring creative hobbies, and discovering new places in the city. I also enjoy slowing down with a good mystery book or watching documentaries on health and wellness. These personal joys keep me grounded and inspire the warmth, curiosity, and authenticity I bring to my work with clients.

I am a Licensed Clinical Professional Counselor, who has served Southern Maryland and the DC metropolitan area for over 20 years. A Nationally Board Certified Counselor, and a member of the American Counseling Association, and fully insured through HPSO. As a former Law Enforcement Officer, I am passionate about assisting those who have served as first responders and in the military; treating PTSD, and a focus on vicarious or secondary trauma. I also have a passion for working with children and adults diagnosed with ADHD. This often misdiagnosed and under-reported neurodevelopment disorder is stigmatized and misrepresented as being “lazy” or “unmotivated”, while understating the extreme barriers that contribute to one’s ability to meet societal norms of being goal or task oriented and organized. I love to help clients see the magic of their A-Typical Brains and bring light to all of the various challenges that a person with ADHD encounters in day to day life. Learning to leverage their differences as an asset and not a deficit by assisting them in creating opportunities for growth and success; through development of adaptive coping skills

Hi! I'm a Licensed Clinical Social Worker (LCSW, CEAP) based in California, Georgia, Maryland, and New Jersey. I received my Masters from the University of Maryland Baltimore and have been practicing for 25 years. I help young adults, adults, and elderly adults struggling with life transitioning issues that may cause stress, depression, and anxiety through CBT, DBT, and psychoeducation treatment modalities that helps individuals reach their highest potential.

Hello! Are you navigating a major life transition—moving from college into the “real world,” becoming an empty nester, redefining your identity, or questioning whether your relationship is still aligned? Maybe self-esteem challenges are showing up across different areas of your life. Maybe you’re struggling to set boundaries, avoid confrontation, or manage daily stress without feeling overwhelmed. If this resonates, you might have found the right space.

If you can read this, you made the first step. Congratulations. Seeking therapy is hard. Most people delay and tell themselves that whatever they are experiencing must be the way life is. Chances are if you have reached the point to begin exploring therapy, counseling can help make your life better. While therapy is often hard, it can be an enjoyable and uplifting experience as well. I believe that you cannot laugh without a combination of insight and relief. You can expect some humor in most sessions. I have been a Licensed Professional Counselor for over 20 years. In that time I have worked with men, women, teens, and families on a wide variety of issues. Sometimes that work simply involved helping them through a particular incident or life change that overwhelmed them. Other times our work together centered around longstanding issues of depression, anxiety, trauma, and addiction. In addition to traditional cognitive behavioral therapy, I also offer a fourth-wave therapy, Emotional Freedom Technique (EFT). I have found this technique to be highly effective in helping people with trauma and or anxiety. Our minds and bodies are connected. Anyone who has experienced a tight neck and shoulders or an upset stomach when they were stressed knows this. EFT uses acupressure (done by the client) and cognitive interventions to provide fast and effective relief. With over 20 years of clinical experience, I am ready to help you through the challenges you are facing. In addition to counseling, I also provide vocational testing, coaching, and consulting. I provide both Christian and secular counseling depending on the needs of my clients. For clients with high level confidentiality concerns due to corporate or clearance issues, there are ways we can do EFT without you ever speaking out loud about events.

Hello, I'm Shashana Carter. I am a Licensed Clinical Social Worker and board-approved supervisor, with over 15 years of professional, life and clinical experience. I work with individuals 18-70 to resolve conflict and improve functioning in the lives of my clients. My specialty areas include depression, trauma, grief, life direction, excessive eating, stress, anxiety and relationship issues. Using an evidence-based person-centered approach, and solution-focused perspective will empower clients to overcome obstacles achieve realistic goals and provide solutions to problematic issues getting in the way of living a healthier lifestyle and having a more positive mindset.

I’m a therapist and behavioral health specialist with over a decade of experience helping people navigate stress, trauma, and life transitions. My work centers around supporting Black and marginalized communities in healing from racial trauma, regulating their nervous systems, and building skills for emotional wellness. My approach is holistic, compassionate, and solution-focused. I believe healing happens when we feel seen, safe, and supported — not just in our minds, but in our bodies too. I use mindfulness, somatic (body-based) practices, and positive psychology tools to help clients manage stress, process life experiences, and move toward the life they want. Beyond therapy, I’ve designed programs and trained other professionals in trauma-informed care, stress management, and culturally-responsive mental health practices. I’m passionate about making wellness accessible — especially for those often left out of traditional systems of care. Most of all, I believe you are the expert of your story. My role is to guide, support, and offer tools — so you can feel more grounded, more whole, and more like yourself.

I am a Licensed Clinical Social Worker, proudly continuing a family legacy of service and commitment to helping others. With over a decade of experience, I have worked in a variety of clinical settings, including hospitals, home health, outpatient centers, and most recently within a K–12 school system. Throughout my career, I have considered it a true privilege to support individuals during some of their most vulnerable and transformative moments. I specialize in individual therapy and am now opening my practice to teens. My recent experience as a School Social Worker allowed me to provide direct therapeutic services to students across all grade levels, supporting them through anxiety, depression, academic stress, peer and family challenges, and crisis situations. This chapter feels especially meaningful, as I originally pursued my education with the goal of becoming a School Social Worker. In many ways, this transition represents a full-circle moment in my professional journey. I bring the insight, developmental understanding, and collaborative approach from the school setting into my practice, offering teens and their families compassionate, structured, and informed support.

Hello, I’m Kumi Pledger, LCPC, and I am currently accepting new clients. I am also available on Sundays to better accommodate busy schedules. I provide therapy for children, adolescents, adults, couples, families, and LGBTQ+ clients. I support individuals facing a wide range of concerns, including healing from traumatic experiences, navigating relationship challenges such as narcissistic abuse, managing anxiety, low motivation, and stress, supporting new and expectant mothers, addressing eating disorders, adjusting to new environments or careers, coping with grief and loss, and improving sleep and insomnia. My work is grounded in creating a safe, compassionate, and supportive space where clients feel heard, understood, and empowered. I combine professional training with personal insight to help clients reduce anxiety, eliminate unwanted behaviors, restore emotional balance, and reconnect with joy, purpose, and confidence in their lives. I work best with clients who feel overwhelmed, stuck, or pulled in many directions, particularly during life transitions or periods of identity change. Many of my clients appear strong and capable on the outside but feel exhausted, disconnected, or uncertain internally. I understand the complexities of cultural expectations, family dynamics, and the pressure to manage multiple responsibilities. My ideal client is ready to gain clarity, strengthen boundaries, and live more authentically. Clinically, I integrate evidence-based approaches, including cognitive-behavioral therapy (CBT), mindfulness-based techniques, and culturally responsive therapy. These approaches help clients increase self-awareness, identify patterns contributing to distress, and develop practical coping strategies that support long-term growth and healing. If you often feel overwhelmed, emotionally drained, or unsure of your next steps, you are not alone. Life transitions, parenting responsibilities, cultural pressures, and personal identity challenges can create stress and uncertainty. With the right support, meaningful change is possible, and I am here to help guide you on that journey.

Hi, I’m Tiffany. I work with individuals and couples experiencing anxiety, depression, trauma-related stress, and relationship challenges, as well as those seeking structured support and accountability to reach their full potential. My approach integrates Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), trauma-informed therapy, and Gottman Method–informed couples therapy to help clients better understand the connection between thoughts, emotions, behaviors, and relational patterns. I provide a supportive, goal-oriented space with a strong focus on resilience, emotional regulation, and meaningful personal growth.

Greetings, my name is Soncheray. I am a licensed clinical social worker with more than 10 years of experience. I started Fruitful Life Counseling Services to help individuals understand the "fruit" they bear. How are you showing up in the world-but most of all for yourself! Are you showing up for you at all? You have already taken the first step by searching for someone to talk to; you have started the process-BUT WHAT NOW? I specialize in helping individuals accurately identify what is holding them back. Being able to accurately put words to our emotions is so important in identifying the correct coping strategy. It's no secret that when we feel overwhelmed in one area, we start to feel a sense of powerlessness that transfers into other areas if not addressed. When the transfer happens, we often don't know where the stress or trigger is coming from. Powerlessness can emerge for a number of different reasons. Something triggered these feelings you have. My role in the helping relationship is to help you identify and face your emotions, rather than avoid them. It is time to take your power back, and trust your intuition again. You will never win the race against the thing(s) you're running from. It's time to stop running. Let's get started.

I am here for you. My name is Dr. Jay Rhodes, and I am a board-certified, Licensed Clinical Marriage (LPC) and Clinical Marriage and Family Therapist (LCMFT) in Maryland, a Licensed Marriage and Family Therapist (LMFT) in Oklahoma and Texas., and a Licensed Mental Health Counselor (LMHC) in Florida. I have a passion for helping individuals find healing, growth, and transformation in their lives. I have extensive education, experience, and expertise in various fields of counseling, ministry, and human relations. I have worked with clients from diverse backgrounds and cultures in various settings such as military bases, combat zones, hospitals, schools, embassies, consulates, to nonprofit homeless ministries. I have helped individuals, couples, families, children, adolescents, and groups deal with a wide range of issues such as anxiety, depression, traumatic stress, and relationships. I have helped others, I can help you.

Welcome and thank you for visiting my profile! I am Latonya Moore. Are you feeling "stressed out", and/or anxious ? Are you having difficulty in your relationships? Would you like to learn coping skills to manage your life more effectively? I am an experienced licensed therapist and I am excited that you have decided to focus on improving your health/wellness. Be mindful that the change you are seeking requires commitment and a willingness to participate in a supportive, collaborative process. Unfortunately, at this time, I do not provide crisis or high‑acuity care, including active suicidality. If you are in immediate crisis, please contact 911, your local emergency services, or call/text 988 (the Suicide & Crisis Lifeline).

Welcome! My name is Marian Robinson, and I am a Licensed Clinical Social Worker (LCSW), in Pennsylvania, New Jersey, Virginia, Maryland, and the District of Columbia with over 20 years of professional mental health experience. I have experience in helping clients with low motivation, relationship issues (individual), self-esteem and confidence, career difficulties, mood disorders, anxiety, depression, grief, and end of life issues. I take an eclectic, person-centered approach, CBT and psychodynamic approach where you are in the driver seat in your own recovery. I am here to support you in that process and will meet you where you’re at, without judgment. Taking the first step to sign up for therapy takes courage and I would be proud to help you get started.

Are you feeling depressed and anxious? Are you finding your life is in turmoil because you have to make a change? Maybe you are changing careers or jobs, you’re recently divorced, your home is now an empty nest, or you are retiring. These are only a few of life’s transitions that can bring on depression and anxiety. Cognitive Behavioral Therapy, the therapy I use most often, states that A (Antecedent action or event) + B (our belief about that antecedent action or event) = Consequences, (depression or happiness). If you think of a transition or event (A) as a negative experience (B), you will experience the consequences of your belief, as depression and anxiety (C-negative) or as happiness and excitement (C-positive). Unfortunately, many of us view a transition or change as a bad thing, a time when we are facing the unknown without a map. I would like to help you see change as an opportunity, a time for growth and exploration. Come with me. Together we can make change a positive force for a bright future. please schedule appoints only on the hour.😀

Hello, My core belief is that all people are created equal; therefore, everyone has equal right to leave to their fullest potential. I earned my master’s in social work from University of Maryland, School of Social Work, Baltimore, MD in 2010. I have Licensed Certified Social Worker - Clinical (LCSW-C) in MD, Licensed Independent Clinical Social Worker in DC and Licensed Certified Social Worker (LCSW) in VA. For more than 10 years, I have utilized Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), humanistic, person-center, strength-focused therapy and other psychotherapy Intervention to assess, plan, implement and evaluate individual or family in diverse therapy environment. I am commented to assist people to live life to their fullest potential because we all have one life to live, and we deserve to be in peace with ourselves. I have worked with people in LGBTQ+ community both in individual and couple session. I am WPATH qualify to write gender affirming surgery letter.