Gender Identity

At any given time in the four years I have been practicing, about two-thirds of my clients are people who do not identify as cisgender. I have participated in conferences and professional symposia related to this population, including Gender Spectrum and Translife, and regularly communicate and collaborate with other professionals who work with transgender, nonbinary, and intersex people.

While working with the San Francisco Department of Public Health, I specialized in supporting gender-expansive clients. I provided individual psychotherapy to clients who were exploring their gender identity & expression, & considering & often pursuing medical aspects of gender transition such as hormone therapy, hair removal & gender affirming therapies. I provided WPATH letters for surgery & often supported clients in preparing for surgery & recovery.

I don't assume that my lived experience makes me an expert on trans and gender issues. That's why I have pursued ongoing supervision and consultation from other respected trans-identified therapists, and attended gender wellness conferences and other trainings since before I began to work with gender diverse clients. Whether you (or your child) are starting to question your identity, need surgery letters, or are somewhere in between, I'm here to support you at the pace that feels right to you.

We are put into boxes by the world around us beginning at birth. But when the boxes don't fit, trying to squeeze into them can be excruciating. Gender expansiveness can feel scary, especially in today's political climate. I support intuitive, curious adults who want to explore their gender and find joy in sharing their authentic self with the world. Together, we can help you to become your truest, most beautiful self.

One should always be afforded the opportunity to live life in the way one chooses. While I emphasize the importance of acceptance through holistic therapy but facilitating an environment that evokes growth and an observance of strength that is within each client as they grow to embracing themselves completely.

Nicole provides a compassionate, affirming space for clients exploring gender identity. She understands the challenges of self-discovery, societal pressures, and transitioning, offering support tailored to each individual's journey. Using a trauma-informed, strengths-based approach, she helps clients process emotions, build self-acceptance, and navigate dysphoria or identity shifts. Her goal is to create a safe, validating environment where clients can embrace their authentic selves.

In addition to my educational knowledge, my personal experience dealing with my own gender identity is what has informed both my passion and my ability to help others navigate this sensitive, difficult, and deeply personal issue.

I am a trans-identified therapist who has extensive experience with trans-affirming practices and enjoys supporting people through exploration of their identity and living into gender euphoria, whatever that means for you.

I am a genderqueer therapist with expertise in supporting trans and non-binary clients. I am here to validate your identity and offer a safe space to process all of the ups and downs that come with this often complex journey. From celebrating gender euphoria to coping with the devastating attacks on gender diverse populations, I am here to hold space with you through it all.

I have attended hundreds of hours of training relating to gender identity and transgender experience. I am a member of TPATH, WPATH, and USPATH, as well as an active supporter of the informed consent model of care. I am part of a monthly consultation group for gender specialists. I have spoken at both the local and national levels about gender identity.

I specialize in supporting clients in their process of exploring their gender identity and experience. In this process, I also support clients in connecting with and expressing themselves in more authentic and freeing ways. I write Letters of Support for gender-affirming medical care. If you are only seeking a letter of care and not ongoing therapy, this usually requires 1 to 2 sessions. And there is no added fee for the letter.

When it comes to gender, We are all taught to believe that gender is an immutable & concrete binary that we must live by. When this binary is pervasively perpetuated we can sometimes feel like we don’t belong. With this message out in the world, any person that identifies outside of said binary can suffer from its negative impact; their mental health & overall well being suffer. Together we can address & overcome any barriers or experiences that are unique to our Trans & Non Binary identities.

I have been providing Gender Affirming Care for 10 years now. I work with both adolescents and adults in exploring gender identity and support through both medical and social transitioning.

There is no formula for figuring out your gender, and I have no agenda to try and fit you into one box or another. Gender-affirming therapy means that we will come to a place of comfort about your gender together.

Helping folks be who they are. Medical letter writing for gender affirming surgery, specialized couples support for couples with gender questioning, coming out, and transition events. Cisgender Spouses Group for supportive spouses of transgender partners. Couples group both beginners, and advanced ongoing drop in for Spouses Group members/partners. My family and friends are of the LGBTQ rainbow. Effective research based Gottman Method couples counseling when needed.

I have worked with folks in the trans community for many years, and have met people at various stages in their transition. I am happy to provide required letters for gender-affirming care when needed to the trans folks I work with. My goal is to help you feel more comfortable in your identity, with a sense of acceptance and care that I hope you are able to take with you into your other relationships.

As an experienced LGBTQ+ affirming therapist, I provide compassionate and affirming therapy for LGBTQ+ individuals and their family members who seek a safe, non-judgmental space to explore identity issues, process coming out experiences, and build resilience in the face of adversity.