Individual therapy is a one-on-one relationship between you and your therapist, built around your specific goals, struggles, and story. Sessions are 53 to 55 minutes long and provide dedicated space to slow down, make sense of what you are experiencing, and work toward meaningful change.

At Emerald Psychotherapy, I work with adolescents and adults navigating Obsessive-Compulsive Disorder, trauma, LGBTQIA+ specific care, problematic sexual behaviors, self harm, and suicidal ideation. Together we create an individualized treatment plan and work toward a clear direction forward.

If you already have a therapist you trust and want to keep working with them, but need focused support for OCD or gender-affirming care specific needs, adjunctive specialty therapy might be a good fit.

In this arrangement, I work alongside your existing therapist rather than replacing them. My sessions focus specifically on OCD treatment (using ERP and other evidence based approaches) or gender-affirming care needs, such as readiness assessments and letters for surgery. Your primary therapist continues to support you with your broader mental health care, relationship concerns, life transitions, or anything else you're working on together.

With your written consent, I collaborate directly with your existing therapist to make sure our work stays coordinated. This might include periodic check-ins, shared treatment goals, or simply making sure we're not working at cross purposes.

This option works well for people who:

• Have a therapist they don't want to leave, but whose specialty doesn't include OCD or gender-affirming care

• Want focused, short term work on a specific concern without restructuring their whole care team

• Are looking for a readiness assessment or letter without switching their ongoing therapeutic relationship

If this sounds like what you're looking for, reach out and we can talk through what collaboration with your current therapist might look like.

If you are looking for a letter to support a procedure or surgery as part of your gender journey, I can help. I write readiness letters based on the World Professional Association for Transgender Health (WPATH) Standards of Care, and I approach this work the same way I approach therapy, as a collaboration, not a gatekeeping process.

You do not need to already be my client. Many transgender and gender nonconforming folks I write letters for come to me specifically for this, meet with me for the assessment (usually one session), and move on with their care.

How it works

• An assessment, usually one 60-minute session, where we talk through your history, what you are seeking, and confirm readiness.

• A written letter sent to your provider, completed within a week of our session.

If your surgeon or insurance require two letters from separate providers, I write one of the two. I am glad to talk through referral options for the second.

Cost

Part of Emerald Psychotherapy’s mission is to make gender-affirming care as accessible as possible. I offer this service at a low cost sliding scale based on self-reported household income. Most people pay between $40 to $80 for the assessment and letter. If you have coverage through Blue Cross Blue Shield, I can also run the assessment through insurance instead. Reach out and we can discuss what fits your situation, no documentation needed. Cost is due at time of service.

A note on this process

I know these assessments can feel like one more hurdle between you and care you have already thought carefully about. My goal is to make this part as brief, respectful, and affirming as I can, and to see you as the expert on your own gender and your own life.

This service is for adults only. Minors must accumulate a certain amount of documented therapy hours in order to start hormones or receive gender-affirming medical care. Please reach out for more information.

Standard weekly therapy is a strong foundation for OCD and phobia treatment, but for some people, more concentrated support can accelerate progress in a meaningful way. An OCD or phobia therapy intensive is a structured, time-limited treatment format that compresses therapy into longer or more frequent sessions over a shorter period, typically ranging from a few days to a couple of weeks. Rather than one session per week, intensives allow for deeper, sustained work using Exposure and Response Prevention (ERP), the gold-standard treatment for OCD and phobias, along with Acceptance and Commitment Therapy (ACT) and Inference-Based Cognitive Behavioral Therapy (I-CBT).

Intensives can be a good fit for people who are newly diagnosed and want to build skills quickly, those who have hit a plateau in weekly therapy, or individuals facing a specific OCD or phobia flare tied to a life transition or stressor. The format creates space to move through exposures more systematically and with more therapeutic support along the way.

I am excited to share that OCD and phobia therapy intensives will be coming soon to Emerald Psychotherapy. If you are interested in learning more or want to be notified when they become available, feel free to reach out.

Living with OCD can feel isolating, like no one else understands the exhausting loop of intrusive thoughts and compulsions. I am planning a group therapy offering that will be a space to work through that alongside others who get it, guided by a clinician trained in exposure and response prevention. As someone who specializes in OCD treatment and also lives with OCD myself, I bring both clinical training and lived experience to this work.

This will be a small closed group meeting weekly for a set number of weeks. Keeping the group small and closed means participants get consistency, trust, and real momentum with the same people from week to week, rather than starting over each session with new faces.

Sessions will blend education about how OCD works with hands on ERP practice. Participants will learn to identify their patterns, build toward facing their fears in a structured way, and practice sitting with uncertainty without turning to compulsions for relief. Just as importantly, hearing how others in the group are working through their own exposures often makes the work feel less lonely and more possible.

This group will be for adults who are ready to actively engage in ERP, whether new to this approach or looking to deepen work already started in individual therapy.

If this sounds like something you would be interested in, reach out and I will let you know as soon as spots open up.