Gender Affirming Care
At Golden Vibes Counseling Center, we honor and affirm all gender identities and expressions. Our therapists work alongside transgender, nonbinary, gender-diverse, and questioning individuals, offering supportive counseling, letters of readiness, and affirming resources in a space rooted in respect, safety, and authenticity.
Ongoing Individual Therapy For Trans+ and Non-Binary Folx
We honor the strength, autonomy, and lived experience of transgender, nonbinary, and gender-diverse people, and believe they are capable of making informed decisions about their bodies, transitions, and lives. At the same time, we recognize that systemic oppression can have a real emotional impact. In therapy, we aim to create a supportive space where that impact can be understood, validated, and eased.
Our therapists are carefully chosen for their dedication to inclusive, affirming care. Many have advanced training in gender-affirming best practices and work collaboratively with transgender, nonbinary, and gender-questioning clients to support their self-identified goals. For some, this may include exploring identity as a central focus of therapy; for others, it may mean honoring identity as one meaningful part of a larger, multifaceted lived experience.
In all that we do, we strive to provide culturally responsive, affirming care and remain committed to ongoing learning and self-reflection. At Golden Vibes Counseling Center, we recognize the hard work you’ve done to get here, and we’re here to support you every step of the way.
The thing is, you deserve easy access to gender-affirming care.
Our approach is rooted in informed consent—we trust your ability to make knowledgeable choices about your healthcare. You should never feel required to see a therapist simply to access medically necessary care.
We are also mindful of the unequal power dynamics that can occur when a therapist’s “voice” is prioritized over the lived experiences of intersex, transgender, and gender-nonconforming clients. At Golden Vibes Counseling Center, we commit to using our role to support, not overshadow, your autonomy.
Barriers to Gender-Affirming Mental Health Care
- Financial barriers
- Insurance obstacles
- Scheduling and accessing doctor appointments
- Unsupportive or hostile family dynamics
- Partners who are uncertain or struggling to understand
- Co-occurring mental health concerns
- Fears about acceptance at work or in your community
And on top of all that, the exhausting need to repeatedly explain why you deserve the care
As a Gender Therapist, We Get What You Need. Including, Letters of Support
We understand that many medical providers and insurance companies require a letter of support from a licensed mental health professional to access certain gender-affirming treatments. To help reduce barriers, we offer gender-affirming care consultations for individuals seeking letters for surgery or other medically necessary services.
Simply Put, Your Gender Therapist is Here For YOU.
We keep the process straightforward and approach our role with humility and respect. Before your appointment, you’ll complete your paperwork through our secure patient portal. During your intake session, we’ll determine what’s needed to prepare your letter.
Our goal is to get your letter back to you as quickly as possible so you can review and approve it before it’s sent to your doctor. Consultations are available via telehealth or in person, whichever works best for you.
With Gender-Affirming Counseling Here, You Will Not Be Further Marginalized
At Golden Vibes, we understand that letters of support are often an important step in accessing gender-affirming medical care. We are committed to making the process as accessible, respectful, and supportive as possible while honoring each person’s autonomy and lived experience.
The appointment(s) needed to complete a letter of support may be billed to your insurance if we are in-network with your plan. Depending on your coverage, you may still have out-of-pocket costs associated with the appointment(s), such as a copay, coinsurance, or deductible.
The time our clinicians spend preparing a letter of support is not billable to insurance, so there is a separate out-of-pocket fee for the letter itself.
However, we never want cost to be a barrier to obtaining a letter. If paying for the letter presents a financial hardship, please let us know. We are happy to work with clients on flexible payment plans and can also discuss other options, such as a reduced fee or fee waiver
Letters of Support for Gender-Affirming Surgery
If you need therapist support for chest surgery, gender-affirming genital surgery, or any other medical care, please contact us today to get details and learn more about our fees.
Note: Many doctors now provide hormone therapy with a patient’s informed consent, without requiring a letter from a mental health therapist. Please check with your provider to see about details.
Our Therapists
Our diverse team of highly skilled and experienced therapists is prepared to assist you in achieving your optimal well-being. Review their profiles to identify the therapist best suited to your needs
About Golden Vibes
Golden Vibes Counseling Center is committed to helping empower all people’s wellness journeys through access to reliable, unbiased, and non pathologizing mental health treatment. Our staff challenges the myths, stereotypes, and stigmas that surround mental health issues and treatment that prevent people from getting help they deserve.
Golden Vibes offers in-person and virtual therapy throughout multiple locations.
Virtual Therapy atGolden Vibes Counseling Center
We are licensed to provide virtual therapy in the following states:
Iowa, Wisconsin, Florida, New Hampshire
Only Golden Vibes
"Golden Vibes Counseling is a truly welcoming and supportive space. From the first session, I felt heard, understood, and comfortable. Sessions feel personalized and meaningful, and I always leave feeling more grounded and empowered. I highly recommend Golden Vibes Counseling to anyone looking for thoughtful, high-quality care and genuine support on their healing journey."
Kelsey E.
"I have worked with Josh for 4 years and would definitely not be where I am today without him. I have been in and out of therapy for 15 or so years and Josh is by far the best therapist I have ever had. Sessions are not lectures but a sort of collaboration, where you are the driver and Josh will offer navigation suggestions, but you ultimately decide where you would like to go."
S. Parmentier
"I worked with my therapist for about a year and a half, and doing so really helped me get to a place where I could move forward with my dissertation and my life. His style made me feel comfortable and supported, and I left sessions feeling better. I also appreciated that the administrative side of Golden Vibes worked smoothly."
Ingrid T.
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