Insurances Accepted
Gender Affirming Care and Letters of Support
Respectful, informed, and affirming care for transgender, nonbinary, and gender-diverse clients. No gatekeeping. No unnecessary delays. Just the support you deserve.
At Affirming Psychological Services, we provide gender-affirming therapy and letters of support for people seeking access to medical and legal transition. Whether you're pursuing hormone therapy, gender-affirming surgery, or a legal name and gender marker change, we are here to support you with compassion, respect, and clarity.
We work with transgender, nonbinary, genderqueer, Two-Spirit, and gender-questioning clients across California, offering both ongoing therapy and stand-alone assessments for letters of support.
Our Approach to Gender-Affirming Care
We follow an informed consent model rooted in the belief that you are the expert on your own identity. You do not need to prove that you're “trans enough” to access gender-affirming care. We trust you to know who you are.
Our clinicians are WPATH-informed, meaning we’re familiar with the requirements that many medical providers or insurance companies may have for gender-affirming procedures. We provide letters that meet those standards without adding unnecessary barriers.
We do not engage in gatekeeping. Our job is not to decide whether you’re “ready” for transition. Our role is to help you understand your options, advocate for your care, and provide documentation when it’s required by medical systems.
Common Reasons Clients Seek Us Out
- Anxiety, depression, trauma, family conflict, burnout
- Identity exploration
- Religious or cultural harm
- Neurodivergent and queer intersections
- Workplace stress or academic pressure
- Comprehensive psychological testing that is gender affirming and inclusive
- Family and Partner Therapy
- Internalized homophobia, biphobia, transphobia
Letters of Support
We are trained to provide letters of support for:
- Hormone replacement therapy (HRT)
- Top surgery, bottom surgery, and other gender-affirming procedures
- Legal name and gender marker changes
- Voice therapy or other medically necessary services
Letters are written to meet WPATH criteria and include all necessary information for providers, surgeons, or insurance companies. We can also tailor letters to the specific requirements of your medical team.
What To Expect
- Consultation: We’ll meet with you for a clinical interview to understand your goals and ensure the letter meets your needs and the requirements of your provider.
- Documentation: Letters include all legally and medically required components, and we can revise them as needed for your provider or insurance.
- Fast turnaround: In most cases, letters can be provided within 1–2 sessions.
- Supportive care: If you're looking for ongoing therapy around gender identity, trauma, or life transitions, we’re here for that too.