Gender-Affirming Care

At Small Works Counseling, we provide gender-affirming mental health support rooted in respect, collaboration, and the lived expertise of trans, nonbinary, and gender-diverse people. Our approach is aligned with the WPATH Standards of Care Version 8 (SOC-8), which emphasize individualized, client-led care and the removal of unnecessary barriers to access.

Whether you're exploring your gender identity, seeking support through transition, or simply looking for a therapist who understands, we’re here to walk alongside you. We offer letters for gender-affirming medical care when needed, and always center your goals, values, and autonomy. Letters for gender affirming care are always free.

You deserve care that affirms who you are without gatekeeping, judgment, or assumptions. At Small Works, we’re committed to creating a space where your whole self is welcome.