Queer & Trans Affirming Therapy in North Carolina and California

Therapy should be a place where you don't have to educate your therapist about your own life. You shouldn't have to explain what binding is, how HRT works, why your family's reaction hurt even though it was "supportive," or what it's like to navigate medical systems that weren't built for you.

At Fathom Counseling, queer and transgender experience isn't a specialty we added to a list. It's central to the work we do and to who we are.

We work with queer and trans adults on things like:

• Identity exploration and coming out, at any stage of life

• Gender transition, social, medical, or both, and the grief and joy that come with it

• Family relationships that range from rejecting to complicated to "supportive but exhausting"

• Queer relationships, dating, and intimacy

• Minority stress and the way it accumulates in your body and your nervous system

• Internalized shame that does not always announce itself clearly

• The specific loneliness of being queer or trans in a rural area

What we don't do:

We don't co-sign gatekeeping medical practices. We don't require you to prove your gender to us. We don't use your deadname. We don't assume your experience based on one piece of your identity.

How to get started:

We see clients virtually across North Carolina and California. If you're looking for a therapist who already understands this part of your life, reach out for a free consultation. You can contact us via email, phone or text to ask questions or learn more about the process.