Author your identity.

Navigating transformation

Has life become chaotic or stressful, leaving you with a nagging sense that you don’t even know who you are anymore?  Have things somehow, somewhere gone off the rails, and now the only thing you seem to be certain about is that life is definitely NOT what you thought it would be by this point in time? Are you feeling like you’re pulling off the greatest scam ever; that on the outside, you look like you have it all together, but on the inside you’re unsure of everything?

Know this; you’re not lost forever.  There is hope, really.  Things can get better.   You can figure out who you are, and where you want to be.

Transitions Therapy LLC specializes in working with people to author their unique identities.

Call 860-884-8372 today to discuss your treatment needs.



About You and Me

I believe that when people live in their true identities, they come alive and inspire others to do the same.  As such, Transitions Therapy LLC is driven by a mission to help people uncover and connect to their authentic selves, in an inviting and affirming environment.

Therapy can be scary.  You’re probably struggling with thoughts and fears that you’re not comfortable sharing with anyone in your personal life.  And now, you’re thinking about trusting a complete stranger with this information, in the hopes that it will leave you feeling better. That can feel terrifying.  You’re feeling vulnerable, and you’re really hoping that this giant leap of faith is worth it.  It better be worth it, cause if it’s not, you might not ever try out this therapy thing again.

I get it. Really, I do.

I could list off all my credentials, my training and my experience here, but I intentially don’t do that here. Because I believe wholeheartedly that when people are hurting, they’re looking at a therapists’s website to get a sense of whether or not that person understands their pain; not looking to get a detailed listing of someone’s credentials, professional memberships, and education.  Suffice it to say, I have substantial experience and specialized training in serving the transgender community because I believe passionately in helping people discover themselves. I am dedicated to continually educating myself on how to best serve transgender identified people and their loved ones. If you’d like more specific information about my experience, please feel free to ask during our consultation call.

Back to what’s important. You’re struggling and you’re looking for the right person to help you.

I want you to know that you matter, and that you deserve to live your life with a clear sense of your identity. You deserve to live a life that feels authentic to you; whatever that looks like.   You deserve a therapist who’s down to earth, warm, and affirming. Someone who offers a space free of judgment and shame.  Someone who will treat your hurts, fears and pains with the reverence they deserve, balanced with a touch of humor because, well, laughter heals.

The approach that I use in my therapy helps people to uncover the relationships between thoughts, emotions, and behaviors in their everyday experiences.  This awareness helps people to get a better sense of themselves, and how they want to express that.  This leads to healing relationships, decreased uncertainty, and increased confidence.

If this sounds like a good fit for you, please call me, Sarah A. Gilbert, at 860-884-8372 to discuss your unique treatment needs.


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Individual psychotherapy – Transitions Therapy LLC provides individual therapy for adults.  For those seeking treatment to focus on issues of gender diversity, Sarah A. Gilbert works with clients ages 16 and up.  Your treatment is confidential, and individualized to meet your unique goals. Clients may use insurance or pay out of pocket for therapy (see Insurance page for more information).

Self-pay investment: $100 a session; sessions are 50 minutes in length.

LCSW supervision – Sarah A. Gilbert, LCSW provides clinical supervision for individuals who are working towards their licensure in Connecticut.  Supervision is provided within the requirements set forth by the CT Department of Public Health, and can be scheduled on a weekly or bi-weekly basis. All supervisees are provided with documentation of supervision notes in an electronic format.

Investment: $75 a session; sessions are 60 minutes in length.


Online Therapy: Online sessions are a great alternative to face to face sessions for those who have difficulty getting to the office, or for those who simply want to be able to get a therapy session from the comfort and privacy of your own home.  Transitions Therapy LLC offers online sessions via a secure, confidential online service,  This service is exceptionally easy to use, and requires no downloads.  As many health insurances are not yet covering this type of service at this time, sessions are offered for the self-pay rate of $100 per session.


Transgender affirmative care for individuals and their loved ones

For trans-identified teens and adults

Even in these times, people experience a tremendous pressure to conform to what society expects of us based on our biological sex.  Sadly, for most, it’s just still not safe to fully explore any gender expression or identity that’s different from what society tells you to be. This is why I have a particular passion for helping people find a safe space to explore gender identity, expression, and how these things impact situations at home, work, school, and relationships.

Some common questions and issues that come up in treatment may include:

“Ok, I think I’m trans, but I don’t want to get surgery.. Does that mean I’m not trans?”

“I know I’m trans but I just don’t know how to come out to my parents/work/partner”

“I don’t really feel 100% either gender, I think I fall somewhere in between.”

“I don’t know how to figure out a transition plan at my job.”

“I’m having a hard time with wanting to physically transition, and risk losing my partner/spouse”

“My head is spinning trying to figure out what steps come in what order in my transition process. I’m overwhelmed”.

For family members, friends, loved ones of trans-identified individuals

When someone you know and love transitions, you transition as well in many ways.  It is important to know there’s support for you as well.  I provide therapy for loved ones of trans-identified, gender questioning, gender variant people to provide a safe space to explore all kinds of thoughts, feelings, and reactions.  Common questions and concerns include:

”How do I support my child who’s just come out as trans?”

”I totally support my trans-identified child, but I’m worried about their safety, their future and I’m afraid to tell them that.”

“I’m really not sure I want to stay in a relationship with my spouse if they physically transition. I have lots of concerns and questions about what this means about my sexuality if we stay together”

”How do I get better informed about the transition process, without invading my friend’s privacy? What questions are not okay for me to ask them?”


Additionally, Transitions Therapy LLC is also now hosting The SPOT: a free support group for spouses and partners of trans folk.  Please see the events page for more details.




So now you’re thinking “Great, I want to start therapy… Can I use my insurance?”

Currently, I am an in-network provider for:

  • Coastline EAP
  • Anthem
  • Husky/Medicaid
  • Cigna

Before deciding to use your health insurance benefits for therapy, you should be aware of the following:

In order for Transitions Therapy LLC to bill your insurance, some of your personal information must be shared with the insurance company to facilitate payment. This information includes your dates of treatment and behavioral health diagnosis. In rare instances, treatment summaries may be requested by your insurance company. Depending on your circumstances, you may not want this type of information disclosed to an outside party, therefore you should give this decision careful consideration.

Should you decide to use your health insurance benefits,  please check your coverage carefully before your first session by asking the following questions:  

  • Do I have mental health insurance benefits?
  • What is my deductible per year and has it been met yet?
  • How many sessions per year does my health insurance cover?  Is there a limit?
  • What is the coverage amount per therapy session?
  • Will I need to pay a co-pay for my office visits?

As a client, it is your responsibility to be informed of the details and extent of your coverage as it pertains to your therapy sessions. It is also your responsibility to notify Transitions Therapy, LLC of any changes to your insurance coverage as soon as possible to avoid out of pocket expenses.  When possible, I will provide assistance in verifying insurance information, and obtaining information from your insurance provider.

Payment is expected at the time of your appointment.   Forms of payment accepted are:  cash, check*, Visa, Mastercard, American Express, Discover.   Checks should be made out to Transitions Therapy, LLC.

*Please note: There is a $35 fee for all returned checks.


New Clients


Transitions Therapy LLC is located on the 2nd floor of the main building at Hilliard Mills.  Yes, it’s an old mill building, and I can assure you, it looks much nicer on the inside than it does on the outside.

Upon entering the lobby from the main entrance, go up the stairwell that will be found on the left. The door to the stairwell is green.

When you arrive on the second floor, there are men and womens restrooms located to your left, near the elevator.  If you’d prefer to use a unisex/gender neutral bathroom, proceed to the end of the hallway, and take a left.  You’ll see the bathroom near the windows, on the right.

In my office there is a variety of beverages on hand for you to enjoy during your sessions. I have water, coffee, and tea always available. Sometimes there’s even hot chocolate!

Below are documents that provide important information regarding the policies and procedures of Transitions Therapy LLC.  If you’ve provided an email address during your consultation call with me, you’ll be provided with a link to your client portal, which will give you access to all of the documents below to sign electronically.  If for some reason you have not received your email, it would be very helpful for you to read and review these documents prior to your first appointment.

If you have any questions or concerns about information contained in these documents, please call Sarah A. Gilbert, LCSW of Transitions Therapy LLC at 860-884-8372 before you sign the consent to treat form.


Disclosure and Informed Consent

HIPAA Notice of Privacy Practices


Consent to Treat

Location and Hours

Phone – (860) 884-8372


642 Hilliard St, Suite 1212
Manchester, CT 06042

Hours :
Mon, Tues, Wed, Fri 10am-5pm
Thurs 12pm-8pm



Transitions Therapy LLC is located on the 2nd floor of the main building at Hilliard Mills.  There is a unisex/gender neutral bathroom on the 2nd floor.