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 860-222-2529 today to discuss your treatment needs.



About You and Me

Therapy can be scary.  Think about it; you’re probably wrestling 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.  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.

I could list off all my credentials, my training and my experience here, but the fact is, that’s not what’s most important to you right now.  (Please feel free to ask me for this information at any time, but, really let’s get back to what brings you here).  You’re hurting; you don’t know who you are anymore, and you’re not sure how to get to where you want to be.

It is important for you to know that you matter, and that you deserve to live your life with a clear sense of your identity.  You need to be connected with 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.

Transitions Therapy LLC is driven by a passion to help people connect to their truly unique, amazing identities.  Whether you’re struggling to re-discover your sense of self after an unexpected life transition., or you’re ready to explore and develop your gender identity, I can help, and I would be excited to work with you.

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 create a better sense of themselves, which leads to healing relationships, decreased uncertainty, and increased confidence.

If this sounds like a good fit for you, please call Sarah A. Gilbert at 860-222-2529 to discuss your unique treatment needs.


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.


Life transitions/Identity editing

Your life was going in one particular direction; you had the education, the job, the relationship, the friends you wanted. Maybe it wasn’t perfect, but you knew where you were headed, and you felt secure. And then, something unexpected happened; your partner ended the relationship, you lost that job. Maybe you got injured, and now you can’t do the things you once could without a whole lot of pain, shame, and aggravation.  You used to know your greatness, but now, you just think of yourself in the past as that awesome person you used to know.

Life is full of unexpected twists and turns, and it can really leave a broken, shaken sense of self in it’s wake.  We can feel sad, restless, anxious, or just feeling stuck. We judge ourselves harshly in light of what once was.  Engaging in therapy to unpack all that resentment, frustration, shame, and self-loathing can get you back on track to seeing your awesomeness.  Therapy can help you to find your new identity, to discover who you are, in light of what now is.

Transgender affirmative care

Sure it’s 2017, but we still live in a culture of tremendous pressure to conform; to present with a gender that’s expected 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”.

I bring to my work a wealth of experience with the LGBTQ community, supported by ongoing training in work with transgender individuals and their families. I have worked with late adolescents and adults, on anything from clarifying gender identity, to planning HRT and gender-affirmation surgery. My work is guided by the view that each person’s transition process is highly individual, and needs to be treated with the utmost respect.

Both office locations have unisex bathrooms available for use.  Should you wish to change into more comfortable clothing in line with your gender identity for your session, you are welcome to do so in the privacy of Sarah’s office.



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.  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.

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 860-222-2529 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) 222-2529


642 Hilliard St, Suite 1212
Manchester, CT 06042

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

**09/2017: Daytime availability only at this time****


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.