Contact me today at 860-884-8372 to schedule any of these services

Individual therapy:

Confidential individual therapy sessions are offered for people ages 15 and up.  Individual therapy is aimed at helping people reach their identified goal(s) for change, and is tailored to one’s specific unique needs.  Sessions are typically 50 minutes in length and scheduled on a varied or recurrent basis.  Letters of support for gender -affirming medical treatment can be done as part of therapy. People may use insurance benefits for sessions, or pay the self pay rate of $140 per session.

Letters of support for gender-affirming medical treatment:

Transitions Therapy LLC provides assessments for gender-affirming surgical procedures.  As a seasoned, trans competent therapist, Sarah Gilbert, LCSW has great familiarity with the process of writing letters of support for cross-hormone treatment and surgical procedures as well as the WPATH Standards of Care.  This is offered as a stand-alone service; meaning that you can schedule sessions with Sarah just for an assessment, rather than ongoing therapy.  As someone who’s committed to not be a gatekeeper in trans healthcare, Sarah does not require a set number of sessions before this letter will be completed. People may use insurance benefits for sessions, or pay the self pay rate of $140 per session.

Clinical Consultation:

For licensed mental health providers who need one-time or ongoing consultation regarding their work with trans-identified clients, Transitions Therapy LLC offers clinical consultation.  Investment: $160 per one hour session.

Trainings, speaking on trans-affirming care:

Throughout the year, Transitions Therapy LLC will schedule live webinars for mental health professionals, which will be listed on the Events page of this website.  Additionally, Sarah Gilbert LCSW is available for speaking engagements and trainings by request. Please send training/speaking requests to

Photos by Kyle (above) and Delia Giandeini on Unsplash