Less fixing.
More uncovering

Therapy for adults exploring gender identity, navigating a major life transition, or feeling disconnected from the life you’ve built.

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Sarah, a white woman with a chin-length dark bob and blue eyes, smiles with her arms folded. She wears a teal blouse and a few beaded bracelets in lavender, blueish purple, and sky blue.
Trans, nonbinary, and gender-expansive folks LGBTQ+ communities Kink aware Polyamorous and Ethical Non-Monogamy affirming Major life transitions Divorce and breakups Career pivots Identity questions Adults 18+

You’re not broken…

You’re just buried under layers of expectations and roles. Together, we’ll untangle what’s authentically yours from the scripts you’ve been handed. With curiosity, compassion, honesty, and reverence for who you’ve been and who you’re becoming.

Life has a way of piling up expectations, roles, and “shoulds” until you can barely hear yourself anymore. Maybe you’ve hit a major life transition. Maybe you’re finally slowing down enough to ask, “Is this even me?” Maybe life is kicking you hard enough to force the painful question: am I living for myself, or for everyone else?

You don’t need to reinvent yourself. You probably just need to remember yourself.

I help people get real, and get unstuck.

I’m a seasoned therapist in private practice in Connecticut, working with motivated adults who are ready to do the work and experience meaningful change. Whether you’re exploring your gender identity, untangling a life transition, or trying to reconnect with who you are underneath all the roles, you don’t have to do it alone. In fact, you shouldn’t.

I bring warmth, clarity, and the occasional well-placed truth bomb to the work. No pretense. No clinical jargon maze. Just honest, grounded support for real growth.

This work is for you if…

  • You feel like you’ve been living someone else’s life
  • You’re navigating a major shift: career, relationship, identity, or all three
  • You’re questioning how you show up in the world, and who you actually want to be
  • You’re exploring your gender identity and want a therapist who gets it
  • You’re ready to stop performing and start uncovering

Areas of specialty

Gender affirming care

For humans specifically seeking out therapy to explore gender identity and transition, and for those who happen to be trans and don’t want to have to educate a therapist on their gender while getting care for something else. Ongoing individual therapy as well as stand-alone assessments for letters for gender affirming healthcare.

Life transitions & disruptions

For humans experiencing a major life change that’s left them wondering who they are and what’s next. Whether it’s the loss of a job, a relationship ending, a launch into adulthood, or retirement, get the support you need. Together we’ll weed through the rubble of disruption and excavate who you are underneath it all, to get grounded and clear on how to move forward in peace.

Sarah leans on the back of a cream armchair in a Queen T-shirt, smiling. Framed Freddie Mercury and Queen prints and a brass singing bowl sit on the desk behind her.

A little about me

I don’t believe people need fixing. I believe they need space, curiosity, and courage to uncover who they’ve always been, because it feels a lot harder and scarier than conforming to what feels safe.

I also believe strongly that therapy needs to be a place where humans can explore life-changing shifts at a pace that feels supportive, as safe as possible, and without guilt or shame. Since 2009, I’ve proudly supported countless people in navigating the messy business of unpacking damaging narratives they’ve internalized from family, society, and even past therapy experiences.

What it’s like to work with me

I prioritize a relational style in the work I get to do with humans each day. When you come into a therapy session with me, you’re invited to share about yourself in whatever way feels accessible to do. You don’t need to censor yourself in any way when we’re meeting; swearing, talking about politics, and sharing about your latest situationship is all welcome here.

It’s also important for you to know that I’m not going to rush you to disclose your past wounds, or aspects of your identity or relationships that you’d rather keep private. You’re invited to come to session and unpack your stuff in all the ways that feel possible and supportive to you.

Sarah smiles at the camera from behind an open laptop covered in stickers, including a rainbow, a row of cats in trans flag colors, and a Ted Lasso sticker. A stack of books sits beside her.

Who you’re working with

Endlessly curious

I’m deeply, endlessly curious about people, and it drives my passion for what I do.

Where I stand

Trans rights are human rights, science is real, the personal is political, and the DSM should be re-titled “people’s deeply human reactions to flawed systems and circumstances.” The DSM is the book mental health professionals use to detail and categorize diagnoses.

Therapist for nearly 20 years

A background in case management, ACT, outpatient therapy, and mobile crisis in non-profit agency settings. I started my private practice in 2014 out of a deep desire to sustainably support humans in a way that’s aligned with my values.

A long-standing Queen thing

I have a particular, long-standing special interest in the band Queen. I think Freddie Mercury is one of the ultimate icons in self-expression and authenticity.

Bring the pop culture

If you want to share about how a particular movie, TV show, or song moved you, or how it relates to your current circumstances, share away.

Outside of session

I’m a queer, cis woman. I’m also a mom and a wife. You will get my undivided attention in our sessions, and at times I may have to shift my schedule to accommodate childcare needs.

How we work together

Transitions Therapy is primarily a telehealth practice, so you can get support from your couch, your car, or wherever the WiFi is decent. In person sessions are available in West Hartford, CT on Thursdays. Individuals only, ages 18 and up.

Individual therapy

Confidential 50 minute sessions tailored to your goals, scheduled on a recurring or as needed basis. Letters of support for gender affirming care can be part of our work together.

$165 per session, or use in network insurance

Letters of support

Standalone assessments for gender affirming medical care, guided by the WPATH Standards of Care. No required session count, and no gatekeeping. You can book this without committing to ongoing therapy.

Sliding scale, $110 to $165 per session

Clinical consultation

One time or ongoing consultation for licensed mental health providers working with trans identified clients.

$165 per hour, $80 per half hour

Trainings and speaking

Customized trainings on trans affirming and inclusive care for professional, educational, and treatment settings. Since 2018, Sarah has trained hundreds of mental health professionals across Connecticut agencies and schools. Delivered virtually, or in person.

Rate depends on topic, budget, and number of attendees

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In network with

Aetna
Cigna
HUSKY Health Connecticut

As of January 1, 2022, under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Frequently asked questions

Therapy is highly individualized. Before you reach out, it helps to have some sense of what’s concerning you or what you want to change, so that on our consult call I can figure out whether I’m the right fit to support you. At your intake session, I’ll gather more about your current situation and history to understand where you want to be and what’s getting in the way. From there it’s collaborative: you and I build a plan that works for you. Consistency matters a lot for real results, so we’ll set a session schedule that fits your life. (Cancellation policy: 24 hours’ notice is required to cancel or reschedule. Cancellations inside 24 hours, or no-shows, are subject to an $80 fee, not covered by insurance, void where prohibited.)

A stable internet connection, a computer, laptop, or smartphone, and a private, distraction-free place to join. Please don’t join while driving or multitasking, and sessions need to be substance-free; therapy only works when you can give it your full, alert attention. Headphones or earbuds are recommended for better sound and privacy. If you’re joining from a phone, download the free Simple Practice telehealth app before your first session. When you log in, you can enter whatever name you’d like to be called. It doesn’t have to be your legal name.

I’m currently in network with Aetna, Husky, and Cigna. If you’re insured elsewhere, check whether you have out-of-network benefits. If you do, you’ll pay upfront, I’ll give you a detailed receipt (a Superbill), and you can submit it to your insurer for reimbursement. If you go this route, confirm your reimbursement rate ahead of time so there are no financial surprises.

Heck yes! This is one of the quiet gifts of virtual sessions: you can present as yourself without having to go out in public to do it. And if it’s not safe to present that way in your current environment, that’s completely okay too. Do what feels safest for you. Your identity will be affirmed, always. You are welcome to show up however you’d like for our time together.

Absolutely, and it’s often helpful. Clients frequently bring someone in for a session or two to help that person understand their experience, learn how to be a better support, or simply strengthen the relationship. It’s why your intake questionnaire asks whether you’d like anyone involved in your treatment.

Yes. I regularly provide assessments for trans-identified clients seeking a referral letter for hormone therapy or gender-affirming surgery, and it’s completely fine if that’s all you’re looking for rather than ongoing therapy. No hard feelings. My work follows the most current WPATH standards of care, and I don’t require a set number of sessions before writing a letter, because every situation is unique. I aim to provide thorough assessments without excessive gatekeeping, because people deserve the easiest possible access to their healthcare. (One note: if I’m writing a second referral letter, I’ll ask you to sign a release so I can contact the provider who wrote your first letter and collaborate on the surgery-readiness assessment.)

No. We build your letter collaboratively during our sessions, so you’re never billed beyond what you’re already paying per session. I’ve also signed the GALAP provider pledge, which means I offer one free session per month for clients seeking a gender-affirming healthcare letter. I believe in helping my trans clients access the care they need without cost standing in the way.

Yes. Bring your forms or any questions to a virtual session. As of January 2020, Connecticut driver’s licenses and state IDs no longer require a therapist or physician’s signature, so you can complete the form and self-select your gender marker. (Search “CT B-385” to find the form online.)

Not at all. Gender identity exploration is my specialty, but every other part of your life is welcome in session. If something comes up that’s outside my training, I’ll be upfront about it and help connect you to the right support alongside our work together.

Sarah stands with her back to the camera in a navy polka-dot top, facing a tall arched mirror. Her reflection grins back in purple mirrored sunglasses and a Queen T-shirt, throwing a peace sign.

Ready when you are

If you’re ready to explore what that could feel like, I’m here. Call 860-884-8372 or email sarah@transitionstherapyllc.com, or use the button below, and we’ll see if we’re a good fit. And if you’re not ready yet? No pressure. Bookmark this site and come back when it feels possible. I’ll still be here, doing the work.

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