I work with gay and lesbian patients who have issues with coming out, acceptance of self, internalized homophobia and social challenges. I work from affirmative position, assisting gay and lesbian issues in developing a healthy sense of self and reaching the goals they have identified. Additionally, I work with transgender and gender fluid individuals assisting them through their transition, helping them to deal with societal pressures and general mental health concerns. I also evaluate and write letters for patients seeking gender confirmation surgery.
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