I have been working directly with the LGBTQIA+ community for the past 20 years, which includes individuals (children, adolescents, and adults) and families. I started my private practice in 2018 to work as an outpatient therapist and worked with primarily LGBTQIA+ in individual therapy. I have written many letters of recommendation for HRT and Gender-affirming surgeries. I help families to learn about how affirming gender identity is suicide prevention to support children and youth as they explore their identities and gender journeys.