I have a long history of working with LGBTQ individuals and couples and a significant portion of my caseload identifies as LGBTQ. More recently I have attended many trainings on working with transgender individuals, including several focused on adolescents. I maintain a close, collaborative relationship with Cincinnati Children’s Hospital gender clinic. I have assisted many clients with their gender identity concerns and supported them through their transitions. I am comfortable interacting and providing documentation for other institutions and provider such as schools and physicians.