The past eight years gender and sexually diverse care has been at the core of my work. I am also a clinician with lived experience of being fat, gay, and non-binary. I have take numerous trainings on trans care, LGBTQ issues and gender affirming care. I write WPATH letters to support my clients in aligning their physicals bodies. I also provide these letters free of charge if client is unable to pay. Starting in January I will be taking a training focusing on Internal Family Systems specifically to work with other with gender and sexually diverse clinicians. I also recently participated in a study aimed to bring light to the barriers to receiving gender affirming care and how folks are going outside systems to meet their needs.