In addition to offering evidence-based therapy services, the clinicians at TREC DC are dedicated to providing culturally informed clinical services that can support individuals outside of therapy. We understand that every person’s experience with trauma is different, and we are committed to working with you to provide the support that you need to navigate your healing.

Psychological Assessment
We offer comprehensive psychological assessments to evaluate symptoms, clarify diagnoses, and provide recommendations for care and/or possible accommodations. 

Free Letters of Support for Gender-Affirming Care
We are committed to affirming and supporting the identities and well-being of trans and gender-diverse individuals. As part of that commitment, we offer letters in support of gender-affirming medical care—such as hormone therapy or surgery—free of charge. These letters are written in accordance with current best practices and standards (including WPATH guidelines) and are provided without requiring ongoing therapy. Our goal is to reduce barriers to care and ensure that all individuals can access the affirming medical support they need and deserve.

Psychological Assessment

We offer assessments designed to empower clients and their loved ones by providing clarity regarding diagnoses and potential tools and resources to help them move forward in a way that matches their values and goals. We employ a trauma-informed approach to this process, and work to provide affirming care that centers a clients’ experiences within their cultural, familial, and social contexts.

Types of assessment we offer:

  • Comprehensive psychological assessments: These assessments are designed to identify diagnoses that may be present for a specific individual; they focus on a person’s overall mental health symptoms, interpersonal experiences, and general social and emotional functioning. They can be used to help clients gain an understanding of themselves and their symptoms, guide recommendations for care, and connect to resources or tools. This process normally includes the completion of questionnaires, 3-5 hours of assessment, scoring and reporting writing (completed by the assessor), and a one-hour feedback session during which findings and recommendations are collaboratively discussed.
  • Second opinions (e.g., review and re-clarification of previous evaluations): This process involves a review of prior written reports, academic history, or psychiatric history. Following this review, we provide additional psychoeducation about the findings and will support identification of additional resources. Please note that we may identify alternative explanations based on the data provided, or affirm the findings/conclusions made in a way that can be best understood. A written summary of our interpretation can be provided, if requested.
 

What can’t we offer?

Providers at TREC DC do not maintain the competency to determine causal links in the case of evaluations for federal disability applications (e.g., we cannot state that a mental health condition causes disability to an individual). We simply report the findings of our evaluation, along with relevant recommendations, and it is up to you whether you would like to use this report in support of your disability application or appeal. If you are seeking an evaluation in support of you or your family member’s disability application, you must inform us during the phone consultation. We reserve the right to decline any disability-related evaluation requests.

At this time, we do not offer cognitive, psychoeducational, or neuropsychological testing.

Free Letters for Gender-Affirming Care

Individuals pursuing gender-affirming medical care are sometimes required to provide one or more letters of support from mental health professionals before beginning treatments such as hormone therapy or surgery. This is often requested by medical providers in alignment with current WPATH standards of care, and may also be required by insurance companies before approving coverage.

The purpose of these letters is typically to confirm a diagnosis of gender dysphoria, outline the individual’s readiness for medical care, and affirm that the requested treatment is clinically appropriate and aligned with the person’s gender identity.

Free letter writing session:

We offer one complimentary session for individuals seeking documentation in support of gender-affirming care. This session provides an opportunity to meet with one of our TREC DC providers and complete the necessary letter together.

  • Collaborative & Transparent Process
    We believe in a collaborative approach to writing these letters. During the session, we will write the letter together, ensuring that your voice is centered and that you understand the ways the document can support you in accessing the care you deserve.
  • You Are the Expert on You
    We fully affirm that you are the only expert on your gender identity. We respect your individual journey and trust in your ability to know and define who you are. Our role is simply to help remove barriers, writing a letter as a tool to support access to your chosen medical interventions.
 

How does it work?

To get started, please submit a request below and be sure to include the state you live in so we can connect you with the appropriate provider. We’ll follow up to schedule your free, one-time letter writing session.

If possible, please come prepared with details about your medical provider’s requirements for the letter. If you’d like us to send the letter directly to your provider, we’ll need a signed release of information.

You will receive an electronic copy of your letter. If you meet with us in person, we’re happy to provide a printed copy as well.

 

For your awareness:

While each of our TREC DC providers may not have lived experiences of being trans or gender-diverse, each of our letter writers has worked with transgender and nonbinary clients for several years. They are familiar with the WPATH Standards of Care 8, participate in ongoing continuing education related to transgender issues, actively participate in transgender community groups, and am an active advocate for transgender clients, students, and communities. 

 

Therapy Inquiry

We are currently accepting new clients.

You can book an initial consultation with us using the button above.

Alternately, you are welcome to complete the form below to inquire about our therapy services. A team member will be in contact as soon as possible to follow-up with more information and answer any questions you might have.

We look forward to hearing from you!

Please note that you must be 18 years or older to schedule an initial consultation. We are primarily out-of-network, virtual providers. If you have additional questions about our services, please see our FAQ page

TREC DC logo 5

Let's keep in touch!

Sign up to receive updates from TREC DC including updates on blog posts, new team members, group offerings, and more.

We don’t spam! Read our privacy policy for more info.

Send Us a Quick Message

Skip to content