Ways We Can Work Together
Each path is shaped by your story, your pace, and what you want from the time. How each is paid for is on the fees page.
Core OfferingIndividual Therapy
A private hour for self-exploration, emotional processing and building the inner resources that help you meet life with more ease.
Book a ConsultationFifty-minute sessions
Integrative: Acceptance and Commitment Therapy, psychodynamic, body-based
In the Portland office or by video
Your clinician sets the pace with you
SpecializedAnxiety & Overwhelm
When the world feels too loud and your body won't settle, we work with body awareness and Acceptance and Commitment Therapy to help you find ground again.
Book a ConsultationAcceptance and Commitment Therapy
Body-based awareness practices
Practical tools for everyday grounding
SpecializedGrief & Loss
Loss reshapes everything. We create space for all the feelings — the expected ones and the ones that surprise you — without rushing toward resolution.
Book a ConsultationNo timeline, no expected order
Room for the losses that go unrecognized
Body-based ways of meeting loss
RelationalRelationship Patterns
Exploring how early attachment shapes current connections. Understanding your patterns is the first step toward choosing differently.
Book a ConsultationLooking at attachment and early patterns
Communication and boundaries
Partners, family and chosen family
GrowthLife Transitions
Coming out, transition, a move, a new job, becoming a parent, leaving a faith or a relationship: the stretches where the old map no longer applies.
Book a ConsultationClarifying what matters to you
Room for identity questions
Support with decisions
Group Therapy
Small groups for LGBTQ+ adults, when one is running. Ask when you write.
Book a ConsultationAdults only
Led by Dr. Nash
Letters policy
Letters and paperwork
In plain words, so you know before you ask.
Letters for gender-affirming care
Dr. Nash writes letters of support for hormones, surgery or a legal name and gender marker change when she has worked with you long enough to speak to it honestly. She does not decide who you are, and a letter is not promised in advance.
What a letter says
It says what she knows from your sessions, in plain words. Some surgeons, courts and insurers have their own requirements. She tells you what she can write and what she cannot before she starts.
How it is paid for
Writing a letter is part of the work in session. If it takes extra time, you hear that in writing first.
Questions about a service or a letter?
Write to us and we will answer before you book anything.