Realizing you’re transgender can be exhilarating and frustrating

Things make sense! Instead of wishing you were a girl, you can just be a girl. Instead of feeling like no gender really fits, you don’t have to have a gender. Moving from what you were assigned at birth to who you really are is a fantastic experience.

At the same time, it can be frustrating when other people don’t get it. Family members might act like they’ve lost a child, when you’ve been the same person this whole time. Teachers and doctors might act weird. And society - yeah, there's some issues there.

If you’re transgender, genderqueer, or haven’t found a identity that feels right, please reach out. I’d love to help you be more fully who you are.

I’ve learned something in all my time working with teens:
the way out is to be more - not less - of you.


What do we do in therapy?


Therapy involves investigating, reflecting, and doing. How are you feeling? What affects your mood? What expectations are you holding? What do you connect with? What makes you come alive? In therapy, we work together to parse and understand your feelings. We turn this miasma into something manageable - even usable.

I also see people for a single-session to create “transition roadmap” plans. Many people want to talk to a third party about how they want to come out to family, physically or socially transition. I provide consultations where we can talk about your options in a supportive, non-judgmental, affirming atmosphere.

You deserve competent providers.

My wife realized she was transgender a few months into our marriage. As we started looking into doctors and therapists who could support her, I realized how few providers were skilled in dealing with these issues. Transgender and non-binary people shouldn’t have to know more than their doctors or therapists in order to receive adequate care. I can't claim to understand what it's like to be another person. What I can promise is that I will try to be as competent and well-equipped as I can in order to navigate this together.

Trauma-informed Therapy

Many trans people that I’ve worked with have told me they’ve wanted to work on difficult issues, but have had negative experiences with therapy in the past. It’s okay to be hesitant. I won’t ask you to talk about anything if you’re not ready. You don’t have to trust me until you actually genuinely do.

The trauma therapy I use is called Cognitive Processing Therapy (CPT). This involves getting desensitized to the traumatic events, as well as changing painful beliefs that you’re left with. CPT is an evidence-based therapy with a lot of research and support behind it.

HRT and SRS letters

If you’re wanting to start hormone replacement therapy (also known as taking cross-sex hormones) or you’re on the path to getting Sex Reassignment/Gender Confirmation Surgery, I provide letters.

Let’s be honest: I know some people aren’t interested in therapy and just want to start hormones. If you just want to start HRT, I’d recommend checking out Planned Parenthood. Many locations offer HRT prescriptions without needing a letter.


Therapy isn’t one-size-fits-all. Some benefit in a few sessions, while others create huge changes over several sessions.

50-minute sessions are $175.

The initial 80-minute session is $280. This involves a comprehensive assessment, including history and current functioning. Often, multiple family members will provide their perspectives and concerns.

Sliding Scale:


I am committed to everyone having access to mental health treatment. Therefore, I have a few lower-cost Open Path slots available. Please check this link to see if there are any current openings.

Online Therapy:


Kimberly Vered Shashoua is a Licensed Clinical Social Worker, able to provide therapy in the states of North Carolina (#C011412) and Texas (#59797). Online therapy is available for those who can’t make it in-person.


I do not take insurance, but I can provide a superbill that you can send to your insurance.


Everyone is unique and has different needs. If after the initial consultation, it seems like we might not be a match, I am happy to provide referrals.


Ready to start?

Schedule your free 15-minute phone consultation today.

Let's see how we can work together to help bring you into a better life.