I believe that trans and non-binary people should have access to gender affirming medical care without being required to participate in therapy or get a letter from a mental health provider.  However, if you are in need of a letter from a mental health professional for access to gender affirming, I can generally complete a letter in one session. Ongoing therapy is not required. 

I have experience writing letters for folks with complex mental health histories (for example, history of hospitalization for mental health care and/or conditions that can affect judgment such as psychosis).

PAY WHAT YOU CAN

My full fee is $160, and I offer this service on a 'pay what you can' sliding scale based on your financial circumstances. 

ADDITIONAL RESOURCES for low cost and single-session letter evaluations include:

Interconnections Healing Center (Pay What You Can, includes PhD/PsyD providers): www.interconnectionshealing.com/

Protea Wellness: https://www.proteawellness.org

The Gender Affirming Letter Access Project (GALAP), a network of providers offering pro bono letter writing services: https://thegalap.org

This list includes many therapists in Washington (and other states) who will provide a letter in one session.