Services

Kids

  • Gender-diverse kids need adults who can support them while they explore and discover gender expression.

    In session, children get to play and make art with an LGBTQ+ therapist while gently looking at gender expression, anxiety, self-esteem and social struggles.

  • Connecting with a safe(r) therapist has been shown to reduce short-term struggles such as having big emotions, issues with attending daycare/school, and depression.

    Long-term, this reduces the development of more severe symptoms once adolescence is reached.

    Without support, gender-diverse children are at higher rates of developing issues in adolescence with food, depression, anxiety, suicide ideation, and self-harm.

  • Every child has different needs. Some children can tolerate 30-minute sessions, while others can attend a 60-minute session.

    Session time allotment is discussed upon intake, but typically, the first few sessions are 30 minutes for children.

    30 Minutes - 60$

    45 Minutes - 80$

    60 Minutes - 120$

Teens

  • Being a teen is already hard enough - but being a LGBTQ+ teen adds a layer to navigating the world!

    Teens need safe(r) places to connect and process their internal worlds.

    With a relaxed environment that is ADHD friendly, teens get to connect with a queer and trans therapist to unpack big feelings, gender, worries, school, friendships and more.

  • Connecting with an LGBTQ+ therapist will allow you or your child a place to be seen and heard for who they are.

    Sadly, rates of suicide, self-harm and high-risk coping strategies are exorbitant in LGBTQ+ adolescents.

    Having a space to unpack all of their thoughts and emotions is crucial to their well-being, especially with an LGBTQ+ therapist.

    A variety of approaches are offered to alleviate anxiety and ADHD, like making art, playing games, and going for walks!

    Teens can also receive further guidance in transition needs, including access to medically necessary health services such as HRT and blockers.

  • Depending on individual comfort level and level of tolerance for sessions, length varies from 30, 45, or 60 minutes.

    30 Minutes - 60$

    45 Minutes - 80$

    60 Minutes - 120$

Families

  • Are you looking to better understand your child or teen who is expressing gender variance or who has shared they are LGBTQ+?

    In session, parents and guardians get to work through grief, confusion and loss as they support their child.

    Parents also gain access to a vast archive of resources to better understand the LGBTQ+ community.

  • As parents, your love and support will be the #1 protective factor for your LGBTQ+ child to survive.

    Without their parental or guardian support, LGBTQ+ children and teens are at exuberantly higher rates of dying by suicide.

    Consulting and learning about LGBTQ+ identities to better understand your child will ensure they thrive into adulthood.

  • 60 minutes

    Couples/Parents - 180$

    Family session - 200$

Adults - tHERAPY

  • LGBTQ+ adults carry unique “back packs” of pain from living in a world of homophobia, and transphobia, not to mention their many other vantage points of lived experiences.

    In session, adults will have space to move through their concerns at their own pace with therapy approaches grounded in therapies that look at the “root cause” of problems, hailing from Internal Family Systems (IFS), Narrative Therapies, and systems analysis.

  • Having access to a trans, queer and neurodivergent therapist can be an essential element to feeling seen and understood.

    In session, adults get to explore what is getting in the way of finding a life filled with ease, calm and contentment.

  • In-person or online

    30 Minutes - 60$

    45 Minutes - 80$

    60 Minutes - 120$

ADULTS - ASSESSMENT

  • Are you an adult seeking hormone replacement therapy or gender-affirming surgery?

    Throughout 1 to 3 sessions, adults can review what to expect from certain gender-affirming healthcare services, assess for the presence of gender dysphoria, and obtain assessment reports.

  • To obtain a referral for Hormone Replacement Therapy (HRT)

    To obtain a referral for gender-affirming surgery (inside & outside of the province)

  • 60 Minutes - 120$

facilitator

  • Are you In session, parents and guardians get to work through grief, confusion and loss as they support their child.

    Parents also gain access to a vast archive of resources to better understand the LGBTQ+ community.

  • 60 minutes

    Couples/Parents - 180$

    Family session - 200$

FAQ

intro consultations

  • 60 mins Online Video Call

  • Rate 120$

  • Mandatory for Every Client

  • Review goals & expectations

  • Finding right fit

  • Referral & liaison if not right fit

Sessions

  • Online or in-person

  • Rate 120-200$

  • No Direct Billing

  • Payable to therapy (at) zivirichard (dot) com

  • Office address confirmed upon appointment

  • Registered with all major insurance providers

SUPPORT & REFER

  • Hormone Replacement Therapy

  • Puberty Blockers

  • Gender Affirming Surgeries

  • Name Changes

  • Gender Marker