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LGBTQIA+ Services

LGBTQIA-Services

Dr. Sage Willis, PhD, primarily works with adolescents and college students (ages 13-23), and with LGBTQIA+ individuals, with a particular emphasis on the transgender and gender non-conforming (trans) community. Dr. Willis enjoys working with clients who may be exploring identity in general, as well as experiences related to gender. They work with a range of concerns, including, but not limited to, depression, bipolar disorder, anxiety, grief, interpersonal difficulties and spiritual or religious issues.

Dr. Willis welcomes all queer identities, including lesbian, gay, bisexual, pan, poly, Ace, demi, intersex and other identities. They welcome people from all walks of life, including those who do not identify as LGBTQIA+.

Dr. Willis primarily works from Cognitive-Behavioral, Interpersonal Process, Compassion Focused, and Emotion Focused approaches but tailors their approach for every person, since every person is unique.

Services and Fees:

Service

Cost

Billed to Insurance (In Network)*

Intake Assessment for Therapy and/or Diagnosis

$250 (55 minutes)

Yes – Sendan will bill insurance

 

Individual Psychotherapy

 

$165 (55 minutes)

 

Yes – Sendan will bill insurance

 

Hormone Therapy Evaluation

 

$250 (55 minutes)

 

Yes – Sendan will bill insurance

 

Hormone Therapy Referral Letter or Report (if clinically appropriate)

 

 

$165 administrative flat fee

–          Includes time for chart review, letter write up, consultation with other health care professionals if needed

 

No – Patient is responsible for payment; insurance will not be billed

 

 

Surgery Evaluation

 

Surgery Evaluation Referral Letter or Report (if clinically appropriate)

 

 

 

 

$250 per 55-minute hour

 

 

$250 flat fee:

–          Includes time for chart review, letter write up, consultation with surgeon or other health care professionals if needed

 

Yes – Sendan will bill insurance

 

No – Patient is responsible for payment; insurance will not be billed

 

Please note: Dr. Willis cannot guarantee that they will write a hormone therapy or surgery referral letter for any client.  Such a determination is made after a thorough evaluation that clearly concludes that such a letter is clinically warranted. Moreover, the evaluation process may take multiple visits.

FAQ:

Do you work with people who are not LGBTQIA+?

What ages do you work with?

Is there anybody you don’t work with?

Do you write letters for surgery or hormones for transgender patients?

How many times do I need to see you before I can get a letter or evaluation report?

You’ve never met me before, but I have a surgery consultation in 3 days and I need a letter now! Can you do this for me?

I’m a transgender minor and my parents don’t want me to transition medically. Will you write me a letter anyway?

Do you prescribe hormones or other medications?

Do you ever meet with parents (or other important people in my life)?

Help! I’m a parent and my 7-year-old just told me that they are transgender! Will you see my child?

I also think I have Asperger’s/autism or ADHD. Do you evaluate for those things too?

I worry that I’m not “trans enough” to worry so much about transgender topics or talk about my gender. Do you work with people like me?

Yes, I’m transgender or non-binary or otherwise LGBTQIA+, but that’s not what I want to talk about. Can I just come in and talk about other things?

I heard about a therapy called CBT or cognitive behavioral therapy. Do you do that kind of thing?

Do you provide workshops/trainings to organizations or students?

 

Do you work with people who are not LGBTQIA+?

Certainly! I love working with teenagers and college students in general, and I work with people who are straight and/or cis-gender (not transgender).

What ages do you work with?

I see people from ages 13 to 23.

Is there anybody you don’t work with?

My goal is for you to receive the best care so that you have the best outcome possible. Sometimes that may be with me, and sometimes, that may be with a different clinician. That is okay and actually pretty normal.

I typically do not see clients who are on the autism spectrum to a moderate or greater degree. I find that my often metaphorical, dry, sarcastic, abstract way of interacting can frustrate people with autism more than it helps. Again, I want clients to have the best experience possible, and I recognize that I may not be the best clinician for people with autism.

 I also do not work with people who have current/active eating disorders. If you have a history of disordered eating, that’s okay and nothing to be ashamed of. But again, I want to make sure you receive the best care possible if you need to work on stabilizing and treating disordered eating.

I also don’t work with people who are registered sex offenders.  I don’t see people who are mandated to treatment, people with severe difficulties with drugs or alcohol, or people who are just not very motivated to go to therapy. I choose to work with people who want to be seen and make changes rather than people who have to be seen against their will or do not want to change.

If you need to make an appointment with someone who does work with these populations, please ask the front desk about openings with other Sendan clinicians or referrals outside of the clinic.

Do you write letters for surgery or hormones for transgender patients?

Yes! I write letters for my therapy clients, and I also do evaluations/interviews with a report for clients who do not wish to pursue psychotherapy.

I consider each case on a case-by-case basis. I do not know if I will write a letter recommending surgery or hormones until after I have done an evaluation.  As such, payment for evaluation services does not guarantee any particular outcome (what diagnoses or recommendations I may make based on my professional judgment).

How many times do I need to see you before I can get a letter or evaluation report?

I don’t have a set magic number. Everything depends on a case-by-case basis, but I try to be as efficient as possible. If you come in telling me that you do not want therapy with me, that is okay. Therapy is not a requirement for gaining access to medical care although I may recommend therapy depending on what else is going on with you. If I’m doing an evaluation, I may only need to meet with you once or twice (55-minutes per time). But again, this is on a case-by-case basis and I make no guarantees that it may only be one or two meetings.

You’ve never met me before, but I have a surgery consultation in 3 days and I need a letter or evaluation report for surgery now! Can you do this for me?

I can’t guarantee that I will have availability in my schedule to meet with you that quickly, and even if I can meet that quickly, I can’t guarantee that I will be able to produce an evaluation report within this short of a time span. There are a number of factors that contribute to my turn-around time. Typically, I ask for at least two weeks’ notice if I have met with you before and I generally know what’s going on with you. If I’ve never seen you before, I have no way of knowing beforehand if I will need to meet with you again or how much time I will need to conceptualize and write up your report. Also, I can’t and won’t guarantee before meeting you that I will recommend a particular course of action or give a particular diagnosis.

I’m a transgender minor and my parents don’t want me to transition, but will you still write me a letter so I can do it anyway?

If you are a minor, your parents have legal custody of you/you are not emancipated, and your parents do not consent to medical transition, I’m not going to write a letter saying that you must medically transition right now. I can note in a letter that a treatment might be helpful for alleviating gender dysphoria, but I will also note in such a letter that your parents do not consent, parental consent for minors is important, and lacking consent, treatment is contraindicated at the moment. Ultimately, the prescriber will make the decision as to whether or not they want to prescribe (I cannot make them do anything or stop them from doing something). But chances are good that the prescriber is also not going to go against whoever has legal custody for you.

Besides, how would you plan to successfully hide a 5-o’clock shadow or breast development/curves from your parents anyway? While you probably won’t transform overnight, your parents might start to wonder what’s up before too long.

All of that said though, that doesn’t mean that I don’t support you or care about you. It just means that your parents have legal guardianship and maybe you and I need to work on finding other ways to help you feel better until you are a bit older and can decide then if you still want to make medical changes. Also, it’s important to note that although your parents may be going through their own intellectual and emotional process of understanding your gender or transgender topics in general, that doesn’t mean it’s the end of the story. Often, parents need time. Ultimately, even if they don’t understand right now, if they are good and loving parents, they care about you and your happiness. They want what’s best for you and chances are, they are trying to protect you the best way they know how. If you want me to meet with your parent, I’m happy to do that as a way to help support you, educate them, and address concerns they or you might have. And, again, you and I can talk about other ways to help you feel better and feel that your gender is affirmed even in the absence of medical interventions.

Do you prescribe hormones or any other medications (e.g., anti-depressants, other psychiatric medications, etc.)?

As a psychologist (PhD), I do not write prescriptions or manage medications. However, I can refer you to the appropriate medical professionals (nurses, MDs, etc.) who may be able to help you with this.

Do you ever meet with parents (or other significant people in my life)?

Yes! Sometimes, it can be helpful to have a joint meeting with you and parents (or other important people). However, I only do this with the written consent of and prior discussion with you if you’re my client. Parents or others cannot join the session unless I have this written consent first and if I’ve talked to you to determine that you are not being coerced.

Help! I’m a parent and my 7-year-old just told me that they are transgender! Will you see my child?

I don’t work with kiddos younger than age 13. However, I’m happy to meet with you and we can talk about your thoughts and feelings, as well as how to be a safe and supportive person to your gender creative child. It’s entirely possible that your child may or may not continue identifying as transgender as they get older, but whether they do or not, your response is still important.. And, if your child does need therapy right now, you might find it helpful to establish care with other Sendan Center therapists who do work with children under the age of 13.  

I think I also have Asperger’s/autism or ADHD. Do you evaluate for those things too?

No, I do not do this sort of assessment. However, there are other good people at the Sendan Center who do conduct such assessments and you’re welcome to see them for that if needed.

I worry that I’m not “trans enough” to worry so much about transgender topics or talk about my gender. Do you work with people like me?

All day long! This is excellent fodder for therapy and you are welcome to bring your questioning and uncertainty here. Come as you are!

Yes, I’m transgender or non-binary or otherwise LGBTQIA+, but that’s not what I want to talk about. Can I just come in and talk about other things?

Of course! You’re a real, live, whole person and there’s plenty of other things about your identity or other things you may have on your mind. That’s totally okay. Come as you are!

I heard about a therapy called CBT or cognitive behavioral therapy. Do you do that kind of thing?

Yes. I tend to blend and borrow from different therapy approaches, depending on what a particular client may need, but I often do utilize CBT in my work. A lot of my work is also influenced by compassion-focused therapy, interpersonal process, and emotion-focused therapy, but you can ask me about other approaches too.

Do you provide workshops/trainings to organizations or students?

Please contact the Sendan Center with any workshop or training requests (smookherjee@sendancenter.com). Our clinicians are often asked to speak to community organizations or groups. In addition, we can provide certified Youth Safety and Resiliency (LGBTQ) training.