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Feeling strong with gender affirming therapist in Madison, WI with gender affirming care and therapy for letters of support for surgery too. Reach out now for online therapy in Wisconsin here!

Affirming Care

Golden Vibes Counseling Center is committed to providing gender-affirming care in an inclusive and respectful way. Our caring, professional therapists will provide support, including letters of support for surgery, for gender non-conforming, transgender, and/or non-binary clients in the following ways:


Ongoing Individual Therapy For Trans+ and Non-Binary Folx


We do not believe that transgender and non-binary people need therapy to make informed decisions about their bodies, transitions, or lives.  We do believe that systemic oppression can take a toll, and strive to create space in therapy where an individual’s experience of that toll can be understood, supported, and alleviated. 

Many of our therapists are trained specifically in gender-affirming care best practices and work with transgender, nonbinary, and gender-questioning clients on their self-identified goals.  This may include exploration of these identities as a primary goal of therapy, or may simply involve acknowledging these identities as just one part of a person’s complex web of identities and experiences worthy of exploration and support.

In this, as in all areas, we strive to provide the highest level of culturally responsive care and are committed to our own ongoing self-education and reflection. At Golden Vibes Counseling Center, we know how hard you’ve had to work to get this far.


Barriers to Gender-Affirming Mental Health Care


  • Financial logistics.

  • Insurance hoops.

  • Doctor appointments.

  • Unsupportive or hostile family.

  • Uncertain or unsure partner.

  • Co-occurring mental health concerns.

  • Fears about work or community acceptance.

Plus, countless conversations explaining why you need the care you need and why you are whom you say you are.


The thing is, you deserve easy access to gender-affirming care. 

We practice from an informed consent model–trusting in your ability to make informed healthcare decisions. We believe you shouldn’t have to see a therapist at all in order to access the medical care you need. 

We are uncomfortable (to put it lightly) with the way our “voice’ as therapists counts more than the voices of intersex, transgender, and gender non-conforming individuals seeking treatment when it comes to deciding what therapies are needed.  


As a Gender Therapist, We Get What You Need. Including, Letters of Support

We also recognize that in order to get many of the therapies you need, your doctor or insurance company may require a letter of support from a licensed mental health therapist or another licensed clinician. As such, we offer gender-affirming care consultations for Individuals seeking letters for surgery or other care.


Simply Put, Your Gender Therapist is Here For YOU.

We try to make the process as simple as possible and approach our role with humility. You complete paperwork in advance of your appointment via our patient portal. We meet for an intake to determine the length that is needed to provide the letter.   We try to get the letter back to you as soon as possible for you to review and approve before sending it along to your doctor. We can do telehealth or in-person consults.

With Gender-Affirming Counseling Here, You Will Not Be Further Marginalized

If your insurance doesn’t cover the cost of this consult, then we don’t want you to pay for it. We refuse to profit off of a system that marginalizes you. We reserve several slots each month for free, gender-affirming care consults. (We’re proud to be part of a group of mental health professionals that believes in improving access to gender-affirming care and resists clinician gatekeeping around gender identity.)

Letters of Support for Gender-Affirming Surgery


If you need therapist support for chest surgery, gender-affirming genital surgery, or any other medical care, please reach out to us today by emailing us at

Note: Many doctors are now willing to provide hormone therapy with a patient’s informed consent and without a letter from a mental health therapist. 


Gender Affirming Equality sign being held by a woman with grey nails. You will be treated with respect with a gender affirming therapist in Madison, WI with gender affirming care and therapy for letters of support for surgery too. Reach out now for online therapy in Wisconsin here!
Freedom with gender affirmation therapy feels like this woman putting her hands in the air with birds flying all around looking happy and free. You can be heard too, with gender affirming therapist in Madison, WI with gender affirming care and therapy for letters of support for surgery too. Reach out now for online therapy in Wisconsin here!

Begin Gender-Affirming Therapy in Madison, WI

When you are ready to start gender therapy, we are here for you. We know that getting started with a new therapist can itself be a source of stress and worry, so we make it simple! Our Madison, WI-based therapists can even help you anywhere in the state with online therapy in Wisconsin. To get started with your gender-affirming care, just follow these three steps:

  1. Call our office at 608-571-0558 or e-mail us to make an appointment

  2. Talk with our Client Care Coordinator to find the best gender therapist for you

  3. Start your journey to a more fulfilled and free life now.

More Mental Health Services at Golden Vibes Counseling Center

At our Madison, WI therapy clinic, we want you to feel comfortable. We know you are a multi-faceted person with a wide range of needs and concerns. That's why we have a lot of different ways to serve you. From therapy in our chic, contemporary counseling space to expert online counseling in Wisconsin, we are ready to meet you where you are. Our professional therapists can help you using a variety of approaches including CBT, EMDR, and Brainspotting. These methods can help with trauma therapysexual assault recovery, depression treatmentanxiety therapy, reproductive or maternal mental health, multicultural counseling, and more. We also specialize in LGBTQAI+ counseling and poly-affirming therapies. We truly look forward to meeting you and getting to know you as an individual.

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