Panorama Therapy | Miranda Nadeau Ph.D., Psychologist

Gender-Affirming Therapy in Washington

Caring for Your Authentic Self in Gender Therapy

Embracing and showing up as your fullest, most genuine self can be tough without adequate support. With Washington gender therapy, you can stand in your truth with pride.

Trans, non-binary, and gender-expansive folks in the Evergreen State: we see you and celebrate you.

We offer a safe(r) space in therapy where you will be affirmed, validated, and empowered. The name Panorama isn’t accidental; it’s a commitment to an expansive view of what gender and life can be. Read on for more about gender therapy and affirming referral letters.

I see and admire every day what it’s like to navigate our current world as trans or gender diverse. I strive to be your impassioned champion and a resource to you in every step of the way. – Miranda Nadeau, Ph.D.

An outline of the state of Washington with the transgender flag filled in. We provide gender therapy in Washington.

Meeting You Where You Are

Whether you’re still figuring things out, deep in the process, or just trying to hold it all together while the political climate does its worst, we’re here.

Get started with gender-affirming therapy in Seattle, Spokane, Tacoma, Bellevue, Vancouver, or any of the vibrant cities across Washington.

Empowering and Affirming Gender Therapy in the Evergreen State

Multicolor hair person smiling

We all flourish best when we are encouraged to find and explore who we are, while being supported and held in our identities. With a Panorama Therapy gender therapist in Washington, you’ll develop resilience, self-compassion, affirmation from within, and a sense of agency over your life.

In honoring Washington’s vibrant diversity, we prioritize anti-oppressive and anti-racist practice, checking our varying privileges and honoring how your physical and mental health is shaped by a range of intersecting identities and experiences.

We believe in the power of feeling validated, affirmed, appreciated, and understood in therapy. Ready to begin gender-affirming therapy in Washington state?

  1. Reach out to schedule your free consultation using our contact form.
  2. Get connected with a Washington gender-affirming therapist who is excited to connect with you.
  3. Experience being heard, affirmed, and empowered in a relationship of earned trust.

Gender-Affirming Referral Letters

We offer gender-affirming referral letters as a core part of our commitment to trans allyship. We provide affirming referral letters for hormone therapy (HRT) and surgeries including top surgery (chest reconstruction & masculinization, breast augmentation), bottom surgery (e.g., orchiectomy, vaginoplasty, metoidioplasty, phalloplasty, etc.), and the many other options for gender-affirming medical care. Schedule here.

Informed consent model. We operate on a simple principle: if you can consent to a treatment, you should have access to it. You know your body and your life; we trust that. Most referral letters are written after a single hour-long session, during which we verify your diagnosis and talk about your hopes and plans.

Affirming referral letters are available to trans and gender-expansive folks in Texas, Colorado, New Jersey, Florida, and 30+ other states nationwide. Letters follow the Standards of Care put forth by WPATH.

We are limited in how many appointments we can offer each month, so you may be asked to wait for your referral letter session. If you are interested in a letter, contact us to get started. Other letter writers nationwide can be found through The Gender Affirming Letter Access Project (GALAP).

Relevant Training

Trans rainbow drawn in chalk

Gender therapy is work we’ve trained in deeply and care about. Some folks we’ve trained with before:

  • Fenway Health
  • World Professional Association for Transgender Health (WPATH)
  • Colt St. Amand, Ph.D., MD
  • Aydin Olson-Kennedy, LCSW
  • Dara Hoffman-Fox, LPC
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