Panorama Therapy | Miranda Nadeau PhD, Psychologist in 39+ States

Gender-Affirming Therapy & Assessment

Gender Therapy for Your Truest You

Embracing and showing up as your fullest, most genuine self can be tough without adequate support. You deserve to stand in your truth with pride.

Trans, non-binary, and gender-expansive folks: we see you and celebrate you.

We offer a safe(r) space in therapy where you will be affirmed, validated, and empowered. Our commitment to gender therapy is in our name, as Panorama Therapy speaks to an expansive and endless spectrum. 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.

Silhouetted person looking out over nature

Meeting You Where You Are

We understand that everyone’s journey is unique, and we strive to meet you right where you are. Whether you are questioning your gender identity, exploring different aspects of your gender expression, or seeking to access affirming spaces while navigating a traumatizing political climate, we are here to help.

See if you live in one of the 39+ states we serve.

Affirming & Empowering Gender Therapy

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, you’ll develop resilience, self-compassion, affirmation from within, and a sense of agency over your life.

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 with Panorama Therapy?

  1. Reach out to schedule your free consult using our contact form.
  2. Get connected with a 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 the simple principle that if you can consent to a treatment, you should have access to it. We trust that you are a self-determined person with insight and awareness about how to use your bodily autonomy. 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, New Jersey, Washington, Nevada, Illinois, and 30+ other states. 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 truly a passion for us that we are honored to provide. We have trained deeply in providing gender-affirming therapy with these individuals, organizations, and more every year:

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