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

Gender-Affirming Therapy in Texas

Embracing Your Truest You

Owning and showing up as your fullest, most genuine self can be tough without adequate support, especially in the state of Texas. You deserve to stand in your truth with pride.

Trans, non-binary, and gender-expansive folks braving the storms in Texas: we see you and stand with 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 the expansive and diverse gender spectrum found in Texas. 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 illustration of the Texas flag with the transgender pride flag

Meeting You Where You Are, Across Texas

We understand that everyone’s journey is unique, as varied as the Texas landscape, 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 the traumatizing political climate of Texas, we are here to help.

Get started with gender-affirming therapy in Austin, Houston, Dallas, San Antonio, or any of the vibrant cities across Texas.

Affirming & Empowering Gender Therapy in the Lone Star State

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

In honoring Texas’s cultural 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 the state of Texas?

  1. Reach out to schedule your free consultation using our contact form.
  2. Get connected with a Texas 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

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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