Support for LGBTQIA+

Clinical Care Where Identity is Deeply Understood, Not Just Acknowledged.

Have you ever experienced “LGBTQIA+ affirming care” but all it really felt like was they just know this thing about you and pretend it wasn’t a factor in your experiences? Or maybe they only seemed to understand the first two letters represented in the Queer spectrum? Or even worse, you felt you had to educate so much around your experience that you couldn’t get into what YOU needed?

That’s not what this is.

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Click for Info on Gender Affirming Medical Letters

You deserve better.

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You deserve better. *

Pivot Point Therapy & Coaching’s Values Informing their Affirmative Clinical Support:

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  • Being LGBTQIA+ is not a mental illness in the DSM. Sure it may be a contributing detail related to what you’re dealing with though. So we’d hope you feel comfortable talking about it to some extent but we will only explore it to the depth you want to.

  • Even if your therapist doesn’t live in the identities you do, you don’t feel you have to explain every part of your experience and reality to them each session.

  • Without making you educate them about concepts all of the time, your therapist still asks questions to understand what your identity means to YOU and how you uniquely show up (with labels or not). Just because we know general LGBTQIA+ experiences and struggles, doesn’t mean we understand YOURS until you tell us.

  • We affirm the SOGIE spectrum when exploring your personal identity as they are not mutually exclusive. (Sexual orientation, Gender identity and Gender expression)

  • These three communities are highly misunderstood even in queer spaces. Pivot point has worked with all three of these specific areas of the community and want to work with you too.

  • This is a sex positive practice meaning all of age, consensual, nonexploitative and safe sex such as mlm, wlw, polycule, non-binary, ethical non-monogamous, kink play, BDSM, loving committed partner, platonic & even heteronormative sex is SEXY. So yeah, you can talk about it in session.

  • You don’t always have to choose between your family or your identity, your instilled values or your way of life. It can be confusing. There’s middle ground in a lot of situations.

  • The systems (political, familial, religious, culture, etc. ) that may be impacting your ability to exist comfortably may be acknowledged by us. It’s not your fault. You didn’t ask for these systems to be against you.

  • If we feel we maybe aren’t the right fit to meet your needs we will help you find someone who is, we won’t keep you as a client to voyeur into a queer experience we aren’t equipped to clinically support. If you feel we aren’t the right fit or would rather have a clinician with your identities please let us know.

Gender Affirming Medical Letters FAQs

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Pivot Point is only licensed in the state of Utah and so has to follow both federal and UT state laws regarding medical transition procedures.

Please note that Pivot Point is providing this information because it’s the reality, not because they fully endorse how the law is. The goal is to assist in navigating medical, insurance, and governmental systems that still rely on these forms of documentation.

Here are the things to know:

  • It is illegal for any new patients under the age of 18 to receive gender affirming medical care in the state of Utah (hormones/surgery).

  • In UT you may need a gender affirming care letter if you are seeking a legal name change, to update your legal gender marker, hormone therapy, or any gender related medical surgeries.

  • These letters must come from a mental health provider that can cite active dysphoria and how other methods of treatment have not subsided the intensity of the dysphoria. The letter must also ensure the patient’s capacity to make a fully-informed decision and consent to the intervention desired.

  • A person must have at least a 6-month history of gender therapy treatment with their letter provider. This is a requirement for a letter from a fully licensed mental health professional.

  • Gender-affirming care letters must be dated within 12 months of the consultation for the desired medical treatment.

    If you are seeking medical transition support, please reach out for a consult so we can talk further about what this looks like, how we can help or if we can refer you to a better fit. As all of these cases are different with their uniquely frustrating obstacles.