We help with anxiety, depression, trauma, relationships, family acceptance, identity exploration, body image, and self-esteem. Many clients also come to therapy to process religious trauma, coming out, or navigating transitions at work or home. You don’t have to have a “crisis” to start therapy. Therapy is about building peace and self-connection.

Look for therapists who explicitly mention working with LGBTQ+ clients, use inclusive language on their site, and highlight trauma-informed, intersectional, or affirming training. It’s also okay to ask directly about their experience with queer and trans clients in your first session as an affirming therapist will welcome that question.

Yes! We work with couples and partners of all genders, orientations, and relationship structures. LGBTQ+ couples therapy focuses on communication, trust, and emotional safety while also addressing the unique stressors queer couples face, such as family rejection, identity differences, or social invisibility.

Yes. We provide gender-affirming therapy for transgender, nonbinary, and gender-expansive individuals. That can include exploring identity, preparing for coming out or transition, navigating family relationships, or accessing letters for gender-affirming care. Our focus is always on affirmation, autonomy, and emotional safety.

100% yes! But, it does not look like undoing the past. Instead, we reestablish safety in your body and environment, explore and mourn the losses associated, connect with meaningful and rewarding experiences, and reconnect with yourself and others in a safe and supportive way.

As a concierge therapy service, Relational Realm does not accept insurance because most insurance companies dictate the methods, frequency, and length of your treatment. As trauma therapists, we cannot ethically treat you based on someone else’s assumptions of your needs. Additionally, insurance companies require treatment “justification,” asking therapists to prove that someone is “sick” and is not improving. This goes directly against our mission and values; you are not broken. 

We provide Superbills for out of network insurance reimbursement.

Relational Realm is a registered provider with the Pennsylvania Victims’ Compensation Assistance Program (VCAP). Through VCAP, survivors of sexual assault (in childhood or adulthood) are eligible for up to $5,000 in funding for therapy services if the crime occurred in adulthood, and $10,000 if the crime occurred in childhood.

Sexual assault victims seeking counseling services related to their abuse are not required to have reported the assault to police or other authorities to be eligible to receive these benefits.

We meet online via a HIPAA-compliant electronic health & video conferencing platform, JaneApp. Once your account is created, you’re able to log in to maintain appointments and payments and meet with your therapist via secure telehealth video chat.

All cancellations made sooner than 48 hours before an appointment will not incur a charge. If you cancel your appointment less than 48 hours before it is scheduled, you will be subject to the full charge of the session. Likewise, a “no-show” charge of the full cost of the session will be incurred if you miss a scheduled session with no notice. If you are more than 15 minutes late to your appointment, it is considered a “no show” and you will be responsible for the session fee.