Initial Assessment

During the initial session, a biopsychoocial assessment will be completed via self report written information and a clinical interview.  Initial assessments usually take 1-2 sessions to complete.  For youth age 12 and under, parents will solely attend the initial session.  If the child's parents are divorced, documentation outlining parents' ability to consent to treatment will need to be presented.


Assessments for Puberty Suppression, Hormone Therapy and/or Gender Affirmation Surgery

These assessments are designed to assess an individual’s psychological and practical preparedness for gender affirmative treatment and to document medical necessity.  These assessments are completed in accordance with the World Professional Association for Transgender Health (WPATH) Standards of Care, 7th Ed. and are useful in helping substantiate medical necessity to receive insurance coverage.  WPATH does NOT require a set number of individual sessions for these assessments but acknowledged that a sufficient number of sessions is needed to gather the necessary clinical information and address any barriers to care.  The goal of these sessions is not to be a barrier to accessing care, but to be a bridge to quality care and to help an individual address any clinical barriers and plan for healthy treatment options.  For individuals with limited barriers or clinical contraindications, these assessments can usually be completed within a few sessions.  A collaborative framework is used throughout the assessment and documentation process. 

Individual Sessions

These sessions often focus on common mental health challenges including treating depression, anxiety, and self-esteem/self-image.  Specialized and affirming individual therapy is available for LGBQ and Transgender individuals.  For transgender individuals, these sessions are often used to explore aspects of gender identity and expression, processing emotions in relation to transition, exploring ways of integrating one's gender identity and expression, processing distress around an individual's sense of gender incongruence and/or possible body dysphoria, building resilience, and addressing readiness factors for individuals in need of medically necessary gender affirming procedures (i.e. puberty suppression, hormone therapy, and/or surgery).  


Family and Relationship Counseling Sessions

Currently, family and relationship therapy sessions are limited to sessions aimed at helping individuals improve interpersonal dynamics and enhance understanding and affirmation within their family and intimate relationships, particularly in relation to an individual’s LGBTQ identity and/or gender transition.  Parents will often make outreach to set up counseling services for their gender diverse or transgender child. Most, if not all counseling services for parents of gender diverse or transgender youth are with the parents.  The focus of this work is to assist parents in creating an affirmative environment to support their child in experiencing a healthy gender development.  Parents will learn how to be an advocate for their child within their family, school environment, and in the community.  

Consultation and Training Services

Consultation and training services are available for professionals and workplaces, particularly in relation to providing Transgender and LGBTQ affirming workplaces and/or clinical care.  

Referral Services

Referrals will be made on a case-by-case basis based on the clinical needs of each individual.


$150 for the initial session and $125 for subsequent sessions.  Each session will be 55 minutes.

Insurances accepted:

Aetna, Blue Cross/Blue Shield PPO, Humana, and Optum/United.  Please note: Synchronicity Counseling is out of network with BCBS HMO plans managed by Magellan.  A "Superbill" or "A Statement for Insurance Reimbursement" will be provided upon request for all clients using out of network benefits to submit to their insurance company.  

In addition, some insurance companies do not provide coverage for some diagnoses.   Please call your insurance provider to verify your benefits.

Forms of Payment:

Cash, credit cards (Visa, MC, AMEX and Discover), and health savings account cards are accepted forms of payment for services. We do not accept checks. Only credit card payments are accepted at this time. A credit card must be on file at all times; no exceptions.

12030 Bandera Rd. Ste. 108 - J
Helotes, Texas 78023 
P: 210-853-0503      F: 1-888-307-5350
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