Specializing in assisting the transgender community with all aspects of mental health counseling and assistance with following the WPATH standards of care for physical transition. Tristan is able to write first letters for hormones and surgeries. Certified in Rapid Resolution Therapy, a painfree therapy that clears the mind of trauma, grief, addiction, panic attacks, and depression. I Believe that counseling should be accessible to everyone, so I offer Skype online counseling for those in remote areas unable to find an open gender therapist, and also work with a sliding scale.