Name: Brett “Freeda Be” Adamek
Name of Practice: Queer Asterisk Therapeutic Services
Address: 2027 Broadway Suite E Boulder, CO 80302
Phone: 720-507-6161
Email: brett@queerasterisk.com, info@queerasterisk.com
Website: www.queerasterisk.com, www.facebook.com/queerasterisk
Mental Health Degree/Licensure/Certification: MA, CPT

Does your practice accept private health insurance payment? Please inquire regarding availability of insurance. Most of our therapists do not accept insurance or Medicaid, with some exceptions. We can arrange single-case agreements with insurance companies so that clients can get reimbursed for services through their provider.
Consumers are advised to contact their insurer regarding insurance coverage for a specific provider.

Do you have a sliding scale for patients with limited resources? Yes

Please estimate the number of clients you have worked with in each of the following categories:

Trans Children- 5
Trans Youth– 10
Genderqueer and  Gender Non-Conforming– 20
Trans Women– 10
Trans Men– 15
Trans Elders– 5

Do you specialize in particular health issues (e.g. gender identity, trauma related depression and anxiety disorders,  autism spectrum disorders, etc. )?
Gender identity, authentic self-expression and embodiment, anxiety and depression.

Please describe your level of experience (e.g. years,  training, etc. ) in working with Trans and Gender non-conforming  clients?
I have worked with queer and trans clients as a mental health provider for 3 years, and have worked with queer youth in mentorship and educational capacities for over 7 years.

Please describe your treatment approach ( e.g., cognitive behavioral, experiential , body-centered, DBT, etc. ).
Mindfulness-based, relational and body-centered psychotherapy with a social justice lens.

Do you provide single case assessments ( for individuals not seeking ongoing psychotherapy )  and, as appropriate, letters of eligibility for hormone therapy and gender related surgeries?
Yes

On average, how many sessions or hours of assessment do you require to assess eligibility for?
Hormone Therapy–  1 to 5
Chest Surgery–  1 to 5
Genital Surgery, if primary letter writer–  1 to 5
Genital Surgery, if secondary letter writer (when 1st letter is written by client’s primary/ ongoing psychotherapist) –  1 to 5
None/Not applicable- N/A

How do you assess readiness for Hormone Therapy and or Surgery?
Clinical Interview–  Yes
Collateral Contacts–  Yes

If there have been cases in which you have determined that a client does not meet eligibility requirements  for hormone therapy or gender surgery,  what are the criteria under which you have denied a request for a letter ( or cases in which you anticipate that you would deny a request for a letter)?
Active psychosis at time of request

Does a coexisting mental condition preclude providing the client with a letter?
No, with the exception of a coexisting mental health disorder with psychotic features AND active psychosis at the time of request.

Does your practice have inclusive paperwork (e.g., list more than male and female gender options, allow a place for preferred name, etc.)?
Paper files that are inclusive? – Yes
Electronic Health records that are inclusive? – Yes

Does your practice have a system for recording preferred name and pronoun of patients and communicating that to staff, especially scheduling/appointment and reception staff? Yes

Does your practice have all-gender or gender-neutral restrooms? Denver and Longmont = Yes, Boulder = Single-stall binary gender labeled

Do you have anything in your physical environment that would be welcoming to a Trans person ( i.e. brochures, pamphlets, magazines, pictures that relate to Trans people and or Trans issues? Yes

Does your practice have an inclusive non-discrimination policy that includes gender identity and expression, and sexual orientation? Yes. This is communicated in our mandatory disclosure form and at clinical intake.

Do you have a way of protecting the confidentiality of a patients Trans status?
Yes – Confidentiality agreement, ROIs, HIPAA compliance.

Have you or your staff attended training or had other education on providing services to Trans patients apply?
Person responding to survey –  Yes
Other Clinical Staff–  Yes
Scheduling/ Appointment Staff–  Yes
Reception/Front Office Staff–  Yes

Please describe the training noted above, if applicable.
Diversity & inclusion, trans-specific care

If you have any concerns about the level of intake staff that could create an uncomfortable situation for Trans clients?  Is there someone the patient can contact to assist?
Yes, any other member of clinical or administrative teams.