Kari Fraser, PhD, PC

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Name: Kari Fraser
Name of Practice: Boulder Psychotherapists Guild
Address: 3405 Penrose Place, Suite 203, Boulder, Colorado 80301
Phone: 303-443-3487
Mental Health Degree/Licensure/Certification: Ph.D. / Licensed Clinical Psychologist

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

Trans* Children-0

Trans* Youth-3

Genderqueer and  Gender Non-Conforming-4

Trans Women-2

Trans Men-2

Trans* Elders  -0


Please describe your level of experience (e.g. years, training, etc.) in working with Trans* and Gender non-conforming  clients?

25 years working as a clinical psychologist with children, adolescents, and adults. The most recent 20 years or so have included queer youth (and adults) and the most recent 10 years have included specifically trans* clients.


Please describe your treatment approach (e.g., cognitive behavioral, experiential , body-centered, DBT, etc.).

An eclectic mix, depending on what treatments are indicated and desired, of insight-oriented psychodynamic therapy, cognitive therapy, EMDR, brainspotting, and experiential therapy


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?

No, but I do provide letters of eligibility for clients who are in extended psychotherapy and/or ongoing psychotherapy with me


On average, how many sessions or hours of assessment do you require to assess eligibility for various treatments?

I only assess in context of ongoing psychotherapy


How do you assess readiness for Hormone Therapy and or Surgery?

Clinical Interview


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)?

I have denied, and expect I will continue to deny, requests that appear impulsive, short-lived and/or escapist, as well as requests that are not supported by other lifestyle changes/choices/commitments reflecting a comprehensive desire to live as a different gender or trans*. For example, if a client wants gender reassignment surgery as a FIRST step, rather than an intermediate or a near-final (admittedly, transitioning is in some ways an infinite process) step, I am likely to refuse to write the letter


Does a coexisting mental condition preclude providing the client with a letter?



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


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?



Does your practice have all-gender or gender-neutral restrooms?



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?



Does your practice have an inclusive non-discrimination policy that includes gender identity and expression, and sexual orientation?

No, I am the sole clinician in my practice and my behavior towards my clients is what defines/determines my commitment to non-discrimination


Do you have a way of protecting the confidentiality of a patients Trans* status?

Yes. My records are self-created and entirely confidential unless exceptions are authorized by my clients (or forced by law)



Have you or your staff attended training or had other education on providing services to Trans* patients apply?

Person responding to survey – Yes


Please describe the training noted above, if applicable.

I routinely attend seminars and trainings related to working with LGBTQQxx youth and young adults-probably one every year or so.


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?