Keiran Bissell

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Name: Keiran Bissell, LSW, Registered Psychotherapist
Name of Practice:
Address: 500 Coffman St. Suite 204 Longmont, CO 80501
Phone: 720-597-8951
Mental Health Degree/Licensure/Certification: MSW

Does your practice accept private health insurance payment? Consumers are advised to contact their insurer regarding insurance coverage for a specific provider.

What types of public insurance do you accept, if any?

Please explain insurance limitations, if any.

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

Please estimate the number of clients you have worked with in each of the following categories:
Trans Children: 2
Trans Youth: 10
Genderqueer and Gender Non-Conforming: 25+
Trans Women: 2
Trans Men: 25+
Trans Elders: 1

Do you specialize in particular health issues (e.g. gender identity, trauma related depression and anxiety disorders, autism spectrum, etc.)?
Yes. Gender Identity and Anxiety.

Please describe your level of experience (e.g. years, training, etc.) in working with Trans and Gender non-conforming clients.
4+ years of experience with trans clients in residential child treatment facility, in-patient residential psychological treatment for adults, and college counseling center. Additionally, I’ve had 30 years experience living as someone with a non-binary identity and as a child, I identified as trans.

Please describe your treatment approach (e.g. cognitive behavioral, experiential, body-centered, DBT, etc.).
I approach therapy from a contemplative psychotherapy perspective integrating mindfulness, somatic techniques, and attachment theory in to my work with clients. I will also use CBT when it fits for the client.

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. I could provide letters for a client; however, their insurance or doctor may require that a LCSW provide that letter and my licensure is not yet at that level.

On average, how many sessions or hours of assessment do you require to assess eligibility for:
Hormone Therapy: 3-4
Chest Surgery: 3-4
Genital Surgery, if primary letter writer: 3-4
Genital Surgery, if secondary letter writer (when 1st letter writer is written by client’s primary/ongoing psychotherapist): 2-3

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 not denied requests for a clients’ letter and at the counseling center at CSU, my most recent counseling workplace, I wrote 3 for folks’ top surgeries. I could anticipate only two situations where I might be inclined to denying someone a letter and that wouldn’t mean I wouldn’t later offer them the letter. One would be with a client in crisis, ie less than a month from a psychiatric hospitalization or presently in crisis. The other would be with a client with significant tendencies toward dissociation and a fragmented sense of identity. In this case, I would want to meet with the client for longer than average prior to issuing a letter.

Does a coexisting mental condition preclude providing the client with a letter?
No. Of course not.

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 staff 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, such as 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?
Yes. This is communicated on my intake paperwork.

Do you have a way of protecting the confidentiality of a patient’s Trans status?
Yes. I have confidential file storage and practice awareness when I communicate with and regarding clients. As someone identifies as non-binary, I understand their are people and places with whom it would not be safe to be out and I have conversations with clients about this.

Have you or your staff attended training or had other education on providing services to Trans patients?
Person responding to survey: Yes
Other Clinical Staff: No
Scheduling/Appointment Staff: No
Reception/Front Office Staff: No

Please describe the training noted above, if applicable.
Completed 300+ hours of training on diverse identities in counseling. This included training regarding people with various gender identities, racial/ethnic identities, documentation status, sexual orientations, and other marginalized identities.

Do you have any concerns about the experience level of intake staff that could create an uncomfortable situation for trans clients? If so, is there someone the patient could contact to assist?
I do not have intake staff. I am a staff of 1.