Nora Alwah

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Name: Nora Alwah
Name of Practice: Nora Alwah LLC
Address: 703 Walnut St
Phone: 720-362-0114
Mental Health Degree/Licensure/Certification: LPC

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

Does your practice accept:

CHP+  No
Medicaid  No
Medicare  No

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

Please estimate the number of clients you have worked with in each of the following categories : 
Trans children (under 12 years) – 5
Trans youth (12-18 years) – 15-20
Trans women (adults) – 5-10
Trans men (adults) – 10-15
Trans elders  – 0
Persons who are gender non-conforming, gender queer, non-binary: 20


Do you specialize in particular health issues (e.g. gender identity, trauma related depression and anxiety disorders,  autism spectrum disorders, etc. ) ?
Yes. I specialize in working with marginalized populations including queer, trans, GNC clients and SOFF individuals (Significant Other or family members of trans clients) as well as immigrants, people of color, victims of domestic violence, and clients with diverse cultural and economic background. In my work with clients, I focus on trauma related issues, and the impact of oppression in their body and mind. I also provide counseling in English, Spanish, French, and Danish.

Please describe your level of experience (e.g., years, training, etc.) in working with trans clients.
I have worked with trans, GNC clients, and their family members since 2014 through various organizations such as Mental Health Partners and Queer Asterisk, and currently in my private practice. I also provide educational services in the community around gender affirming care and particularly how to work with resistance that might show up in family systems. In my work as therapist at Boulder Valley School District (BVSD) I also provided support and consultation to teachers, educating around diversity and social-emotional health issues arising in the school setting.

Please describe your treatment approach ( e.g., cognitive behavioral, experiential , body-centered, DBT, etc. ).
I have a client-centered, strengths-based, trauma informed approach. In my clinical experience, I have created a dynamic approach to the therapeutic process which integrates Trauma-informed, Somatic Counseling, Social Justice, Strength-based and Synergetic Play 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 ?

On average, how many sessions or hours of assessment do you require to assess eligibility for:
Chest Surgery- 2 to 5
Genital Surgery, if primary letter writer- 2 to 5
Genital Surgery, if secondary letter writer (when 1st letter is written by client’s primary/ ongoing psychotherapist) – 2 to 5
Hormone Therapy- 2 to 5

How do you assess readiness for Hormone Therapy and or Surgery:
Clinical Interview- Yes
Collateral Contacts- Yes
Psychological Testing- No
Written Questionnaire- 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) ?
I follow WPATH standards of care. I have not yet denied someone a letter. If someone were to be actively psychotic this would lead me to deny or postpone the request for a 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

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?

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/issues)?

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

Do you have a way of protecting the confidentiality of a patient’s trans status?

Have you and your staff attended training or had other education on providing services to trans patients (select all that apply)? :
Person responding to survey – Yes
Other Clinical Staff- Yes
Scheduling/ Appointment Staff- Yes
Reception/Front Office Staff- No

Please describe the training noted above, if applicable.
Attended and provided extensive trainings on anti-oppression and social justice work on trans-affirmative care.

If you have any concerns about the experience level of intake staff that could create an uncomfortable situation for trans clients, is there someone the patient can contact to assist?