Soltahr Tiv-Amanda, MA, LPC

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Name: Soltahr Tiv-Amanda, MA, LPC
Name of Practice: Private practice
Address: Boulder, CO
Phone: 720-436-9992
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.

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: 1
Trans Youth: 10
Genderqueer and Gender Non-Conforming: 5-7
Trans Women: 1
Trans Men: 20-30
Trans Elders: 5-7

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

Please describe your level of experience (e.g. years, training, etc.) in working with Trans and Gender non-conforming clients.
I took over the Boulder Gender Support in 2001, and ran it for 3 years. During that time, and I have worked with many Trans* clients in my private practice. I also have a Trans* family member, so have worked up close and personal.

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

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 have done this work in my private practice, on many occasions. I am very open to continuing to do this.

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

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’ve not denied a letter. I would need to do more sessions and come to understand why they do not seem ready or appropriate.

Does a coexisting mental condition preclude providing the client with a letter?
No. It depends on the mental health condition. Sometimes the “condition” resolves after hormones or they prepare for surgery.

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:
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. I work alone, and yes.

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

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.

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?
No. I’m a private therapist, I don’t have a staff.