Tara Eastcott

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Name: Tara Eastcott, Psy.D.
Address: 2503 Walnut Street, Suite 100, Boulder, CO 80302
Phone: 720-236-2821

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:
Trans youth: 140
Gender Queer and Gender non conforming: 250
Trans women: 200
Trans men: 200
Trans elders: 35

Please describe your level of experience (e.g. years,  training, etc. ) in working with Trans* and Gender non-conforming  clients?
I have been providing therapy to trans clients since 2004, but actively pursuing the study of gender since 1998. Wanting to work with and be an advocate for trans folks was one of the main reasons I decided on a career in mental health. I immersed myself in high level women’s studies, queer theory and the philosophy of science and gender as an undergraduate at Mount Holyoke College. This, combined with my personal experiences as a cisgender, femme-identified member of the LGBT community, radicalized my (already quite liberal!) understanding of bodies, gender and sexuality and cemented my commitment to gender advocacy.

Please describe your treatment approach (e.g., cognitive behavioral, experiential , body-centered, DBT, etc.).
I am fundamentally a radical behaviorist (see which falls under the general umbrella of CBT. This basically means that I approach every behavior (action, thought, emotion) as a unique event whose triggers and function can be logically deciphered. From there, I use a variety of strategies to support my clients in working with those behaviors to promote change and better integrated sense of self. So while I see all human experiences through a behavioral model, the work I do with each client is necessarily highly individualized since our life experiences are so tremendously varied and diverse. I strive to utilize empirically supported treatments whenever possible. This makes my additional specialty in treating anxiety disorders a natural fit, since behaviorally based approaches have proven so effective in this area.

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 assess for eligibility based on the WPATH Standards of Care, v7, and do at times provided letters of eligibility for hormones/surgery when the exact WPATH criteria have not been met precisely, when there are solid reasons to support this.

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

How do you assess readiness for Hormone Therapy and or Surgery?
Clinical Interview, Collateral Contacts, Written Questionnaire

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 in a very few instances recommended that a client delay hormone treatment in order to work on stabilizing other significant difficulties that would likely be exacerbated by hormonal intervention.

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 and or Trans* 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 patients Trans status?
Yes. Confidentiality is protected as for all persons seeking mental health treatment. For individuals wanting waiting room provacy, this can be accomodated. My location also offers gender neutral restrooms large enough to comfortably change in.

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.
WPATH conference, Transforming Gender Symposium, Individual and Group Supervision on trans mental health care.