Self awareness & connection can heal;
I can help.
We will work together to help you better understand yourself and your patterns to navigate challenging transitions in life.
Therapy is not always easy, but I can help you experience a deeper connection to yourself: an existence that is more free from the expectations, fears, or ideas that have been keeping you stuck. A more embodied, more thoughtful, more present you.
I strive to foster safety and joy, yet challenge you. I also understand that we do not exist in a vacuum, and healing ourselves and coping with the challenges in our lives requires acknowledging and working against the systems of oppression that contribute to them.
Therapy with me is affirming of queer, trans, and kink identities; monogamous and non-monogamous relationship structures; and health-at-every-size body positivity. I see adults of all ages and teens 14 and older.
My Expertise
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Together we will process hurt, improve communication, & strengthen bonds. I do this work with couples, multi-partner units, family members, coworkers, or friends
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Whether you provided direct caregiving, had a complicated relationship, or have been estranged, your grief deserves tending to. We will process end-of-life and death, & manage the many ways that loss shows up in day-to-day life. This includes loss due to progressive illness, as well as sudden & traumatic loss.
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As a palliative care trained clinician, I work with patients and family members from diagnosis of serious illness onward. I also provide acute support in debriefing traumatic medical events.
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It can feel complicated and heavy to have ones career center around helping others, while needing help yourself.
I started working with healthcare providers struggling with the cumulative effects of direct patient care while working inpatient. I work with doctors, nurses, mental health providers, hospital social workers, chaplains, body workers, & other providers on issues from burnout, secondary trauma, countertransference, to “taking home work.”
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Having a deeper sense of yourself means exploring your sexuality and gender. Whether that is around identity, expression and presentation, navigating emotional complexities including joy and shame, managing transphobic or homophobic families or society, preparation for gender affirming surgery, or post-operative integration and connection.
I also provide single session assessments and letters for gender affirming surgeries or hormones.
My Training
Licensed Clinical Social Worker in New York and Oregon
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MSW from University of Washington in 2017
Focus on multigenerational practice with elders
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Couples and family therapy training at the Ackerman Institute — June 2020
Gottman Method couples therapy level 1 — May 2024
Palliative Care Fellowship at Mount Sinai Beth Israel in NYC — June 2018
Oncology Social Worker at cancer centers including Memorial Sloan Kettering in NYC
Meaning Centered Grief Psychotherapy training at MSK
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Neuroqueer Connections: Clinical Strategies for ADHD and Trauma-Affected Relationships — Feb 2026
Anticipatory Grief: Supporting Caregivers and Families — April 2026
Beyond Biology: Understanding the Mental Health Implications of Fertility for LGBTQIA+ People — April 2026
30 Hour Clinical Supervision Training — May 2026
Frame to Frame: Film Through a Psychoanalytic Lens—Winter 2026
Reach out
Use the form or email me directly at LCSWanastasia@gmail.com. We will set up a free consultation call to see if we are a good fit.