Welcome! At Transcend, we believe in a person-centered approach. This means that we value unique circumstances, experiences and needs, and we recognize what works for one person may not work for another — we value who you are!

Our Counseling Program is tailored to the intersectional needs of trans and gender expansive folx and their partners and families.

To request your free 15 minute consultation:

New clients start by scheduling a brief 15-minute consultation to discuss your needs and goals. From this we will send you some paperwork through a secure, private online portal. Your first appointment will be an assessment that lasts about 90-minutes. You’ll meet with the Counselor and answer questions that will inform your care plan. After the initial assessment, sessions tend to be 50-minutes and may be scheduled as frequently as you prefer. Most people will attend 1-2 sessions per month.

Sometimes a therapeutic relationship between client and Counselor is not advised, productive or appropriate. In the event that you or your Counselor determine that your relationship is not effective, Transcend is happy to refer you to other area Counselors who we trust and know.

Currently, due to COVID-19, Transcend is hosting all counseling sessions via our tele-counseling platform, accessible from the comfort of your very own home! Tele-counseling takes place through a secure, privacy protected online telehealth platform called Simple Practice. Clients must ensure that the location from which they choose to log on is private and quiet, and has a stable internet connection.

Note: Due to state regulations, only residents of NC may participate in tele-counseling services. We hope to resume in-person operations in 2021. At that time, residents of both NC and SC are welcome to participate.

The counseling you receive at Transcend will be provided by a licensed associate clinical social worker. We do not provide medical advice and cannot write prescriptions. Always seek the advice of your own Medical Provider regarding your health or any medications, herbs or supplements you are currently taking. Do not disregard medical advice or delay seeking medical advice because of information we discuss in session. Do not start or stop taking any medications without speaking to your own Medical Provider. If you have or suspect that you have a medical problem, contact your own Medical Provider immediately.

Transcend does not accept insurance at this time. We offer a reduced fee program for individuals based on income level and/or financial hardship. To see if you qualify for financial hardship accommodation, please speak to your Counselor or book a consultation above.

  • 15 Minute Consultation: No Cost
  • Individual Clinical Assessment (90 Minutes):  $125
  • Individual Counseling Session (50 Minutes): $100
  • Relationship Assessment or Counseling Session (90 Minutes): $150
We understand that things happen last minute, and we will make every possible effort to accommodate your unique situation. In order to ensure this, we ask that all clients provide 24 hours notice prior to any cancellations or rescheduling. Clients who cancel, miss or reschedule appointments with less than 24 hours notice will be responsible for the full appointment fee.

Emergency & Crisis Care

Transcend does not provide crisis management or emergency support services. If you have a mental or physical health emergency, please contact the following resources:

Call your local mobile crisis hotline:

North Carolina

South Carolina