Saren Craig


Out of pocket fee

I believe therapy should be accessible, and I also need to run a sustainable practice. This sliding scale isn’t based on income alone — it’s based on your overall financial capacity, including savings, debt, housing stability, and how much room you have for unexpected costs. Read through the four descriptions below and choose the one that best reflects where you currently stand.

I keep a limited number of spots open at each fee level, so availability may vary. If a tier is full, I’ll let you know and can offer a waitlist or check back in with you.

Bottle 1, $190. You don’t think about money for basics. Higher-end rent or you own. Paying this changes nothing about your month, and it keeps the cheaper slots open for people who need them.

Bottle 2, $150. Comfortable. Work (or don’t need it), savings, can eat out and travel without thinking twice.

Bottle 3, $130. Mostly fine. Car, stable housing, some savings, a vacation most years.

Bottle 4, $100. You’re okay but it takes managing. Some debt. Bills and stuff like that require planning.

Bottle 5, $70. Money is stressful most of the time. Housing might be shaky. Little to no savings.

Limited spots at each level. If yours is full I’ll waitlist you or set a check-back date.




Most routes to gender-affirming care in the U.S. run through a DSM diagnosis of Gender Dysphoria (F64.0). That diagnosis documents distress—the harm created by incongruence and by social conditions that fail to recognize someone’s gender—not a disorder of identity. Being transgender is an identity, not a pathology, and access to medically necessary care shouldn’t require treating it as one. And yet: we live in this system. When a Gender Dysphoria diagnosis is required for insurance authorization or surgical access, I include it—because if that pathway is what it takes to access care that alleviates dysphoria and improves quality of life, we use it. A disability justice lens helps hold this tension: diagnostic categories are socially loaded and imperfect, but they remain one of the primary mechanisms through which people access care, accommodations, and resources in a gatekept system. Using diagnostic language strategically to access medically necessary care is warranted advocacy.


Confidentiality

What you say stays between us, with the legal exceptions you should know about before we start: serious risk to yourself or someone else with a specific plan, abuse or neglect of a child or a dependent or elderly adult, a court subpoena, and a licensing board complaint against me, which I have to respond to. Ask me about any of these.


 I am outraged by the immense harm being inflicted on minoritized communities in this moment in history—particularly immigrant communities and the transgender community, which I am part of. I refuse to treat this as normal, acceptable, or debatable when people’s safety, dignity, and basic rights are being deliberately targeted. During this time, I will do everything in my power to protect my clients, safeguard their confidentiality, and uphold my moral duty to help prevent harm—to themself or to others.

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Image artist: Daniel Quasar, Portland Oregon


If you are currently in a crisis call 988