Why Choose Gender-Affirming Therapy?
Being transgender or non-binary comes with distinct challenges, but you don’t have to face them alone. Our therapists offer an affirming space where you can process, heal, and move forward with confidence.
How We Help:
✔ Therapy That Respects You – Ensuring you feel respected and validated.
✔ Mental Health & Well-Being – Support for anxiety, depression, and trauma in a judgment-free space.
✔ Safe & Confidential Therapy – Your privacy is our priority, offering a secure, accepting environment.
Choose Your Next Step
Contact Rebekka Ouer, LCSW
Expert-led, gender-affirming therapy for LGBTQ+ adults seeking clarity, safety, and evidence-based care.
Contact Aika, LGBTQ+ Counselor
Our Approach to Gender Identity Counseling
At Dallas Rainbow Counseling, we believe in your strength and resilience. Therapy isn’t about fixing what’s broken—it’s about recognizing your existing strengths and using them to shape the future you desire. Our solution-focused approach ensures that every session leaves you feeling empowered and equipped with tangible steps toward your very best hopes.
Gender Dysphoria & Self-Acceptance
If feelings of discomfort around your gender identity have been weighing on you, therapy can provide relief and coping strategies for however you decide to move forward.
Family & Relationship Counseling
Helping loved ones understand your journey is essential. We work with families and partners to help them move through love rather than fear, to foster healthy relationships.
Emotional Well-Being & Mental Health
Your happiness and peace of mind matter. Whether you’re dealing with anxiety, past trauma, or stress, we’re here to help you regain balance and confidence.
Find out about all of our services here
What to Expect in Therapy
Starting therapy can feel overwhelming, but we make it easy:
- Your First Session: We discuss your very best hopes and get to know the unique strengths you have in your life that will help you as you move toward those hopes.
- Personalized Support: Your therapist sees you, & guides the conversation at your comfort level.
- Clear, Actionable Steps: Every session leaves you with new tools to support your journey.
Clients often leave their first session feeling a sense of relief, renewed confidence, and hope for what’s ahead.
We also offer safe and secure Online Therapy for Texas Residents.
Who We Help
- Adults seeking gender-affirming mental health care and transition support.
- Adults questioning their gender who want a compassionate, nonjudgmental therapist who won’t add pressure no matter where you land with your self-discovery.
You’re looking for support and you deserve it.
FAQ – Questions You May Have
What is a gender-affirming letter of support, and does Dallas Rainbow Counseling provide them?
A gender-affirming letter of support is a clinical document from a licensed mental health professional confirming a client’s gender identity and readiness for gender-affirming medical care, such as hormone therapy or surgery. At Dallas Rainbow Counseling, our therapists — including Rebekka Ouer, LCSW (Texas License #53516) — work with transgender and nonbinary adults navigating transition-related steps. We approach this process with care, confidentiality, and without unnecessary gatekeeping, moving at your pace and honoring your self-identified experience.
How many therapy sessions are required before receiving a gender-affirming letter?
There is no fixed number of sessions required. Our approach is collaborative and strengths-based, not a checklist. At Dallas Rainbow Counseling, we use Solution-Focused Brief Therapy (SFBT) — meaning sessions are focused on your hopes, goals, and readiness, not on creating barriers. Some clients feel prepared after just a few sessions; others prefer more time. The process moves at the pace that feels right for you.
What is Solution-Focused Brief Therapy (SFBT) and how does it help with gender identity support?
Solution-Focused Brief Therapy (SFBT) is a research-backed, forward-focused approach that centers your strengths, goals, and vision for your future rather than dwelling on problems. At Dallas Rainbow Counseling, SFBT is the clinical foundation of all our work — including transgender counseling. Our lead therapist, Rebekka Ouer, LCSW, is a Routledge-published author on SFBT with the LGBTQ+ community, meaning the approach is adapted specifically for the real-world experiences of transgender and nonbinary clients. Each session leaves you with tangible steps toward your very best hopes.
Can therapy help me manage anxiety and depression related to gender dysphoria?
Yes. Anxiety, depression, and emotional distress are common experiences for transgender and nonbinary individuals — often shaped by minority stress, family dynamics, or past experiences with dismissive care. At Dallas Rainbow Counseling, our therapists provide a judgment-free space to address these concerns directly. Using SFBT and trauma-informed care, we help you build coping strategies, process what has weighed on you, and move toward a greater sense of balance and confidence — however you decide to move forward.
Do I need a formal diagnosis to start transgender counseling at Dallas Rainbow Counseling?
No. Therapy at Dallas Rainbow Counseling is about self-exploration and support, not diagnosis. You do not need any formal diagnosis to begin. Whether you are questioning your gender identity, actively navigating transition, or simply seeking a space where you feel truly seen and affirmed, you are welcome to start exactly where you are.
Does Dallas Rainbow Counseling offer online therapy for transgender clients across Texas?
Yes. In addition to in-person sessions at the Oak Lawn office in Dallas (3500 Oak Lawn Avenue, Suite 550), Dallas Rainbow Counseling offers secure telehealth therapy for residents across Texas — including Fort Worth and Arlington. This makes specialized, affirming care accessible whether you are in a major city or a community where LGBTQ+-affirming therapists are harder to find. All online sessions are private and HIPAA-compliant.
Embrace Your True Self with Support That Matters
Therapy isn’t about changing who you are. It’s about embracing yourself fully and finding the support you deserve. At Dallas Rainbow Counseling, we celebrate you, respect you, and affirm your journey—every step of the way.