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Virtual ADHD & Autism Assessments and Gender-Affirming Letters, delivered with compassion and clarity. 

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Hi! I’m so glad you’re here :)

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I offer ADHD & Autism Assessments and Gender-Affirming Letters—all virtual, all affirming, and always focused on you. Whether you need support for accommodations, medication, surgery, or hormones, I’d love to help you get what you need, quickly and without unnecessary barriers.

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ADHD and Autism Assessments

In 2 hours I can assess for both ADHD and Autism, and I give you a diagnosis letter within 1 week of your appointment. Everything is completely confidential -- only you and I know about the appointment and diagnosis. I can charge Aetna and Ambetter Coordinated Care insurance, in which case they would know about the diagnosis, or I accept credit card. Appointments are available within one month - book your assessment today!

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Gender Affirming Letters

In 1 hour or less, I can provide you with a gender-affirming letter for HRT, surgery, or legal name/gender marker changes.
I aim to make the process as quick, affirming, and painless as possible. You'll receive your letter the same day as your appointment.
Appointments available within 2 weeks -- book your letter writing session today!

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Healing from Toxic Relationships

I am a toxic relationship survivor and I have extensive training on the topic. I wrote a workbook, books, and a course for Healing for Toxic Relationships. I also teach this to therapists as continuing education.

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Who I Am

I'm Kate—a queer, neurodivergent therapist.
I specialize in working with adults who are navigating identity, diagnosis, and recovery from trauma. I also:

  • Wrote a workbook, book, and course for survivors of toxic relationships

  • Offer coaching in memoir writing, ADHD, careers, and entrepreneurship (on a separate website)

  • Bring lived experience and specialized training in ADHD and gender-affirming care

You deserve care that affirms your identity—not challenges it.

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Affirming. Streamlined. Transparent.

  • No gatekeeping

  • Neurodivergent & queer-affirming

  • Virtual, accessible, and focused on you

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Note on Availability

At this time, I’m only accepting new clients for ADHD & Autism Assessments and Gender-Affirming Letters.
For coaching, visit my other site: www.katemageau.com

Offering online counseling for people in Seattle, Bellingham, Tacoma, Olympia, Spokane, and all over Washington; and Miami, Orlando, Gold Coast, Gulf Coast, First Coast, Tampa, Jacksonville, and throughout Florida. Serving the following Washington counties, online: â€‹Adams County, WA, Asotin County, WA​, Benton County, WA, Chelan County, WA​, Clallam County, WA, Clark County, WA​, Columbia County, WA, Cowlitz County, WA​, Douglas County, WA, Ferry County, WA​, Franklin County, WA, Garfield County, WA​, Grant County, WA, Grays Harbor County, WA​, Island County, WA, Jefferson County, WA​, King County, WA, Kitsap County, WA​, Kittitas County, WA, Klickitat County, WA​, Lewis County, WA, Lincoln County, WA​, Mason County, WA, Okanogan County, WA​, Pacific County, WA, Pend Oreille County, WA​, Pierce County, WA, San Juan County, WA​, Skagit County, WA, Skamania County, WA​, Snohomish County, WA, Spokane County, WA​, Stevens County, WA, Thurston County, WA​, Wahkiakum County, WA, Walla Walla County, WA​, Whatcom County, WA, Whitman County, WA​, and Yakima County, WA. 

Serving the following counties in Florida, online: Alachua County, FL​, Baker County, FL, Bay County, FL​, Bradford County, FL, Brevard County, FL​, Broward County, FL, Calhoun County, FL​, Charlotte County, FL, Citrus County, FL​, Clay County, FL, Collier County, FL​, Columbia County, FL, DeSoto County, FL​, Dixie County, FL, Duval County, FL​, Escambia County, FL, Flagler County, FL​, Franklin County, FL, Gadsden County, FL​, Gilchrist County, FL, Glades County, FL​, Gulf County, FL, Hamilton County, FL​, Hardee County, FL, Hendry County, FL​, Hernando County, FL, Highlands County, FL​, Hillsborough County, FL, Holmes County, FL​, Indian River County, FL, Jackson County, FL​, Jefferson County, FL, Lafayette County, FL​, Lake County, FL, Lee County, FL​, Leon County, FL, Levy County, FL​, Liberty County, FL, Madison County, FL​, Manatee County, FL, Marion County, FL​, Martin County, FL, Miami-Dade County, FL​, Monroe County, FL, Nassau County, FL​, Okaloosa County, FL, Okeechobee County, FL​, Orange County, FL, Osceola County, FL​, Palm Beach County, FL, Pasco County, FL, Pinellas County, FL​, Polk County, FL, Putnam County, FL​, Saint Johns County, FL, Saint Lucie County, FL​, Santa Rosa County, FL, Sarasota County, FL​, Seminole County, FL, Sumter County, FL​, Suwannee County, FL, Taylor County, FL​, Union County, FL, Volusia County, FL​, Wakulla County, FL, Walton County, FL​, and Washington County, FL.

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