Explore Services

I offer therapy that is collaborative, trauma-informed, and tailored to your lived experience. My work is grounded in honoring your strengths while supporting meaningful, sustainable change.

Areas of Focus

I specialize in working with:

  • Transgender and gender-expansive individuals

  • Neurodivergent individuals

  • Complex trauma and nervous system healing

Learn more about letter evaluations
Jessica Fletcher, Jess Fletcher, LPC, trauma therapist, LGBTQ+ therapist, OCD therapist, Anxiety Therapist, Dissociation

  • Our work begins with a thoughtful, comprehensive understanding of you.

    The intake process includes a biopsychosocial assessment and collaborative treatment planning to explore your history, current concerns, strengths, and goals. This foundation helps guide our work together in a way that feels aligned, intentional, and responsive to your needs.

  • A space to explore your inner world, build insight, and move toward the life you want with more clarity and self-compassion.

    I support clients navigating:

    • Depression and anxiety

    • Trauma and post-traumatic stress

    • Attachment style relationship dynamics

    • Motivation and direction

    • Life transitions and stage-of-life changes

    • Life balance and burnout

    • Self-esteem and identity development

    • Interpersonal and relational patterns

    • Grief and loss

    • Chronic pain and illness

    • Co-dependency

    • Gender identity exploration

    • Sexual health and expression

    • Anger and emotional regulation

    • Intrapersonal dynamics (how you relate to yourself)

    • Sports performance and performance anxiety

  • Relational & Family Therapy

    Support for partners, relationships, and families seeking deeper understanding, repair, and more sustainable ways of relating.

    I work with:

    • Couples and partners

    • Ethically non-monogamous relationships

    • Kink-affirming dynamics

    • Families and caregiving systems

    Common areas of focus include:

    • Conflict resolution

    • Communication and understanding

    • Boundaries and agreements

    • Intimacy and connection

    • Infidelity and repair

    • Parenting support and behavior strategies

    • Navigating chronic illness within relationships or families

    • Caretaking roles and stress

  • Gender-Affirming Evaluations

    I provide assessment and letters of support for gender-affirming care in alignment with current standards of care.

    This process is collaborative, respectful and centered on your autonomy. Evaluations may support:

I am in-network for Aetna insurance via Headway. Verify coverage here: https://care.headway.co/providers/jessica-fletcher

I am out-of-network for all other insurance plans with the following cash-pay rates:

  • Intake - $265

  • Individual Psychotherapy - $175

  • Couples / Family / Relational - $250

Rates & Insurance

Get Started

Sliding scale fees are available on a limited basis and are adjusted based on financial need and available practice capacity.

I follow the “Green Bottle” framework (Wort & Cunning), which provides a visual metaphor for understanding where you might fall on the sliding scale.

Green Bottle Reference: Retrieved from Worts & Cunning (https://www.wortsandcunning.com/blog/sliding-scale)

  • "Being human is not about being any one particular way; it is about being as life creates you—with your own particular strengths and weaknesses, gifts and challenges, quirks and oddities."

    — Dr. Kristen Neff

Let’s Work Together

If you're interested in working with me or have questions about services, complete the form with a few details about your request. I’ll review your message and get back to you within 48 business hours.