Our Work Together

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I provide virtual therapy sessions to adults and teenagers in PA and NJ. My main goal as a therapist is to provide a genuine and supportive space for you to get closer with your own experiences. Together, we can explore who you are, how you feel, how you relate to others or to yourself, changes you may want to make, and how you have been affected by past events and the systems we live within.

I have experience working with diverse populations, particularly with queer, trans, and non-binary community members and with people who have experienced trauma or attachment wounding.

Work with LGBT+ community members may look like us exploring your sense of self, terms that may feel comfortable for you, disclosure with others, your relationship with the broader LGBT+ community, transition options, and how you are impacted by the prevailing culture we live in. It could also look like us focusing on other areas with the knowledge that I am holding awareness and comfort in working with you as an LGBT+ person.

Many people have experienced some form of trauma, complex trauma, attachment wounding, and just plain difficult things. Whether you’re feeling impacted by something that took place in your childhood, ways in which your needs were not met in childhood or more recently, something that you are currently going through or have recently gone through, or something your ancestors experienced, I will be glad to hold that impact with you. We can get to know that impact better in a multitude of trauma-informed ways and at your own pace.

In diagnostic terms, I have worked with many people who identify with or have been diagnosed with C-PTSD, PTSD, or borderline personality features. If those terms feel like they capture something of how you move through the world, we may be a good fit. If those are not terms that you use, I welcome that and I welcome you. If you have been touched by trauma, harm, loss, or challenging relationships, we may be a good fit. When it comes to difficult experiences themselves, particular areas that I have a lot of experience working with are: emotional, physical, or sexual abuse, including in childhood and in intimate partner violence; sexual assault; bullying and peer violence; significant losses and grief; neglect and emotional neglect; experiences in the child welfare system; experiences of not being witnessed or cared for in important ways; the cumulative effects of micro- (and not so micro-) aggressions and minority stress; and generational/historical/ancestral/legacy trauma and other burdens. If your experience fits outside of these, it is still important and I’m still happy to work with you! I’m also happy to work with you if you are someone who has caused harm and wants support in exploring what led to it and how to shift your behavior in the future. Most of us have experienced at least some harm or hurt and most of us have caused at least some harm or hurt. My commitment is to work with you with care and consideration.

Whether or not you’re holding the marks of experiences that could be described by words like trauma, the ways in which you feel about or relate to others may feel intense, lacking, or painful. This could show up as trouble forming or ending relationships, difficulty with or questions about communication, wanting more or less closeness with others, or wanting to feel more fulfilled in your relationships. It could also show up when you are looking to connect with new people, or when they are looking to connect with you. I deeply value working with these patterns. We could explore your experiences around attachment and get to know what within you animates these. We could also examine what you want for yourself around communication, relationships, boundaries, and connection with community.

Additional areas that I can bring robust experience to support you with include:

  • Depression

  • Anxiety

  • Strong emotions and sensitivity

  • Self-harm and thoughts of wanting to die

  • Experiences of marginalization or inequity

  • Exploring places of privilege, particularly for descendants of early settlers and of people who enslaved others

  • Navigating situations and identifying your needs as an autistic person and/or someone with ADHD (note: I do not use or draw from ABA)

  • Increasing your connection with the natural world, having that connection be honored as a meaningful component of your therapy and your life, and grief about climate change and ecocide

  • Exploring your identity or sense of self

  • Working with people pleasing, perfectionism, and over-achieving

  • Support letters for gender-affirming procedures

  • Emotional support animal letters

  • Being a therapist or a student in a mental health or social work field

  • Loss and grief

  • Acculturation stress and experiences of having lived in more than one culture

  • Ancestral connection and working with your inheritance from the people and cultures you come from

  • Supporting people in relationships in increasing closeness and vulnerability with one another and reducing challenging dynamics

I bring a strong anti-oppressive, queer, and trauma-informed lens to our work. This leads me to value informed consent, transparency, authenticity, and collaboration as foundational to meaningful therapy. I also maintain awareness of links between systemic, interpersonal, and individual difficulties and the ways in which each of these may impact you. I am specifically dedicated to providing anti-racist care that engages with the reality of white supremacist systems and culture.

I believe that everyone deserves a non-pathologizing and affirming therapy space. In my practice, this includes ADHDers, autistic people, people with borderline features or who have been diagnosed with these, people experiencing thoughts about ending their lives, people practicing polyamory and/or kink, people under the asexual umbrella, people engaged in sex work, and people or systems experiencing plurality or DID/OSDD. My commitment is not only to validate your experience but to hold it in its fullness.

My Approach

I frequently use four different approaches. The first is internal family systems (IFS). IFS provides a framework based in the idea that all of us have a number of parts that may have different experiences, feelings, or roles for us. This invites nuance and openness to the fullness of your experience. Using this model, we can notice what different parts of you are holding and offer presence and care where they are needed. We can also travel deeper into the inner workings of your experiences. I may invite you to connect with what is coming up for you through somatic (body-based), visual, or verbal channels. I have completed Level 3 training with the Internal Family Systems Institute and have served as a teaching assistant for nine IFS Foundations Courses for Trans, Non-binary, and Queer Clinicians.

Another approach I rely on is emotionally focused therapy (EFT), the primary approach that I use when working with relationships (these may be platonic, familial, or romantic/sexual). In relationship therapy, EFT can creates more closeness and shift relationship patterns that aren’t working. In individual therapy, EFT supports our witnessing and more deeply connecting with your experience. I have completed an LGBT+ focused externship training and an LGBT+ focused core skills training in EFT.

I also employ relational therapy, an approach that prioritizes the importance of relationships in your life, including the relationship that we mold in therapy. When this feels meaningful to you, I will invite you to explore our dynamics and what these bring up for you. I will welcome your input in the process of our work together.

If you are looking to explore or deepen your connection with the natural world or to engage with your responses to environmental destruction, we may use ecotherapy, an approach that centers relational connection with the natural world. This may help you feel a deeper sense of belonging, find more ways to be anchored in our greater ecosystem, or sit with grief around climate change and ecocide. I have completed an LGBT+ focused Level 1 Ecotherapy training with the Earthbody Institute.

At times, I may bring in additional approaches. This will depend on your needs and on preferences you may have about approaches that feel supportive.

I recognize that many therapy approaches and interventions draw from, and sometimes appropriate from, much older traditions held by numerous cultures across the world. I aim to hold awareness and respect around this lineage and also want to welcome aspects of your lineage and ancestral wisdom that you may want to bring into our work.

Getting Started

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I offer a free 15-20 minute consultation to explore whether working together feels like a good fit. I will ask a little more about your hopes for therapy and I will welcome you to ask me whatever questions will help you get a sense of whether I can meet your needs. We will also discuss fees (more about this below). If you feel comfortable during the consult and want to go forward with therapy with me, great! I will send you an invitation to the electronic health portal that I use, Simple Practice, along with initial forms that I will ask you to complete. We will schedule an intake session during which I will ask you more about your goals, background, and mental health history. This allows me to get a fuller picture of where you are and where you have been so that I can better support you to get to where you’re going. Following the intake, we will have ongoing sessions and decide together what to focus on, how, and at what pace. If moving forward after the consult doesn’t feel like the best option, that’s also okay and I can support you in identifying other possibilities that may work better for you. To schedule a consultation, I welcome you to fill out the contact form, to email me at thigpen.lcsw@pm.me, or to call me at 215-608-4727.

Fees

My full fee for sessions is $200 for individuals and $230 for relationships, due on the day of session through card in the electronic health portal. I am not in network with any insurance providers; however, some commercial plans will reimburse for a certain percentage of your session cost. If wanted or needed, I will be glad to provide you with a superbill for you to access this. I offer sliding scale spots as well as a limited number of pro bono or reparation spots. Please note that existing clients with changes in circumstances are prioritized for sliding scale spots as well as for pro bono or reparation spots. Spots toward the lower end of the sliding scale as well as long-term pro bono/reparation spots are prioritized for QTBIPOC, trans people, immigrants, and other people who are disproportionately affected by the current administration’s policies. We will discuss fees during our initial consultation and can continue to discuss this as needed over the course of our work together. In most circumstances, you will be charged your session fee if you cancel within 24 hours of a scheduled session; you will NOT be charged if you provide more than 24 hours’ notice.

If it is possible for you to pay $200 or closer to the higher end of the sliding scale, I ask that you do so to facilitate access for others for whom that is not possible. In weighing what feels possible for you, please take the following into account: income and stability of income; savings; access to generational wealth; access to others’ income; social locations such as race, gender, and ability; expenses including bills, debts, and people whom you support financially; assets; and whether you frequently have money to spend on areas outside of necessary expenses.

Please note that I have a fee increase policy where fee-paying clients are asked to increase their fee by $5 to $10 at the start of the calendar year if they have not recently increased their fees.

Why don’t I take insurance?

While therapy through insurance can be more affordable, it can also be more constrained in a variety of ways for both clients and providers. In choosing an out-of-pocket, sliding-scale model, I am prioritizing access for those most marginalized on the pro bono/reparations and lower-cost end of the scale, while also prioritizing your own decision making and agency over your care. This additionally allows me to focus more of my time on direct work with clients rather than on administrative work. I acknowledge that this limits access to therapy with me for some and that ideally, high-quality therapy that truly centers your needs would be freely available for everyone. This is how I am navigating the not-ideal reality of the current system.

Why is therapy so expensive?

The cost of therapy covers a lot. In this case, people paying higher fees allow me to sustainably provide lower-cost sessions, ensuring a more equitable fee structure. Beyond this, here is what your payments cover: self-employment and business taxes; licensure fees; business expenses such as an electronic health record; my income and benefits; and expenses that are important for me to provide resourced and competent care, such as trainings and consultation.