Therapy for Queer & Trans Teens in Philadelphia

Specialized Mental Health Support for LGBTQ Youth

As a queer-identified gender affirming therapist in Philadelphia, I provide specialized mental health care for transgender youth navigating the complexities of identity, family dynamics, and personal growth. My practice offers a safe, affirming space where your teen can explore their authentic self while developing resilience and coping strategies for life's challenges.

Understanding that every young person's journey is unique, I combine professional expertise with personal insight—including my own experience as someone married to a trans woman—to create truly compassionate, informed care that celebrates rather than pathologizes diverse identities.

Understanding Your Teen's Mental Health Needs

LGBTQ youth face distinct mental health challenges that require specialized understanding and support. Gender dysphoria—the distress experienced when one's gender identity doesn't align with their assigned sex at birth—can intensify during adolescence, leading to increased anxiety and depression. Many transgender youth struggle with body dysphoria, social isolation, and the exhausting work of navigating spaces that don't fully understand or accept them.

These experiences often manifest as:

  • Persistent anxiety about identity expression and social acceptance

  • Depression stemming from feeling misunderstood or rejected

  • Complicated relationships with food and body image

  • Difficulty managing family relationships and peer connections

  • Struggles with self-worth and authenticity

  • Perfectionism and people-pleasing behaviors

Without proper support, these challenges can significantly impact your child's well-being and development. That's why working with a therapist who truly understands gender identity and LGBTQ issues makes such a crucial difference in treatment outcomes.

My Therapeutic Approach: Affirmative and Integrative

I practice affirmative therapy, which means I don't just accept your teen's identity—I actively celebrate and validate it as a natural part of human diversity. This approach recognizes that distress often comes not from being trans or queer, but from living in a world that doesn't always understand or support LGBTQ people.

My integrative approach combines multiple evidence-based modalities tailored to each teen's specific needs:

Art Therapy for Creative Expression

Art therapy provides a powerful outlet for youth to explore complex feelings that might be difficult to express in words. Through creative work, teens can:

  • Visualize their gender identity and journey

  • Process experiences of dysphoria or discrimination

  • Experiment with different aspects of self-expression

  • Address trauma and anxiety through non-verbal means

Psychodynamic Therapy for Deeper Understanding

Through psychodynamic work, we explore how early experiences and family dynamics shape current feelings and behaviors. This helps teens distinguish between authentic identity and internalized messages from others, fostering greater self-understanding and freedom from limiting patterns.

Internal Family Systems (IFS) for Self-Compassion

IFS helps transgender youth understand and integrate different parts of themselves that may feel in conflict. We explore how protective parts might cause anxiety while trying to keep them safe, and work toward internal harmony and self-acceptance. This approach is particularly effective for addressing internalized transphobia and building genuine self-compassion.

Exposure and Response Prevention (ERP) for OCD

For teens experiencing OCD alongside gender identity concerns, I incorporate ERP techniques with homework between sessions to build skills for managing obsessive thoughts and compulsive behaviors while navigating identity-related challenges.

Comprehensive Support Services

Individual Therapy for Teens

Weekly one-hour sessions provide consistent support as your teen navigates their unique journey. We work together on:

  • Building confidence in identity expression

  • Developing coping strategies for dysphoria

  • Improving relationships with family members and peers

  • Managing anxiety and depression

  • Addressing perfectionism and people-pleasing

  • Navigating social transition decisions

Specialized Eating Disorder Treatment

I specialize in the complex intersection of eating disorders and gender identity. Many trans teens use disordered eating to cope with body dysphoria or control physical development. My approach recognizes that traditional eating disorder treatment can feel alienating to LGBTQ youth, so I provide culturally competent care that honors identity throughout recovery.

Group Therapy for Peer Support

Group sessions offer invaluable peer support, allowing teens to connect with others who share similar experiences. These groups provide:

  • Community and reduced isolation

  • Shared strategies for managing challenges

  • Celebration of identity milestones

  • Development of lasting supportive friendships

Family Support and Guidance

Supporting a trans child affects the entire family system. I help parents navigate their own emotions while learning to provide effective emotional support. This includes:

  • Education about gender identity and transgender issues

  • Strategies for using correct names and pronouns

  • Communication techniques for family harmony

  • Guidance on advocating for your child at school and in the community

  • Processing parental feelings of concern, grief, or confusion

Supporting Social Transition

Social transition—changing names, pronouns, and gender expression—represents a significant milestone for many transgender youth. I provide comprehensive support through this process, including:

  • Exploring what feels authentic and right for your teen

  • Practicing coming-out conversations for different contexts

  • Building resilience for handling varied responses

  • Developing strategies for navigating school environments

  • Creating safety plans for challenging situations

Together, we work at your teen's pace, recognizing that transition is a personal journey without a single "right" path. Some youth need time to explore, while others feel certain about their needs. I honor both experiences equally.

Creating a Safe Therapeutic Space

From the moment you enter my practice, you'll notice intentional signals of LGBTQ affirmation—from inclusive imagery to pride flags. These aren't just decorations; they're promises that this is a space where trans people are genuinely welcomed and celebrated.

I maintain this safety through:

  • Consistent use of chosen names and pronouns

  • Cultural humility and ongoing education about LGBTQ issues

  • Collaborative approach where your teen is the expert on their experience

  • Reliable follow-through on commitments and advocacy

  • Respect for your teen's autonomy and self-determination

Why Choose Ruberti Counseling Services

My unique qualifications for supporting LGBTQ youth include:

  • Lived Experience: As a queer-identified therapist married to a trans woman, I bring personal understanding alongside professional expertise

  • Specialized Training: Advanced education in both gender-affirming care and eating disorder treatment

  • Integrative Approach: Multiple therapeutic modalities allow personalized treatment for each teen's needs

  • Community Connection: Deep roots in Philadelphia's LGBTQ community and understanding of local resources

  • Non-Pathologizing Stance: I view diverse identities as natural variations to be celebrated, not problems to be fixed

Starting Your Journey

Beginning therapy can feel daunting for both teens and parents. That's why I offer a free 20-minute phone consultation to ensure we're a good fit. During this call, we'll discuss:

  • Your teen's specific needs and goals

  • My therapeutic approach and how it might help

  • Practical considerations like scheduling and session structure

  • Any questions or concerns you might have

If we decide to work together, the first session focuses on understanding what brings your teen to therapy and what they hope to achieve. We'll explore their history at a comfortable pace while beginning to build the trust essential for effective therapeutic work.

Once established, we typically meet weekly, though some teens benefit from more frequent sessions during challenging periods. Between sessions, I may provide journal prompts or creative exercises to deepen our work. For teens addressing OCD, structured homework helps build skills for managing symptoms.

Supporting Your Teen's Mental Health Journey

Every LGBTQ youth deserves mental health care that not only accepts but actively affirms their identity. They deserve a therapist who understands the unique challenges of being transgender in today's world and can provide both practical strategies and genuine emotional support.

Through specialized therapy that addresses the intersection of identity, mental health, and family dynamics, your teen can develop the resilience, self-acceptance, and authentic self-expression needed to thrive. Together, we'll create a therapeutic space where your child feels truly seen, valued, and empowered to live as their authentic self.

Supporting Your Teen's Mental Health Journey

Every LGBTQ youth deserves mental health care that not only accepts but actively affirms their identity. They deserve a therapist who understands the unique challenges of being transgender in today's world and can provide both practical strategies and genuine emotional support.

Through specialized therapy that addresses the intersection of identity, mental health, and family dynamics, your teen can develop the resilience, self-acceptance, and authentic self-expression needed to thrive. Together, we'll create a therapeutic space where your child feels truly seen, valued, and empowered to live as their authentic self.