Frequently Asked Questions
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There are a few ways to reach me, depending on where you're at:
Ready to book a free 15-minute consultation? Go here to get started.
Have a question before reaching out? Fill out this form and I'll respond within 1–2 business days.
Already working with me? Sign in to your client portal to message me or manage appointments.
Parent or family member of a gender-distressed child? Request a consultation and I will be in touch.
Looking for community with other parents? Join my Parent Support Group through Beyond Trans — apply here.
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Counseling is a space to slow down and make sense of what feels overwhelming, confusing, or stuck.
My approach is direct and down-to-earth. We look at what's happening in your thoughts, emotions, body, and relationships — not just the surface symptoms — and I bring in practical skills when they're useful, especially from dialectical behavior therapy (DBT). DBT gives you real tools for the hardest moments — when emotions feel too big or a relationship gets tense — so you're not just talking about the patterns, you're building a life that actually feels workable.
With families and couples, I pay attention to the bigger picture: the roles people fall into, the patterns that repeat, since change in one part of a family tends to ripple out to the rest.
Over time, the goal isn't dependency on therapy — it's more clarity, steadiness, and confidence in how you relate to yourself and your life.
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I offer a free 15-minute phone consultation so we can get a sense of whether we're a good fit — no commitment required.
Individual intake (60 minutes): $210
Individual therapy (50 minutes): $160
Family intake (60 minutes): $250
Family & couples sessions (50 minutes): $200
I am a private-pay practice and don't accept insurance directly. If you have out-of-network benefits, I can provide a superbill to submit for possible reimbursement — many clients are able to recover a portion of their fees this way.
A limited number of sliding scale spots are available. Please reach out to inquire about current availability.
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Dialectical Behavior Therapy (DBT) is a skills-based approach that helps you manage intense emotions, tolerate distress, and build the life you want — originally developed for BPD, but now used for a wide range of concerns, including anxiety, depression, and trauma. Visit my DBT FAQ page for more.
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I work with adolescents, young adults, and adults who are feeling overwhelmed, emotionally sensitive, stuck in patterns they want to change, or unsure how to move forward in their lives.
Many of the people I see identify as highly sensitive, anxious, self-critical, or easily dysregulated. Others are navigating depression, relationship stress, identity questions, life transitions, or a general sense of feeling "too much" or "not enough" at the same time.
A significant part of my practice focuses on gender-related experiences — including dysphoria, transition-related decisions, detransition, and periods of uncertainty. I work with adolescents and young adults navigating these questions, and I take a whole-person approach that considers far more than identity labels alone.
I also work with the parents and families of gender-distressed youth. Whether you're looking for guidance on how to support your child, help navigating a strained relationship, or simply a space to process what you're carrying as a parent, that work is something I take seriously and offer as a distinct focus of my practice.
Across all of this, the work centers on slowing things down enough to understand what's happening internally, and building practical ways to feel more steady, connected, and self-trusting.
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Sessions are a space to slow down and talk through what’s happening in your life in a structured but flexible way.
We might focus on recent experiences, patterns you’re noticing, or what feels most emotionally active in the moment. I may also introduce practical skills or grounding strategies when they feel relevant.
The pace is collaborative — we follow what feels most important, while also gently building insight and tools you can use outside of therapy.
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My work is integrative, with a strong foundation in Dialectical Behavior Therapy (DBT), person-centered therapy, attachment-focused approaches, and mind-body awareness, along with a psychodynamic lens.
DBT informs a lot of the structure of our work — especially when it comes to understanding emotions, reducing overwhelm, and building practical skills for regulation and change. I also draw on somatic awareness to help you notice how experiences show up in the body, not just in thoughts.
Alongside the skills piece, I'm curious about the deeper roots of what you're experiencing — how your early relationships and attachment patterns shaped the way you connect with others (and with yourself) now, and how past experiences continue to show up in present-day patterns.
More than any single model, I focus on what feels helpful and usable for you as a person, not just as a theory.
Have more questions? My DBT FAQ page covers the basics.
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I offer both in-person and online therapy sessions. In-person appointments are available in the Germantown neighborhood of Philadelphia, PA. Telehealth sessions are available for clients located throughout Pennsylvania and Florida, allowing you to meet with me from the comfort of your home, office, or any private space where you feel safe and at ease.
Research consistently shows that telehealth therapy is just as effective as in-person therapy for many concerns. In some cases, it can even enhance the work by reducing travel stress, increasing consistency, and allowing you to engage in therapy within your real-life environment. For many clients, meeting from a familiar space supports greater openness and integration between sessions.
Whether you choose to meet in person or online, we'll work together to find the format that best supports your needs and goals.
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Absolutely. Many men grow up feeling pressure to suppress emotions, push through stress, or avoid vulnerability altogether. Some of the men I work with are deeply thoughtful, emotionally sensitive, self-aware, or prone to overthinking, but have spent years feeling misunderstood or unsure where those traits fit.
Therapy can offer space to slow down, understand yourself more clearly, and develop a healthier relationship with emotions without needing to become someone you’re not.
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Yes. My approach is thoughtful and individualized, considering the many factors that can influence identity development and emotional well-being, including family, peers, school, social influences, and online environments. Rather than focusing on labels alone, I aim to understand the whole person and the broader context of their experiences so that individuals and families can move forward with greater understanding and confidence.
I also serve as a Group Facilitator at Beyond Trans, leading free, therapist-facilitated support groups for individuals, parents, and families navigating gender transition, detransition, and questions of gender identity. For parents, this includes a dedicated support group offering guided discussion, reflection, and community connection with others on a similar path.
Visit my Parents & Families page to learn more about my approach, or request a 15-minute consultation with me here.
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I value openness, curiosity, and freedom from rigid expectations about who we're supposed to be. Counseling can offer space to explore self-expression, belonging, and uncertainty in a way that feels reflective and emotionally honest.
I work with people across a wide range of gender-related experiences — including gender dysphoria, transition-related decisions, detransition, and periods of uncertainty, questioning, or grief.
Some people come to therapy with a clear sense of what they want, while others feel conflicted, emotionally overwhelmed, disconnected from themselves, or unsure how to make sense of what they’re experiencing. For some highly sensitive men, this can also include feeling out of place within traditional expectations around masculinity, identity, emotion, or belonging.
There is no assumed direction or outcome in our work. The focus is on slowing things down enough to better understand your experience, reduce pressure and reactivity, and make decisions from a more grounded and self-connected place.
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Yes. Detransitioners are too often left without anywhere to turn, and I want this to be a space where that experience is taken seriously — without judgment for the path that led here, and without pressure to interpret it any particular way.
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Yes. Many of the people I work with consider themselves highly sensitive people, or simply feel emotions deeply and process life in an intense, thoughtful way. They may become easily overwhelmed by stress, conflict, pressure, or overstimulation, while also being deeply empathetic, reflective, and emotionally attuned.
Sensitivity is not something I view as a weakness to “fix.” Counseling can help you better understand your nervous system, relate to yourself more compassionately, and build ways of moving through life that feel more grounded and sustainable.
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The initial consultation is a brief 15-minute phone conversation where we get a sense of whether working together feels like a good fit.
For individuals, we'll talk about what's bringing you in, what you're looking for, and any questions you have about therapy or my approach. You don't need to prepare anything in advance.
For parents and families, the consultation is a chance to share what's happening with your child, what you've already tried, and what you're hoping therapy might offer. I'll listen, answer your questions, and give you a sense of how I work with families. Fill out the contact form before we speak — it helps me understand your situation in advance so we can make the most of our time together.
In either case, there's no pressure and nothing to prepare. It's simply a conversation — a chance to connect and see if it feels right.
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I understand that life happens and plans sometimes change. When possible, I ask for at least 24 hours’ notice for cancellations or rescheduling to avoid a cancellation fee.
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How long you stay in therapy — and how often we meet — really depends on your needs and goals. Some people come for short-term support around a specific issue, while others find longer-term work helpful for deeper patterns or ongoing support.
Most clients start with weekly sessions, especially in the beginning, because consistency helps build momentum and allows therapy to feel more effective. Over time, some people choose to move to biweekly sessions as they feel more stable or confident using the skills outside of therapy.
We’ll check in along the way to make sure the frequency and focus of therapy still feel helpful and like the right fit for you.
I don’t believe therapy is meant to last forever. One of the things I value about Dialectical Behavior Therapy is that it helps you build skills to become your own therapist over time, with the goal of eventually feeling ready to end therapy when the time is right for you.
Ready to take the next step?
Fill out this short form and I'll follow up to see if we're a good fit.
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270 West Walnut Lane
Philadelphia, PA 19144 -
Please use the contact form to reach me. I look forward to hearing from you!
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Ready to take the next step? Fill out this short form and I'll follow up to see if we're a good fit.
Kathryn Hilton, LPC (PA #PC013379) · In-person therapy in Philadelphia · Telehealth across Pennsylvania & Florida