About HRTcounseling

Currently available in Pennsylvania, Tennessee, Illinois, Virginia

773-875-0928 Troy@TroyJohnsonCounseling.com

If you identify as transgender, gender non-conforming, or gender expansive and are seeking to begin hormone replacement therapy, then HRT Counseling could be the right program for you. Developed by Troy Johnson, LCSW, HRTcounseling is designed to affirm your gender journey without pathologizing it.

HRT Counseling is a program designed especially to help you with letters of support for hormone replacement therapy and ongoing supportive counseling through the beginning of your transition. Letters of support include the criteria for Gender Dysphoria diagnosis and meet the standards of care developed by the World Professional Association for Transgender Health. Letters also reflect your understanding and preparedness to begin hormone replacement therapy as well as any recommendations for ongoing therapy, personal development, and social needs. 

All sessions are conducted via Telehealth, a video session platform that is convenient, confidential and HIPPA compliant.


Online sessions.

Telehealth is a virtual platform incorporated into my Electronic Health Record and Client Portal. Telehealth is a product of SimplePractice.

Through audio and video over the internet, you can meet with your clinician on-the-go from your desktop, laptop, tablet, or mobile device (iOS or Android) – it’s your choice!

Telehealth allows us to connect anywhere with secure and convenient appointments that save you time and hassle. There’s no need to deal with traffic when you can schedule and attend your appointments directly from a laptop or mobile device. 

To learn more about Telehealth please visit their website.

Common Questions

Things you should know.

How many sessions will I need to schedule for a letter of support to begin HRT?

The greatest determining factor for a letter of support is the preparedness of the client to begin to transitioning. For those who are able to demonstrate reasonable expectations of the medical process for transitioning and demonstrate emotional and social stability may receive a letter in 1-3 sessions.

What are your qualifications to be able to write my letter?

As a Licensed Clinical Social Worker most physicians will accept a letter of support from me. Even with a letter of support, the physician may have more questions or concerns regarding your readiness for HRT. As an advocate and community educator, I have experience in helping health care providers gain the needed knowledge and resources to provide more competent care for trans and GNC patients.

What if I’m ready, but I’m unable to find health care close to me?

For those living in the South East, QueerMed offers HRT for their patients through a similar virtual portal. QueerMed specializes exclusively in HRT for the trans and GNC community. For more information about QueerMed, please visit their website.

Do you accept insurance for sessions?

No. HRTcounseling is a private pay program. However, I have designed the program with tight budgets in mind. I also offer a sliding scale fee for those who may qualify.

What if I would like more therapy with you?

HRT Counseling is a trans supportive program of Troy Johnson Counseling, and for those who need ongoing therapy, I am happy to offer bi-weekly and monthly Telehealth psychotherapy sessions.


Help is here.

Trans Lifeline is a national trans-led 501(c)(3) organization dedicated to improving the quality of trans lives by responding to the critical needs of our community with direct service, material support, advocacy, and education. Our vision is to fight the epidemic of trans suicide and improve overall life-outcomes of trans people by facilitating justice-oriented, collective community aid.

Queer Med ” I started QueerMed to provide respectful and affirming care for the transgender community. Everyone deserves access to medical care, no matter the color of their skin, where they come from, their gender, sexual orientation, or gender identity.‚Äč “-Izzy Lowell, MD, MBA

FORGE Improving the lives of transgender and SOFFA individuals since 1994, building strong connections, providing resources, and empowering personal growth.

Sessions and Letters

Assessments for HRT and Surgery

Gender Dysphoria Assessments are $200. Sessions will include the following:

  1. Brief biopsychosocial assessment
  2. Gender dysphoria assessment
  3. HRT assessment
  4. Sexual and relational health assessment
  5. Letter of support

Gender Affirming Surgical Procedure Assessment

Secondary Surgery Assessments are $200. Sessions will include the following:

  1. Brief biopsychosocial assessment
  2. History of gender presentation
  3. Preparedness for social transition
  4. Preparedness for surgery