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Services

Affirming care, shaped around you

From assessment to ongoing therapy, every service is built on respect, evidence and your own goals.

Gender dysphoria assessment

A thorough, respectful psychological assessment that explores your history, identity and goals. It can support access to medical pathways or provide a professional report where one is needed — always conducted with care and without judgement.

  • Structured but unhurried
  • Affirming, not gatekeeping
  • Clear written outcome where required

Surgical readiness assessment & referral letter

A structured psychological assessment for people seeking gender-affirming surgery, producing the written referral or support letter surgeons and gender clinics require — prepared to recognised standards of care.

  • Written report or referral letter
  • Meets WPATH / clinic requirements
  • Private or NHS surgical routes

Affirming therapy & counselling

Ongoing one-to-one support to explore your gender, ease dysphoria, manage anxiety or low mood, and build confidence. Drawing on CBT, ACT and compassion-focused therapy, tailored to what you need.

  • Explore identity at your pace
  • Coping tools for dysphoria & stress
  • Coming out & minority-stress support

Support while you wait

NHS gender clinic waits can stretch to years. You don't have to face that alone — regular sessions can hold steady ground, help you prepare, and protect your wellbeing in the meantime.

  • Bridge the long NHS wait
  • Prepare for clinic appointments
  • Protect your mental health

Pre- & post-surgery support

Psychological preparation before gender-affirming surgery and compassionate support through recovery and adjustment afterwards.

  • Informed, realistic preparation
  • Recovery & adjustment support
  • Space to process the change
Also offered

Broader psychological support

Gender care rarely sits in isolation. Magdalena also offers a wide range of evidence-based therapies for you and the people around you.

Cognitive Behavioural Therapy (CBT)
Acceptance & Commitment Therapy (ACT)
Compassion-Focused Therapy (CFT)
Couples & family therapy
Child & adolescent therapy
Stress management & mindfulness

Fees & first steps

Fees depend on the type and length of support you're looking for. The simplest way to start is to get in touch for a short, no-pressure conversation about what you need — and the costs involved.