Clearwater Counseling & Wellness Services Heather Kay, Ph.D., LCP
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Therapeutic Style &Clinical Specialties 


Therapeutic Style 

​I believe in the therapeutic relationship.   The therapeutic relationship is the professional relationship between you (my client) and me (the therapist).  Most fundamentally, I believe that therapist - client fit is the most important part of finding a therapist who can help you heal, grow, and learn about yourself.     Building a strong relationship with my clients when they are at a difficult place in their lives is most fundamentally what I think I do.  I want my clients to know that I care about them first and foremost.  

As a therapist, I strive to be warm and supportive, but also honest and compassionate about things that could improve to make things better.  I am a nerdy cheerleader for personal growth and I like to give my client's "therapeutic high fives" to celebrate new accomplishments.   I believe that change is hard and I challenge/encourage clients to challenge themselves with promises of "triple therapeutic bonus points" and "therapeutic gold stars".  I'm dorky and enthusiastic about growth and change, and I enjoy celebrating when folks I am working with are making changes in their lives.

Clinical Specialties 

Sexual Orientation (Lesbian, Gay, Bisexual, Queer, Pansexual, Questioning)
Gender Identity & Gender Nonconformity (Trans, Non-binary, Intersex, Genderqueer)
Medical Illness/Chronic Illness/Disability/Pregnancy/Postpartum/Menaupause
Family/Personal Caregivers (Family Caregivers, Parents of children with differing abilities/disabilities)
​Sexual orientation
  • ​I specialize in providing therapy to lesbian, gay, bisexual, pansexual, and queer folks, as well as those questioning their sexual orientation. 
  • I support people questioning their sexual orientation in figuring out their attractions and help them explore their fears and concerns about sharing this information with others.  
  • I help people who cannot or choose not to "come out" in areas of their lives because it may mean loss of friends, family members, educational opportunities, and/or advancement in the workplace. 
  • I support LGBTQIA+ folks in managing and figuring out how to manage relationships, including those who pursue different structures for romantic relationships outside of monogamy (e.g., polyamory, consensual non-monogamy).
Gender identity and Gender nonconformity 
  • ​I work as a therapist with trans, non-binary, intersex, and gender non-conforming  folks in affirming their authentic self, whatever that means for them. 
  • I provide assessments and write letters for folks who need a surgical readiness evaluation to access gender affirming care as required by insurance companies or physicians.  I follow the WPATH Trans Health Standards of care in providing these assessments, unless there are other requirements for your insurance company or physician.   I make every effort to provide assessment services to folks who need a surgical readiness evaluation even if I am not currently taking psychotherapy clients.   Please contact me if you need this service and let me know you are seeking a letter/assessment for gender affirming care.  
Illness/change in health status/disability
  • ​Changes in health status, including normal changes in health that come with life transitions (e.g., aging,  conception, pregnancy, postpartum, menopause). 
  • I work with adults who have differing abilities and/or disabilities acquired at birth. 
  • I work with adults who have newly diagnosed illness or chronic illness who are working to adjust to a new normal.
  • I work with caregivers, partners, children, friends, and loved ones who are coping with the newly diagnosed or chronic illness of a loved one.  
  • I work with adults who have a chronic health condition or disability, both physical and/or psychological (e.g., MS, SCI, mild - moderate TBI, mobility impairments, sensory processing, chronic pain conditions, LD, AD/HD, Lupus, Cerebral Palsy, recurrent/treatment resistant depression, seasonal affective disorder, cyclical mood disorders including bipolar disorder II, bipolar I, hearing/vision loss).  
Supporting professional & personal caregivers in the strain of caregiving (Help for the Helpers)
  • I am passionate about supporting professional caregivers including  doctors, nurses, veterinarians, PT/OT/SLP, mental health clinicians, animal welfare workers, and personal care attendants to prevent professional burnout and help enact healthy boundaries with the health-care/animal welfare systems.  
  • I love working with personal caregivers including  parents/guardians for children with differing abilities/health conditions, adults caring for aging parents, family caregivers, and animal rescuers.    
​Career Counseling & Career Transitions 
  • As a counseling psychologist, years of my professional training experience were devoted to career assessment and career counseling, and this is still work I enjoy doing, when appropriate.
  • Career Assessment: I can help clients to  learn about themselves, their career interests, their career/personal values, their personality type, and how clients work best with others.  
  • Career Counseling: I can help clients to apply information about themselves gathered through formal career assessment and/or through talking with clients.
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