Caty Sikelianos-Carter, LCAT, ATR-BC, LCMHC

Clinician Bio

As a queer and gender-affirming therapist, I work primarily with trans and queer individuals. I specialize in working with trans youth. My clients are often navigating what it means to live fully and authentically in a world that does not always make space for them. I was raised within the queer community and have spent my life as an active ally and advocate for LGBTQIA+ rights. This isn’t just an area of professional interest for me, it is personal, lived, and deeply rooted.

My clinical work is grounded in a social justice-oriented, trauma-informed, neurodivergent-affirming, and trans-allied framework. Many of the struggles my clients face are not individual deficits, but natural responses to systemic stress and marginalization. Therapy with me is not about “fixing” who you are, it is about creating space to understand yourself more fully, build resilience, and move toward the life you want.

Clients often come to me carrying imposter syndrome, exhaustion, anxiety, trauma histories, or the weight of living in environments that have required them to shrink or mask parts of themselves. I specialize in supporting social and medical transitions, exploring identity, and working through the layered emotional realities of belonging to a marginalized community.

In addition I bring decades of experience teaching, mentoring, and facilitating programs for youth from diverse backgrounds. When working with younger trans and non-binary clients, I may collaborate with parents and caregivers as needed to help build affirming, informed support systems.

My therapeutic approach is collaborative and tailored. I draw from a range of modalities based on each client’s needs and goals. As a creative arts therapist, I often incorporate play and art-making into sessions, particularly when experiences feel difficult to access through words alone. Creative processes can offer insight into unconscious material and open pathways for expression that feel safer and more expansive.

At the core of my work are authenticity, dignity, and respect. I aim to offer a space where clients feel seen without having to explain themselves, challenged without being judged, and supported in building a life that feels aligned with who they truly are. I believe mental health services should be available to everyone, and my practice offers an honor based comprehensive sliding scale.


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    Therapy Approaches:
    • Art Therapy
    • Coaching
    • Cognitive Behavioral Therapy (CBT)
    • Culturally Sensitive Therapy
    • Dialectical Behavior Therapy (DBT)
    • Expressive Art Therapy
    • Family Therapy
    • Harm Reduction Therapy
    • Humanistic Therapy
    • Integrative Therapy
    • Nonviolent Communication
    • Play Therapy
    • Sandplay Therapy
    • Solution Focused Brief Therapy
    • Trauma Therapy
    Specialties:
    • Abuse
    • Adjustment Disorder
    • Adolescent Issues
    • Anxiety
    • Attachment
    • Boundary Issues
    • Child Issues
    • Childhood Trauma
    • Chronic Pain or Illness
    • Coparenting
    • Cultural and Systemic Oppression
    • Depression
    • Divorce
    • Family Caregiving Stress
    • Family Conflict
    • Gender Identity
    • Grief or Loss
    • LGBTQ Issues
    • Life transitions
    • Parenting
    • Personal Growth
    • Physical Disability
    • Post Traumatic Stress Disorder (PTSD)
    • Relationship / Marriage Issues
    • Sexual Identity
    • Stress
    • Teens
    • Women's Issues
    Phone: 8054534437
    Meeting Options:
    • Telehealth
    Age Range:
    • Children (0-12)
    • Teens (13-17)
    • Adults (18+)
    • Adults (65+)
    Address:
    New York
    Vermont
    Individual Session Fee: $175.00
    Family Session Fee: $210.00
    • Sliding Scale
    • Self Pay Options / Out of Network