Kian Leggett (they/them/theirs)

I have been working with folks living with addiction since I started in social services over 10 years ago. My approach to substance use is based in non-judgmental harm reduction. I offer alternatives to the 12 step approach (though I am also absolutely supportive of folks in the program), and tailor treatment to the unique needs and goals of my clients.

My area of expertise and training is working with gender outlaws, outsiders, rebels, and pioneers. Wherever you are in our gender journey, and whatever space you take up on the gender spectrum I am here to support you. My approach is ICATH informed, I provide letters for pay-what-you-can without requiring ongoing treatment, and I also provide resources for ICATH providers as part of my complimentary 30 minute consultations.

My area of expertise and training is working with gender outlaws, outsiders, rebels, and pioneers. Wherever you are in our gender journey, and whatever space you take up on the gender spectrum I am here to support you. My approach is ICATH informed, I provide letters for pay-what-you-can without requiring ongoing treatment, and I also provide resources for ICATH providers as part of my complimentary 30 minute consultations.

I believe that the range of human sexual expression is infinitely varied and diverse. Every form of expression (or lack of expression) is valid and worthy of exploration. As a member of the BDSM community myself, I have worked hard to bridge the gap between the kink community and the providers that serve them. This has included educational workshops for providers on kink and BDSM, as well as workshops for community members on healthy relationship dynamics and the intersections of mental health.

Motivational Interviewing is a client-centered and targeted approach to therapy. It provides a direction for therapy that is rooted in your value system. You and I will work together as a team to uncover your goals, and explore how to leverage your intrinsic strengths to meet those goals. Motivational Interviewing is at the heart of my training both as a social worker and an addictions professional.

Relational therapy is founded in the belief that healing happens in the context of relationships with one another. This approach to treatment is based in strengths-based empowerment. Exploring your wants and needs in the relationships around you, as well as your relationships with yourself. Increasing connection with yourself and others can be profoundly transformative.

I have been using CBT and DBT (dialectical behavior therapy) as part of my treatment approach for the last 5 years, and am CBT+ certified. CBT and DBT are skills-based modalities. This type of treatment combines processing thought patterns with practical skills to tackle day to day roadblocks. It is a practical approach to treatment and can be incredibly effective, especially for folks who may feel nervous about traditional talk therapy or who are looking for a more short-term intervention.

Cognitive Behavioral Therapy focuses on the relationship between what we think, how we feel, and what we do. It emphasizes building skills and can be a great place to start for symptom management. Behavioral therapies offer immediate relief while we work on processing deeper emotional experiences. In session you and I will spend some time reviewing how things have been going since last session, explore patterns that emerge, learning a new skill, and setting goals and homework for next session.

Dialectical Behavior Therapy focuses on the relationship between what we think, how we feel, and what we do with the ultimate goal of building a life worth living. It emphasizes building skills and can provide more immediate symptom relief while working towards lifelong change. In session you and I will spend time reviewing your progress, exploring patterns that emerge, learning skills, and setting goals and homework for next session.