Transgender coaching and support, built from the inside out.
Non-clinical, relational, embodiment-focused support for trans and gender-diverse people and their families — grounded in lived experience, and in a care and practice orientation that standard systems were not designed to hold.
As members of the LGBTQ+ community, trans and gender-diverse people often carry compounding layers of minority stress, systemic exclusion, and identity-based trauma — on top of whatever else they're navigating. This work was built for that reality.
RTF provides peer support.
Not clinical treatment.
Everything RTF does as an organization — coaching, companionship, case management, navigation, advocacy — is peer support. It is supportive and ancillary to clinical care, not a substitute for it, and it is not provided under a clinical license.
This distinction matters and we are direct about it. Peer support from someone with shared lived experience offers something that licensed clinical systems often cannot — relational depth, cultural fluency, and presence that comes from having actually navigated what you're navigating. But it operates in a different lane than therapy, psychiatry, or certified SUD treatment.
Where clinical services are part of a client's picture, those services are provided by licensed and certified professionals — therapists, psychiatrists, SUD counselors — operating fully under their own credentials, licensing requirements, and legal obligations. RTF facilitates referrals and coordinates alongside those providers, but does not deliver, supervise, or take responsibility for licensed clinical work. When clinical or medical needs arise, clients are referred to independently licensed outside providers.
Peer support from shared identity offers something systems built by and for others often cannot. That is what RTF is here to provide — and it is enough.
All services provided directly by RTF — coaching, companionship, high-touch support, case management, advocacy, and psychoeducation — are peer support services. They are provided by people with lived experience, are not billed as clinical treatment, and do not operate under a clinical or SUD treatment license.
RTF does not operate a residential SUD program, a licensed treatment facility, or a certified outpatient treatment program. RTF's services are explicitly framed, contracted, and documented as supportive and ancillary — not primary treatment.
When clinical services — therapy, psychiatry, SUD treatment, or residential care — are part of a client's plan, those services are provided by licensed and certified providers operating under their own credentials: their own licenses, certifications, Medi-Cal/DMC provider numbers where applicable, supervision structures, and compliance obligations.
RTF assists with referrals and coordinates alongside those providers, but does not direct, supervise, bill for, or take responsibility for licensed clinical work. Any formal arrangement involving co-location or programmatic coordination is governed by a written agreement that clearly identifies the licensed entity as the responsible clinical party.
Recovery means something different to everyone. For trans and gender-diverse people navigating a world in active crisis, it often means much more than sobriety — it means building a life that was never designed for you. This work holds all of it: addiction and substance use, eating disorders, mental health, identity, daily functioning, and the ongoing work of becoming.
Transgender coaching for addiction, mental health, and daily life.
For trans and gender-diverse people in Los Angeles County — whether or not clinical treatment is part of the picture.
Transgender-affirming addiction & mental health support alongside clinical care.
For trans and LGBTQ+ people currently in — or moving through — addiction treatment, mental health treatment, or residential care.
What does it mean to be trans, human, full of purpose, and able to exist in a precarious world?
That is the question underneath all of this. Not: what is wrong with you, and how do we fix it. But: what would a life that is fully, recognizably yours actually look like — and what is in the way of that?
The work RTF offers is not a menu of problems to solve. It is a set of different entry points into the same deeper territory. Addiction and sobriety. Mental health and nervous system regulation. Daily functioning and the architecture of a purposeful life. Gender identity, expression, and the journey toward a self that is irreducibly yours. These are not separate issues. They are different faces of the same question — and for trans and gender-diverse people, they are almost always in motion at the same time.
These pathways are not fixed tracks. They overlap, they move, they change as you do. The four service containers below — coaching, companionship, high-touch support, and case management — are the forms the work takes. A consult is where we figure out which combination fits where you actually are.
Every pathway. Every container. The same destination.
Different containers for different needs.
Each of the four service types below is distinct. They can be used alone or in combination, depending on what you or your loved one actually needs. A consult is the right place to figure out which fits.
Coaching
The primary relational container. Ongoing, session-based support for identity work, addiction and substance use support, mental health, daily functioning, nervous system and embodiment work, and meaning-making.
Coaching is where the relational work happens — not as a supplement to something more important, but as the thing itself. It can be short-term or longer-term depending on what you need. It can run alongside therapy or psychiatry where those are present, or stand alone where they're not.
Sessions are grounded in your actual experience — not a framework imposed on it. The questions that matter here are the ones you haven't been able to ask yet: about identity, about what a life that belongs to you looks like, about what you're carrying that no one else has been able to hold.
As members of the LGBTQ+ community, trans and gender-diverse people often find that standard support — even when well-meaning — lacks the relational depth that lived experience provides. This doesn't.
Companionship
Live-in or deeply embedded support for a defined period. Presence, accountability, and routine scaffolding — for moments when session-based support isn't enough.
Companionship is not coaching. It's what happens when someone needs a stabilizing, identity-affirming presence woven into their daily life — not just for an hour a week, but continuously. This includes light coaching, but the primary function is presence: being there, helping build routine, providing accountability, and holding the shape of a day when that shape has collapsed.
Hana has supported trans and gender-diverse clients through early addiction recovery, post-discharge reintegration, surgical recovery, and major life transitions — in their homes, at treatment programs, and in transitional settings across Los Angeles County.
High-Touch Support
One step down from live-in companionship. Frequent, structured contact with accountability and support density — where weekly sessions aren't enough but full embedding isn't necessary.
High-touch support is the bridge between standard coaching and live-in companionship. It's for trans and gender-diverse individuals who need more containment, structure, and contact than a weekly session provides — but for whom full live-in support isn't indicated, isn't logistically possible, or isn't financially accessible right now.
This might mean daily check-ins, multiple sessions per week, or structured availability during a period of instability. The shape is built around what the client actually needs, not a fixed format.
Case Management & Systems Support
Not coaching. Practical, systems-focused support for navigating fragmented treatment systems, organizing life-related needs, and moving through the logistics of care.
Case management is what happens when the obstacle isn't the emotional work — it's the system. Admissions facilitation into addiction treatment or mental health programs, care coordination, housing logistics, benefits navigation — the practical infrastructure of a life that a trans person shouldn't have to navigate alone, inside systems that were not designed to hold them.
This is trans-specialist systems navigation. Hana knows the landscape, knows where the gaps are, and knows what gets missed when case management is handled by someone without a practice orientation specific to trans experience.
Transgender treatment support across the full care arc.
For trans and gender-diverse people moving through a clinical treatment episode — whether that's residential addiction treatment, PHP, IOP, or outpatient mental health care — RTF's services don't pause at the door. They run alongside, thread through, and extend beyond.
This is not a requirement. RTF works with trans and LGBTQ+ individuals who have no clinical treatment in the picture at all. But where treatment is present, RTF fits into it — and makes it work better.
The trans-specific relational layer RTF provides changes what surfaces in clinical work. It gives trans clients a space where they don't have to translate themselves before the real conversation can start — and that changes what the clinical team has to work with.
Preparation & Admissions
Parallel Trans-Affirming Support
Continuity & Re-entry
RTF is not a clinical service. Hana does not provide therapy, diagnosis, or treatment planning. Where clinical care is present, RTF coordinates with those teams — it does not replace them.
Finding the right sober living — and making it work.
Sober living is one of the most important — and most difficult — parts of early recovery for transgender people. Most sober living environments were not designed with trans people in mind. Some are outright unsafe. Finding one that is genuinely affirming, and navigating it once you're there, requires a specialist.
RTF works with transgender, gender-diverse, and intersex people in two distinct ways around sober living: helping people find the right environment before they get there — and providing ongoing coaching and support while they're in it.
Neither piece is optional. A placement in the wrong environment can undo the work of an entire treatment episode. And arriving in even the right environment without a trans-affirming support layer often isn't enough.
Talk to us about sober living →Transgender sober living placement support
Not all sober living environments are safe for trans people. RTF knows the landscape — which environments are genuinely affirming, which have trans residents already, and which to avoid. We help navigate placement so that the environment supports recovery rather than threatening it from day one.
Coaching alongside sober living
Being in sober living doesn't mean being supported. RTF provides ongoing transgender coaching alongside a sober living placement — identity work, nervous system support, accountability, and a trans-affirming relational container running in parallel with the structure of the house. The two work together.
RTF also works with sober living operators who want to improve their capacity to serve transgender residents. See the For Providers page →
You don't need to explain yourself to access this.
RTF works with transgender, gender nonconforming, intersex, and gender-diverse people across the full spectrum. You don't need to use particular language about yourself or fit a particular definition to access this work.
Trans & gender-diverse people seeking direct support
People supporting a trans person in their life
Trans people in a clinical care episode
Session-based pricing.
Companionship, high-touch support, and case management are scoped individually — contact to discuss. A limited number of sliding-scale spots are available; if cost is a barrier, reach out.
What people ask before reaching out.
Ready to talk?
Whether you're a trans individual, a family member, or a loved one — reach out. We respond within 3–5 business days. You don't need to have it figured out before you contact us.
RTF also offers structured group programming for treatment programs and organizations. If you're a provider looking to contract group support, see the For Providers page →