Specialized Online Therapy in Massachusetts for Trans, Non-Binary & ADHD Teens and Adults
I’m Ilana Marram, LMHC (she/her), a licensed therapist with over two decades of experience in the mental health field. I offer specialized online therapy that is gender-affirming, neurodiversity-affirming, and ethical non-monogamy (ENM)/polyamory-affirming for teens and adults throughout Massachusetts.
Whether you’re navigating ADHD, exploring your gender identity, or coping with stress and burnout, I provide a compassionate, affirming space where your unique experience guides our work together.
Have you been feeling stressed, anxious, or depressed? Feeling unfocused, unsure how to manage ADHD, or disconnected from others and overwhelmed? Maybe you’ve been questioning your gender identity, and feeling like you don’t know who you can even talk to about this. Perhaps you’re looking to learn some healthier coping skills, reduce compulsive behaviors, and finally start feeling able to say “no” to people and mean it!
Whether you’re looking for ADHD therapy, gender therapy, therapy for anxiety and/or depression, I prioritize each individual’s unique experience.
Gender identity and neurodiversity are integral aspects of who you are, and I approach each session with respect, sensitivity, and a commitment to inclusivity.
I provide secure online therapy to clients across Massachusetts including Boston, Cambridge, Somerville, Worcester, Springfield, the North Shore, South Shore, and Western MA.
My goal is to offer a supportive space where you can explore your authentic self, whether you are navigating gender-related challenges, seeking tailored support for neurodivergence, or any other need.
I believe in creating an environment that celebrates diversity and fosters empowerment, ensuring that your journey towards self-acceptance and well-being is met with compassion, understanding, and guidance.
Gender-Affirming Therapy in Massachusetts
Questioning or exploring your gender identity can bring up confusion, fear, relief, excitement — sometimes all at once. You may be wondering who you can safely talk to. You may feel unsure how to navigate relationships, family dynamics, or next steps.
I provide gender-affirming therapy in Massachusetts for teens and adults who are exploring their identity, navigating transitions, or simply wanting a space where they do not have to explain themselves.
Our sessions center your lived experience. Together, we create a space where your identity is respected, affirmed, and supported without judgment.
Ethical Non-Monogamy / Polyamory Support
I provide support for clients exploring ethical non-monogamy (ENM) or polyamorous relationships, offering guidance on:
Communication and boundary-setting
Navigating jealousy or relational challenges
Balancing multiple relationships in a healthy, sustainable way
Sessions are inclusive, non-judgmental, and affirming, integrated into your broader therapy goals.
Therapy for Anxiety & Depression
If you’ve been feeling stressed, anxious, low, or disconnected from others, you’re not alone. Anxiety and depression can impact sleep, motivation, relationships, and self-esteem.
In therapy, we’ll work on:
Reducing overwhelming thoughts
Building healthier coping skills
Setting boundaries and saying “no”
Managing compulsive behaviors
Strengthening emotional regulation
My approach is collaborative, compassionate, and practical. Therapy should feel supportive- not clinical or cold.
Neurodiversity-Affirming/ADHD Therapy
Living with ADHD can feel exhausting. You might struggle with focus, organization, time management, emotional regulation, or follow-through. Maybe you’ve been called “lazy” or “unmotivated” when in reality you’ve been working twice as hard just to keep up!
In our work together, we’ll explore practical strategies for managing ADHD symptoms while honoring your neurodivergent strengths. I provide ADHD therapy for teens and adults that combines skill-building, self-compassion, and realistic systems that actually work in your daily life.
ADHD is not a character flaw. It’s a different way of processing the world — and therapy can help you build tools that support your brain rather than fight against it.
Frequently Asked Questions
Do you provide online therapy throughout Massachusetts?
Yes. As a licensed LMHC in Massachusetts, I provide virtual therapy to clients anywhere in the state.
Do you work with teens and adults?
Yes. I work with both teens and adults navigating ADHD, gender identity exploration, anxiety, and depression.
Is online therapy effective?
Research shows that online therapy can be just as effective as in-person therapy for many concerns, including anxiety, depression, and ADHD.
How do I get started?
Reach out to schedule a free 15-minute phone consultation. We’ll discuss your goals and determine if we’re a good fit.
Want to know more? Here are more Frequently Asked Questions
“The curious paradox is that when I accept myself just as I am, then I can change.”
-Carl Rogers
Appointment hours:
Monday-Thursday
10:30am-4:45pm
Insurances/Payment
Aetna, United, and Out Of Network services for all other insurances. Self-pay $175