Gender-Affirming & Neurodiversity-Affirming Online Therapist in Massachusetts and Vermont
I’m Ilana Marram, LMHC (she/her), a licensed therapist with over two decades of experience in the mental health field. I provide specialized online therapy for trans, non-binary, questioning teens and adults — as well as their allies — throughout all of Massachusetts and Vermont.
My work is grounded in gender-affirming, neurodiversity-affirming, and ethical non-monogamy (ENM)/polyamory-affirming care.
Have you been feeling anxious, depressed, stressed and burned out? Feeling unfocused, unsure how to manage ADHD, or disconnected from others and overwhelmed? Maybe you’ve been quietly questioning your gender identity for years and aren’t sure who feels safe enough to tell. 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!
Feeling overwhelmed?
Why Therapy
Life can feel overwhelming at times — juggling work, relationships, identity, and personal growth all at once. You might feel like you’re doing everything “right” but still struggling to feel seen, understood, or confident. You don’t have to navigate this alone.
I offer a compassionate, affirming space online where your experiences are met with respect, understanding, and practical guidance.
Whether you’re looking for gender therapy, ADHD therapy, therapy for anxiety and/or depression, I prioritize each individual’s unique experience. My goal is to offer a supportive space where you can explore your authentic self.
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.
With over 20 years of experience in the mental health field, I bring understanding, perspective, and experience to our work together.
I provide secure online therapy to clients across Massachusetts and Vermont, helping people from urban centers like Boston and Burlington to smaller communities throughout both states.
Specialized Therapy Services
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.
Gender-Affirming
Therapy
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 for teens and adults who are
Exploring their identity
Navigating transitions
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.
Neurodiversity-Affirming Therapy
Living as a neurodivergent person can be exhausting in a world built for neurotypical brains. You might struggle with focus, organization, time management, emotional regulation, sensory overwhelm, feeling misunderstood leading to masking your true self.
Together, we’ll:
Build practical strategies that work for you
Strengthen self-compassion
Create systems that support your strengths
Neurodivergence isn’t a flaw — it’s a different way of experiencing the world. Therapy can be a space where your brain is understood, your experiences are validated, and your way of being is honored.
Ethical Non-Monogamy / Polyamory-Affirming Therapy
I provide support for clients exploring or in 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
Simply wanting a therapist who understands and does not push monogamy
Sessions are inclusive, non-judgmental, and affirming, integrated into your broader therapy goals.
Frequently Asked Questions
Where can you provide online therapy?
I provide virtual therapy to clients throughout Massachusetts and Vermont.Who do you work with?
I provide individual therapy to teens, young adults, and adults. I do not currently provide couples counseling at this time.Is online therapy effective?
Research shows that online therapy can be just as effective as in-person therapy for many concerns.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
Insurances, Payment, and Appointment Hours
In-network with Aetna and United (MA residents only)
Out-of-network benefits accepted
Self-pay: $175 per session
Appointment Hours: Monday–Thursday, 10:30am–5:00pm
You don’t have to navigate this alone. Schedule a free 15-minute consultation and let’s talk about what support could look like for you.
“The curious paradox is that when I accept myself just as I am, then I can change.”
-Carl Rogers