Gender-Affirming & Neurodiversity-Affirming Online Therapy in Massachusetts
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 Massachusetts. 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!
Whether you’re looking for gender therapy, ADHD 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. 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 two decades of experience in the mental health field, I bring depth, perspective, and a steady presence to our work together.
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 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 Therapy
Navigating life as a neurodivergent person can be exhausting in a world built for neurotypical brains. You might struggle with focus, organization, time management, emotional regulation, or sensory and social overwhelm. Maybe you’ve been misunderstood, labeled “lazy” or “too sensitive,” or felt pressured to mask your true self just to get by.
I provide neurodiversity-affirming counseling for ADHD, autistic clients, and other neurodivergent teens and adults. Together, we’ll build practical strategies, strengthen self-compassion, and create systems that support your strengths rather than work against them. Therapy can be a space where your brain is understood, your experiences are validated, and your way of being is honored.
Neurodivergence isn’t a flaw — it’s a different way of processing and experiencing the world, and counseling can help you thrive in it.
Frequently Asked Questions
Where can you provide online therapy?
I provide virtual therapy to clients anywhere in the state of Massachusetts.
Do you work with teens and adults?
Yes. I work with teens, young adults, and adults.
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
“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-5pm
Insurances/Payment
In-network with Aetna and United
Out-of-network benefits accepted
Self-pay: $175 per session