Online Therapist for Massachusetts and Vermont
Hello, I’m Ilana Marram LMHC (she/her), a licensed neurodivergent therapist providing specialized online therapy to teens and adults across Massachusetts and Vermont.
My practice centers gender-affirming, neurodiversity-affirming, and ethical non-monogamy/polyamory-affirming care. I work with trans and non-binary individuals, neurodivergent clients navigating ADHD and autism, and their allies.
Maybe you're battling negative thoughts, finding it hard to focus, or feeling like no one really understands what you're going through. Perhaps you’re struggling with your identity, and whether to make the changes you desire.
These struggles can leave you feeling isolated and frustrated. I’m here to offer support, compassion, and strategies to help you find your way to your most authentic self. I help with anxiety, depression, identity exploration, burnout, and many other struggles.
Schedule a Free 15-Minute Consultation to Explore if We’re a Good Fit
My Values & Approach
I believe therapy should be:
Affirming: Your identity, neurotype, and relationship structure are respected — not pathologized.
Collaborative: We work together to create strategies that fit your life and strengths.
Practical: Therapy addresses real-life challenges, from executive functioning to relationships and self-care.
Compassionate: Healing starts with understanding yourself and reducing shame—not “fixing” who you are.
As a neurodivergent therapist myself, as well as strong personal life connections with the trans community, I bring lived experience, deeper understanding, and clinical expertise to every session. This combination allows me to understand the daily realities of masking, burnout, and navigating a world not designed for neurodivergent or gender-diverse people, helping me to create a safe, affirming space for clients.
I also remain mindful of how my other identities — including being a white, cisgender woman living with chronic pain and identifying as secular Jewish — shape my perspective. Ongoing reflection and consultation are essential parts of my ethical practice.
Who I Work With
I provide online therapy for teens and adults, including those who:
Struggle with anxiety, depression, or burnout
Seek support exploring gender identity, sexuality, or polyamorous relationships
Need support managing ADHD or autism-related stress and executive functioning challenges
Want practical strategies for work, school, relationships, and daily life
To see a more full list of what I can help support you with, click on my Individual Therapy page.
Online therapy allows you to access specialized affirming support anywhere in Massachusetts, including Boston, Cambridge, Somerville, Worcester, Springfield, and beyond. I also provide online therapy to all of Vermont, including Burlington, Montpelier, Rutland, and surrounding areas.
My Professional Background
I bring over 20 years of experience in the mental health field to my work with teens and adults. Throughout my career, I have held Senior Clinician and Lead Clinician roles in agency settings, supporting both clients and fellow clinicians while developing a deep understanding of complex mental health needs.
My clinical work is informed by advanced, ongoing training in affirming mental health care. I specialize in:
Gender-affirming therapy for trans, non-binary, and questioning clients, including guidance and support throughout medical transition
Neurodiversity-affirming therapy for teens and adults, particularly those navigating ADHD and identity development
Ethical Non-monogamy/Polyamory-affirming therapy for individuals
Long-term therapeutic work with adolescents and young adults
I intentionally seek consultation, research, and collaboration with those who have lived experience to ensure that my work remains responsive, ethical, and grounded in the marginalized communities I serve.
My approach blends extensive clinical experience with compassion and lived understanding, creating a therapy space that is structured, collaborative, and deeply affirming.
Education:
Licensed Mental Health Counselor (LMHC), Massachusetts License #11436
Licensed Clinical Mental Health Counselor (LCMHC), Vermont License #068.0135900TELE
Master of Education in Mental Health Counseling- Cambridge College
Bachelor of Arts in Psychology, Minor in Sociology- Curry College