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Consultation for Community Members

A grounded, collaborative space for clarity, identity exploration, care navigation, and access — for individuals, children, and families of all kinds.

case consult

Sometimes you reach a point where you need a pause — a place to think things through, get grounded, and understand what’s really happening beneath the surface. Consultation creates that space. It’s a collaborative process that helps individuals, children, and families explore questions, make meaning, and identify what supports are truly needed.

Whether you’re clarifying a diagnosis, navigating trauma and neurodivergence, preparing for a child to join your family, or trying to untangle a complex care landscape, consultation offers thoughtful, affirming guidance tailored to your specific circumstances.

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Who It's For

Community Consultation is designed for:​

  • Individuals seeking clarity around a diagnosis, exploring self-diagnosis, or trying to understand whether their experiences reflect neurodivergence, trauma, sensory needs, or a mix of factors.

  • Parents and caregivers wanting support in understanding a child’s behavior, needs, history, or diagnoses — including preparation for a child joining the home, or guidance in explaining trauma or neurodivergence to siblings.

  • Children and adolescents who may benefit from developmentally attuned support in making sense of identity, behavior, emotions, or confusing experiences at home, school, or in care.

  • Families navigating complex systems such as healthcare, education, foster care, and behavioral health, and wanting help making their needs legible to providers and decision-makers.

  • People considering next steps — whether pursuing formal evaluation, exploring identity, recalibrating a care team, or deciding how to move forward when recommendations feel overwhelming or contradictory.

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I specialize in working with:​

  • Queer and trans individuals and families

  • Neurodivergent clients, including autistic and ADHD youth and adults

  • Families formed through foster care, adoption, or "non-traditional" pathways

  • Situations involving trauma history, complex presentations, or identity exploration

  • Family members, including children and siblings, who benefit from developmentally mindful support

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What Consultation Can Help With

Consultation is ideal when you’re trying to make sense of something important, such as:

Clarifying a diagnosis — whether recently received, long-held, or identified through self-reflection or community spaces. Together we explore what aligns, what feels incomplete, and what further assessment (if any) might be helpful.

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Supporting self-diagnosis — especially when social media or mixed messages have left you unsure what truly fits. My role is to bring clinical grounding without dismissing lived experience.

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Understanding children’s needs — including trauma-related behaviors, sensory patterns, developmental differences, or reactions tied to prior relationships, transitions, or uncertainty.

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Exploring identity — including autistic, ADHD, queer, trans, and intersectional identities, and how they shape communication, regulation, relationships, and daily life.

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Navigating care and services — when therapy feels stuck, recommendations don’t match the reality of daily life, or your care team feels too full, too sparse, or out of sync with your needs.

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Supporting siblings and family dynamics — offering developmentally appropriate language to help children make sense of each other’s differences and experiences.

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Preparing for transitions — such as a child joining the family, moving between placements, beginning services, or stepping into new educational or treatment environments.

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Determining next steps — whether to pursue formal diagnosis, adjust services, advocate with providers, or re-organize care in a way that reduces overwhelm and increases alignment.

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What Consultation Looks Like

Each consultation is tailored to your goals. It may involve:

A single session to review an evaluation, make sense of a diagnosis, or get grounded in what you’re noticing.

A short series of meetings to clarify needs, prepare for conversations with care teams, support children or siblings, or recalibrate services and supports.

Focused collaboration to help you understand patterns, make informed decisions, or identify modalities and next steps that fit your values, identity, and daily life.

I work with adults, children, and families, weaving trauma-informed, neuro-affirming, and developmentally aware perspectives throughout. My role is to listen deeply, reflect what matters, and help you name what’s needed — practically, emotionally, and relationally. Together, we clarify strengths, identify options, and develop language that supports your goals.

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Letter and Access-Based Consultations

If you're seeking brief, targeted support — such as documentation for housing, school, affirming medical care, or emotional support animals — I offer short-term consultation packages (typically 1–3 sessions).
These meetings focus on clarity, alignment, and completing what’s needed with care and clinical integrity.

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I provide letters for:

  • Gender-affirming medical care

  • Emotional Support Animals (ESAs)

  • other forms of documentation that help you access care, stability, or support

My goal is to increase access, not reinforce gatekeeping. Documentation is always rooted in thoughtful assessment and a collaborative understanding of your lived experience.

 

Fees and Insurance

All consultation services are private pay.
I can provide superbills for you to submit to your insurance company; however, because consultation is not ongoing therapy or treatment, many services may not be reimbursable.


Exceptions may be possible when consultation shifts into a clinically indicated diagnostic process and we mutually determine that it fits the scope, need, and capacity of care.

 

Getting Started

If you're feeling stuck, overwhelmed, or simply want a clearer understanding of what’s going on, I’m here to help you sort through the noise. Consultation can be a single meeting or a short-term series, depending on your needs.

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You don’t have to navigate this alone — we can make sense of it together.

Pricing

Individual Consultation is priced differently depending on whether we are meeting only a few times to tackle a specific case, or meeting on an on-going weekly basis for support in a myriad of areas. If you aren’t quite sure which one is for you, feel free to get in touch and we can sort out what will best meet your needs.

 

For ongoing weekly consultation, the rate is $115 per hour. If you're seeking short-term support—up to three meetings focused on the same topic or case—the rate is $150 per hour. This structure reflects the difference in preparation, focus, and scope between brief consultations and ongoing work.

Kaleidoscopes Consulting

As a clinician licensed in Massachusetts, I honor the Indigenous peoples of this land—past, present, and future—including the Massachusett, Naumkeag, Wampanoag, Pawtucket, Agawam, Nipmuc, Nonotuck, Mohican, and Pocumtuc peoples, as well as those whose names and cultures have been erased through colonization. Words alone cannot repair ongoing harm; justice is pursued through land reclamation, reparations, policy change, and sustained action.

© 2025 by Sage Orville and Morganne Crouser

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