Our commitment to providing you support in response to the COVID-19 virus:
We are providing 100% tele-therapy now in our efforts to keep clients safe during this period of social isolating.  We are continuing to provide therapy, letters for gender-confirming medical and surgical care, referrals and wellness checkins for existing clients.  

Shape your

own vision

Psychotherapy Services:


Transgender mental health.  Providing individual, family and group therapy in the following areas of special focus:


  • Gender Diversity

  • Autism / Neurodiversity

  • Sexuality 

  • Trauma

  • Assessment, Screening, Treatment and Referral

  • Letters for gender-affirming hormone AND surgical treatments.

  • Consulting and Training

  • Self-help and Self-care


Falls Church Counseling

900 S. Washington St., Suite 113

Falls Church, VA 22046


[Administrative office location only.  Providing virtual video tele therapy only during current pandemic.]



Start your journey to healing with a free 15-minute phone consultation.

John Thomas, MA

Resident in Counseling

I am a therapist in Falls Church, VA, having worked in mental health since 1993.  My primary focus is transgender mental health.


Specifically, my work centers around the intersectionality of gender diverse and autistic/neurodiverse (A/ND-GD) children, youths and adults, including sexuality and trauma.


I provide individual, family and group therapy and also work with couples with an LGBTQ partner(s) to help explore and support loved ones as they navigate the emotions and logistics surrounding families in transition.  I actively listen to the narratives and perspectives that each family member has, and work diligently to help bridge common goals and treatment planning to reduce anxiety through psychoeducation, evidenced-based practices, the latest research surrounding gender identity, and helping to answer questions about this challenging and rapidly evolving field.

We provide thorough psychological evaluations and assessments for transgender and gender-expansive clients seeking gender-confirming medical and surgical care.  We work closely with local, national and international medical providers to provide supporting documentation utilizing the Standards of Care, Version 7 from WPATH, informed consent models, and other requirements that the client's chosen provider requires to support their clients in transition.

I am highly collaborative and provide an interdisciplinary team approach through established local and national providers who specialize in LGBTQ-affirming general medical care, endocrinology, psychiatric care, and legal services.  I routinely reach out to our local network of LGBTQ-competent therapists and social workers to assist clients in locating the best possible care that meets their individual needs.


I periodically host youth and parent networking groups to connect families with local area support services, and I invite guest speakers and other local experts to provide workshops focusing on education, school and workplace issues, networking and advocacy, and partner with local professionals who provide services such as voice coaching/training, hair removal, binder exchange, and other services related to the needs clients may have.



  • Co-author of peer-reviewed study on gender incongruence and co-occurring autism and neurodiversity for Journal of Clinical Child & Adolescent Psychology. (2020)​

  • Community Collaborator/Researcher: Peer-reviewed study for Autistic/Neuro Diverse-Gender Diverse (A/ND-GD) Adolescents. Children’s National Hospital. Publication: Spring/Summer 2019.




  • Post-graduate training in the areas of gender, sexuality and child psychology, (ongoing).

  • Training Institute for Gender Relationships identity & Sexuality TIGRIS under Arlene Lev, LCSW-R, CASAC, Albany, NY, since 2015.

  • WPATH Global Education Initiative training (2020). 





  • Crisis Counselor: The Trevor Project, from 2015-2016.  

  • Provide support and meeting space to area LGBTQ youth and family organizations for meetings, workshops, presentations, and peer-support.


Supervising therapist:


Victoria Holroyd, PHD, LPC, NCC, ACS

License #0701005563


I approach my work from these beliefs:


All of life’s pain is born of loss–not just death, but a metaphorical death. The loss of love, loved ones, friendship, marriage, job, health, confidence, self-esteem, hope, life as we once knew it.


Therapy should be active and solution-focused, with a definite ending.


Healing begins with someone who will truly listen.

Sustainable, positive change takes time. It is oh-so-subtle and happens over time. 




  • AMHCA Board Diplomate in Family and Couples Therapy

  • AMHCA Board Diplomate Trauma & Crisis Counseling

  • Emotionally Focused Therapist

  • Heart Centered Hypnotherapist

  • Family Constellation Facilitator

  • Prepare-Enrich Certified Facilitator

  • Certified Trauma Treatment Specialist


Additional Training:


  • EMDR Advanced Skills at the Parnell Institute

  • Gottman Method Couple Therapy Levels I & II

  • Nationally Certified Counselor licensed in New York, Florida, and Virginia

  • Certified School Counselor specialized in special education, play therapy, and childhood trauma

  • Family Therapist with experience in residential treatment, crisis centers, and psychiatric hospitals, and expertise in attachment-based trauma, families in crisis, and couples therapy.

  • Private Practitioner since 1998

  • Clinical Professor on the faculty of the State University of New York at Buffalo in the Department of Counseling, School and Educational Psychology for 11 years before moving to Virginia.

  • Provided training and consultation to agencies serving abused, neglected, and traumatized children and families, including foster parent organizations, CASA (Court Appointed Special Advocate), Child Protection workers, family courts, and schools. 

  • Elected Professional and Board Positions on local, state, and national professional counseling associations. Including Past President of the North Atlantic Region Association of  Counselor Education and Supervision and Executive Committee member for the Association of Counseling Education Supervision. 

  • Proven expertise in extreme mood and personality disorders that arise from complex trauma and abuse.

  • Extensive experience as a New York Supreme Court Family Mediator, Divorce Coach, Parent Coordinator. Served as expert witness in both criminal and family court.

  • Presented regionally and nationally as well as being a frequent presenter at conferences, workshops, and trainings on topics such as child trauma, blended families, personal empowerment, high conflict divorce, traumatic effects of divorce and separation on children, LGBTQ Couples Therapy, and effective therapeutic interventions.

  • Conducted research on the incidence of PTSD in children from high conflict divorce families.

  • Recognized Relationship and Mental Health Expert invited to speak at national and local conferences, on local news and radio and to give talks and lead discussions at universities, companies and wellness retreats.




  • AASECT – American Association of Sexuality Educators, Counselors and Therapists

  • ACA – American Counseling Association

  • AMHCA – American Mental Health Counseling Association

  • ATSS – Association of Traumatic Stress Specialists

  • EMDRIA – Eye Movement Desensitization & Reprocessing International Association

  • ICEEFT – International Center for Excellence in Emotionally Focused Therapy 

© 2014-2020 Falls Church Counseling