Meet Troy

practice approach


My approach to therapy is conversational and forward thinking. 

My therapeutic philosophy.

Every single client I have worked with has wanted to feel more alive and connected.  Frankly, we all want a better life, and most of us are one hard desision away from getting there.  My training as a psychotherapist and experiences as a human, lead me to understand that most problems are relationship problems, and perhaps the hard choices we need to make begin with hard conversations.

Brene Brown’s work around shame has revealed that there is no courage without vulnerability.  So, making hard choices and having tough conversations will always require a risk and some exposure of our fears, weaknesses, and vulnerabilities.  But people who can find the courage to embrace hard choices break barriers, live boldly, and become whole humans.

The work of transforming one’s life, begins with honest reflection on formative experiences, an acceptance of possibility, sorting out core beliefs and values, and finally engaging in choice and practice for an outcome of change.

No matter where or when we are, change is possible.  A richer life is ahead.


I'd rather talk than diagnose.

Research shows us that the most effective element in therapy is the rapport between the client and the therapist.  The days of benevolent listeners and blank slates are fading into the past as clients want to hear a new perspective or have a meaningful exchange about their feelings and experiences.

My role as your therapist will be one of guide, coach, and nurturer.  I will bring contemporary philosophies and evidence-based practices into our sessions in a way that honors where you are now and nudges you toward your potential.

Come prepared to focus as much on the present and future, because when you choose to practice living differently you can have a different life.

I think people can change.

Perhaps you grew up in an environment that tamped down your optimism and served you limiting beliefs about yourself and the world.  Trauma, failures, and heartbreak may have limited your ability to excel or embrace yourself fully.

By constructing a more accurate, compassionate, and hopeful narrative about your life, you can make new choices for yourself, practice new ways of living, and eventually change how you think, feel, relate, and achieve.

You may be cemented in a life you didn’t choose, yet patterns of the past have a way of letting go on their own when we render them useless. As a member of the LGBTQ+ community, I know first-hand the work it takes to climb the mountain of our past to live unapologetically and more fully self-actualized.


I’m a consumer as well as a provider.


My early experiences.

As a young adult, I worked in a psychiatric hospital as a “youth care worker”, providing in-patient care and support for children, adolescents, and their families.  It was there that I found the work of therapists to be an integral part of helping families understand how to adapt to the behavioral health needs of their children.  Unfortunately, there was little intervention or education for the families, so many children would leave our care and return to the exact environment of their original emotional traumas.

The young patients I attended came from wide ranging backgrounds, but each presented some behavior in school or at home that was seen as harmful to themselves or others.  It was common to have patients who had attempted suicide, threatened a peer or family member, or suffered terribly from eating disorders and substance abuse.  

These were extraordinary circumstances for the patients and for me.  At 20 years old, I was just two years senior to the oldest patient.  I learned quickly how to de-escalate a potentially volatile situation and how to rapidly respond in the event of a crisis.  The reward in the work came when the patients would begin to soften their defenses and sit one on one to talk about their pain.  I would never know what life would be like for them after they left the hospital but knowing that for a moment, they felt safe enough to open-up was my first experience as a “therapist.”   



My intro to therapy.

It was during this time that I sought counseling for myself.  I was ungracefully struggling to come out of the closet, to reconcile my faith with my sexuality, and end an unhealthy relationship with my first lover.

My first therapist, Margaret, happened to be a lesbian.  She had been married to a man for many years and raised a gay son.  Her insight into my reality was so close to the truth that she seemed mythical.  

She guided me through the end of the relationship and helped me see that I could be okay as I am.  Several years later I had my second experience in therapy.  Hank was also a mature man in his 50’s, and had a gift for fatherly compassion. I went to see Hank many times over the course of about ten years.  After struggling to complete my college education, I went to Hank and asked him to help.  He seemed perplexed at the proposal, but I told him I needed him to hold me accountable. I told him that when I became a student again, it was because I knew I would graduate.  His role was to make sure that nothing distracted me.  He helped me celebrate my successes as a student, and to accept who I was becoming as a future social worker. 


I learned and practiced.

As an older student, in 2006 I returned to the University of Kentucky to graduate with a BASW (C’08) and advanced standing MSW (C’09) in Social Work.  As a non-traditional student, my experience working in mental health and programs for children gave me a unique perspective on what I was learning and how I was actualizing the knowledge in my life and community.

Upon completing my MSW at the University of Kentucky, my clinical training has included in-patient psychiatric care for adults, community mental health with minority groups, and direct services for LGBTQ+ older adults in Chicago.  My clinical work has been supervised by seasoned and expert Licensed Clinical Social Workers in Tennessee and Illinois. 



Working with people and their communities.

Rooted in advocacy.

While my work now focuses on the mental health needs of members of the LGBTQ+ community and those with diverse perspectives, my work with LGBTQ+ older adults has informed how I work with LGBTQ+ clients across the lifespan.

There are many unique needs facing the LGBTQ+ aging population that require special consideration when working with this population. Many LGBTQ+ seniors live in isolation due to a cultural history of feeling unsafe to disclose their sexual orientation over a lifetime. This increases their dependence on informal networks of social services and decreases their likelihood to access mainstream professional aging services or health care. This isolation leaves many LGBTQ+ seniors at risk for major socio-economic and psychosocial challenges such as poverty, poor health care, growing older alone, and fear of non-LGBTQ+ services.

These sensitive issues for LGBTQ+ seniors are often compounded by a lack of culturally competent service providers. Much of my professional and volunteer work has been devoted to creating awareness and advancing a conversation about the issues facing mature and aging LGBTQ+ people. Special consideration must be given to the inclusion of LGBTQ+ seniors when developing programs to help meet their challenges in aging. 

Utilizing tenants from the Community Participatory model, in the spring of 2013, I created the Senior Pride Initiative, a grassroots coalition of professionals in Lexington, KY concerned about the representation of LGBTQ+ elders in mainstream aging services. The initiative began with direct input from LGBTQ+ seniors requesting education and access to information regarding end of life issues and health care. The goal of the Senior Pride Initiative is to improve the quality of life for lesbian, gay, bisexual, transgender, and queer people by raising awareness of the unique issues and needs they may face in aging. 

This work allowed me to connect with a select group of LGBTQ+ advocates across the country in programs like SAGE, the LGBT Elder Initiative, the National Resource Center on LGBT Aging, and Center on Halsted’s Senior program in Chicago, where I worked directly with LGBTQ+ older adults.

My work has been recognized publicly through receiving the Lexington Fairness “Jennifer Crossen – Out for Fairness Award” in 2012, and a featured story, “Training day: National Resource Center teaches LGBT cultural competence”, in Aging Today September – October 2012 issue.