Thank you so much for your interest in working with one of our counselors at Queer Asterisk. We are so excited to get to know you better! This confidential screening form will help us understand what you’re going through, the services you are looking for, and help us match you with a counselor that can best meet your needs.
We know some of these questions might be sensitive in nature. In order to best serve you and meet your needs, we have determined that these questions are necessary in connecting you to the best services. You can decline to answer any questions and wait to discuss these concerns with a counselor. All information on this form will also be shared with the counselor that you get initial matched with.
Please be aware that the counselor reviewing this form is a mandatory reporter. As such, they are required to report: immediate danger to your own life and/or others; any current child and/or elder abuse, neglect, and harm; any past child abuse where the abuser is still in a position of trust with children today; if you are under the age of 18, we need to report any current suicidal ideation to your parents/guardians/caregivers. Thanks so much for taking the time to fill out this form.
IMPORTANT: If you are seeking therapy for a minor (under 17 years old), please make sure to have them fill out the screening form, or have them present while you fill it out on their behalf. For paperwork signature purposes, we require a personal email address for any minors 12-17 years old, in addition to the emails of any legal guardians involved. If you are seeking couples or relational counseling, please have the party who is the primary insurance holder fill out the screening form.
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Rafi Daugherty
Counselor
he/him
My name is Rafi and I am a middle-aged, queer, Jewish, transguy and a parent. I am a Licensed Professional Counselor and a graduate of the University of Colorado, Denver. I also have a masters degree in Crisis and Trauma Studies from the University of Tel Aviv, Israel. Originally trained as a couples and family therapist, I tend to view even individuals as a part of a system and understand that people need to be seen as the whole of who they are and where they come from. I enjoy working with individuals of all ages who are at any stage in the process of acknowledging, accepting, and living in their identities. I utilize relevant treatments from multiple theories but lean strongly into attachment theory and internal family systems theory. Being transparent with clients is an important aspect of the therapeutic relationship to me, I do my utmost to be honest and to be aware of how our differences or similarities might be impacting our work together.
RP Whitmore-Bard
Program Director
he/they
RP Whitmore-Bard (Program Director) is a queer/trans psychoanalytic psychotherapist and group facilitator. RP earned their Master’s degree in Contemplative Psychotherapy & Buddhist Psychology at Naropa University, and has been involved at Queer Asterisk since its founding in 2016. RP is passionate about creating supportive environments for people to connect authentically with themselves and others. They have worked as a direct care provider with many social services agencies, including Jewish Family Services, Safe Passage Domestic Violence Services, Eating Recovery Center, and Denver County Human Services. As a grandchild of Holocaust survivors, and a person in recovery, RP believes that being in touch with legacies of personal and ancestral suffering is a powerful tool for waking up to the transformative healing potential of every moment. RP grew up in New York City, Southern California and Chicago, and loves listening to music, dancing, and spending time in nature.
Chris Aguilar Garcia
Operations Director
they/them
Chris (Maddy) Aguilar Garcia is a Queer Chicanx writer and editor with an extensive career in community minded organizations and national LGBTQ nonprofit organizations. They hold a BA from Antioch University Los Angeles in Liberal Studies with a minor in Queer Studies. As Director of Operations, Chris oversees the day-to-day operations of QA, including human resources, facilities, grant management, and fund development. Outside of QA, Chris is a noted scholar of Prince, currently writing a book on the Queerness of Prince, and also serves on the board of The W. They are interested in intersectional identities and BIPOC representation, and obsessed with Frida Kahlo, Madonna, and Almodovar.
Brett Adamek (Freeda Be)
Creative Director
all pronouns
Brett Adamek (Freeda Be), MA, LPC is a queer/non-binary transpersonal somatic counselor and embodiment mentor. Freeda received a Master’s in Transpersonal Counseling Psychology from Naropa University and is a co-founder of Queer Asterisk. Freeda supports clients in finding freedom, empowerment and authentic self-expression through increased present-moment awareness of the body and mind. He is passionate about supporting clients of diverse identities and life experiences in discovering liberation in the midst of difficult life circumstances, not in spite of them. As an Asian-American adoptee, Freeda uses his own personal journey of otherness and belonging to support clients in finding home wherever they are.
Sorin Thomas
Founding & Executive Director
xe/xyr/xem
Sorin L. Thomas, MA, LPC, LAC, CGP, Founding and Executive Director of Queer Asterisk Therapeutic Services, is a queer and transgender Licensed Professional Counselor, Licensed Addictions Counselor, and Certified Group Psychotherapist with over a decade of professional experience in the field of psychology serving queer and transgender individuals and their families. Sorin has a Masters in Somatic Counseling Psychology from Naropa University and post-graduate experience in wilderness therapy, addiction recovery, adolescent and adult residential treatment, community based services, emergency psychiatric services, and hospital settings. In addition to offering queer-affirming counseling and clinical supervision, Sorin offers consultation and diversity, equity, and inclusivity trainings through a queer lens to mental health organizations, addiction recovery centers, social service agencies, hospitals, and schools.