Zoe Mains

Zoe Mains | Specialist in Neurodivergent Advocacy, LGBTQIA+ Identity, & Liberation-Based Healing

Maryland Insurance: Cigna, UHC, Aetna, BCBS, Kaiser, and Johns Hopkins

Location: In-person (Catonsville Office) and Virtual

Licensed in Maryland and DC

Expertise in Neurodivergent & Gender-Affirming Care

My name is Zoe (she/they), and I am a specialist dedicated to the mental health and liberation of queer, trans, and neurodivergent individuals. My practice is rooted in a deep understanding of the intersectional challenges faced by our community. I am an expert in Neuro-affirming therapy, moving beyond “behavior modification” to celebrate the unique wiring of Autistic and ADHD brains. I provide a space where “masking” can be set aside, and authentic self-expression is the primary goal.

Advanced Support for Identity & Relational Expansiveness

I am a clinical expert in supporting individuals navigating Identity Exploration (race, gender, sexuality, and spirituality) and expansive relationship structures. I provide specialized, non-judgmental care for those within Polyamorous/Non-Monogamous communities and those navigating Kink/BDSM dynamics. I understand the nuances of these lifestyles and the importance of having a therapist who is not only affirming but culturally competent in these spaces.

Expertise in Trauma & Religious Deconstruction

I specialize in the treatment of PTSD and Complex Trauma, with a specific focus on Religious Trauma. I help clients navigate the difficult process of deconstructing harmful spiritual systems while reclaiming their personal agency. My approach is Strength-Based and Trauma-Informed, utilizing a sophisticated blend of:

Dialectical Behavior Therapy (DBT): For emotional regulation and distress tolerance.
Acceptance and Commitment Therapy (ACT): To foster psychological flexibility.
i-CBT for OCD
Mindfulness-Based Cognitive Therapy (MBCT): To ground the mind and body.

Surgical Evaluations & Gender-Affirming Advocacy

As an expert in gender-affirming care, I provide surgical evaluations and support letters for gender-affirming procedures. I am committed to reducing barriers to life-saving care and ensuring my clients feel empowered throughout their medical and social transitions.

Who I Work With

I provide individual therapy for teens (14+) and adults. My office is a place of unconditional acceptance, restorative humor, and creative healing—where crayons are always within reach because art can often heal in ways words cannot.

Primary Specializations

Neurodivergent Advocacy (Autism & ADHD)
LGBTQIA+ & Trans-Affirming Care
Polyamory, Non-Monogamy, & Kink-Aware Therapy
Religious Trauma & Spiritual Deconstruction
PTSD & Complex Trauma Recovery
Surgical Evaluations for Gender-Affirming Care

When I’m Not Working

Tall trees, sunshine, and chai lattes make me really happy. In my free time, I enjoy traveling, creating art of all kinds, and playing fetch with my cat.

Are you ready to build an authentic and fulfilled life? Let’s connect and create a path forward together.

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