What ClearMinds offers, where, for whom, and at what fee — stated plainly. If your question is not here, the contact page is the fastest way to an honest answer.
ClearMinds offers four distinct pathways: leadership and organizational advisory for founders, executives, and teams; private-pay telehealth psychotherapy and Gottman-informed couples therapy for adults physically located in Georgia or New York; non-clinical personal coaching; and gender-affirming care evaluations and letters for adults. ClearMinds Studio also publishes journals and tools for reflection and intentional growth. Therapy, coaching, advisory, and Studio products are separate services kept distinct on purpose.
Dr. Thomas A. Vance, PhD, LPC, LMHC, is a licensed psychotherapist, leadership advisor, and PhD-trained counseling psychology scholar. He is a Licensed Professional Counselor in Georgia and a Licensed Mental Health Counselor in New York, completed a Clinical and Research Postdoctoral Fellowship in LGBT Health at Columbia University Irving Medical Center, serves as Part-Time Faculty at The New School, and is co-editor of Sexual Racism and Social Justice (Oxford University Press, 2024). He is the founder of ClearMinds, The Clarity Company, based in Atlanta.
Therapy is clinical care: diagnosis and treatment for concerns like anxiety, depression, grief, and relational patterns, available to adults located in Georgia or New York. Coaching is non-clinical: a structured, GROW-informed thinking partnership around goals, decisions, and accountability, with no diagnosis, no treatment, and no mental-health assessment. If clinical needs emerge during coaching, ClearMinds will recommend therapy or another appropriate referral. Not sure which fits? Say so in your inquiry — the consultation will sort it honestly.
ClearMinds Advisory is psychology-informed leadership and organizational advisory for founders, executives, and mission-driven teams navigating growth, culture, change, and human-centered AI adoption. Engagements range from a focused Leadership Clarity Intensive to diagnostics, 8-to-12-week strategic projects, ongoing partnerships, custom facilitation, and team coaching. Advisory is not psychotherapy and does not involve diagnosis or treatment. Every engagement is scoped and priced in a written proposal after a short, no-pressure conversation.
Individual intake and therapy sessions are $200 for 50 minutes. Couples sessions are $250 for 60 minutes. Coaching is $200 for 50 minutes and is non-clinical. A gender-affirming care evaluation with one letter is a $300 flat fee. Every new client relationship starts with a complimentary 15-minute consultation.
ClearMinds is private pay and does not bill insurance directly. For psychotherapy, superbills are available on request, which you can submit to your insurer for possible out-of-network reimbursement. Coaching is not clinical care, is not billed to insurance, and no superbill is provided.
Psychotherapy is available via telehealth only, to adults physically located in Georgia or New York at the time of session. This is a licensing requirement, not a preference. Sessions are held by secure video through SimplePractice. ClearMinds does not see minors.
ClearMinds provides WPATH SOC-8-informed evaluations for adults located in Georgia or New York: hormone-related support letters, surgical readiness or referral letters, legal name or gender-marker letters, and comprehensive psychosocial evaluations when clinically appropriate. The standard evaluation plus one letter is a $300 flat fee, including requirement review, one authorized transmission, and one reasonable revision within 30 days. Letters are typically delivered within 7 to 10 business days after the evaluation and all required information are complete. Ongoing therapy is not routinely required. A letter is not guaranteed before the evaluation is complete.
Start with the contact page and choose the pathway that fits: advisory, individual therapy, couples therapy, coaching, gender-affirming care evaluation, speaking, or Studio. Clinical services begin with a complimentary 15-minute consultation to confirm fit before any intake.
The journal ($24.99) is available online from The Village Retail and shipped anywhere, and is stocked in person at The Village Retail at Ponce City Market in Atlanta and at Hartsfield-Jackson Atlanta International Airport. It is a 7-week guided writing-prompt journal by Thomas A. Vance, PhD. Studio products are tools for reflection and are not therapy or a substitute for mental-health care.
Use the contact page and select Speaking / Media, or Advisory for organizational work. Dr. Vance delivers keynotes, leadership facilitation, and custom training rooted in psychological safety, emotional intelligence, cultural grounding, and values-aligned action.
No. ClearMinds does not provide emergency, crisis-response, after-hours, or on-call services. If you are in immediate danger or need urgent support, call 911, call or text 988, or go to the nearest emergency department.