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Welcome to Down to Earth Counseling: counseling for teens, young adults, partners, and families, along with workshop facilitation and training.

About Down to Earth Counseling:
Adam Tannenbaum, LCSWA (they/them pronouns) is a counselor and facilitator based in Durham, NC. They have been involved in developing and facilitating dialogues/workshops to process social identities (such as race, class, and gender) for nearly 10 years. In addition to providing professional trainings, Adam offers therapeutic counseling services. Having previously interned at the Duke Child and Adolescent Gender Care Clinic, they are especially interested in working with teens, partners, and families to explore how their identities & experiences affect who they are as individuals and their relationships with other people.
Adam most values building trusting relationships with their clients. They strive to offer a nonjudgemental listening space and believe that clients have the right, and the ability, to make the best decisions for themselves. In general, Adam is process-oriented and often focuses on how different dynamics impact clients’ life experiences.

Counseling Services:
Down to Earth Counseling offers online counseling including, individual counseling (ages 14+), partners/couples counseling (including polyamorous partners), family counseling, and letters of support for gender transitions. Primary focus areas are exploring identities (for example race, gender, sexuality, etc), developing healthy relationships, processing trauma, improving communication, understanding family dynamics, resolving conflict, navigating life changes/everyday stressors, and obsessive-compulsive disorder (OCD).

Counseling Service Cost:
My standard rate for counseling is $150 per hour and $180 for initial intakes. For letters of support for gender transition, I offer sessions at a rate of $1-$180 for a 90 minute session. At this time, I am in network with Aetna and Blue Cross Blue Shield PPO, Indemnity, Blue Care HMO, and State Health Plans. I am out of network with ACA marketplace plans, such as Blue Value, and all other insurance plans. If I am out of network for your plan, your insurance company may reimburse you for the partial cost of a session, depending on your out of network benefits. I can provide you with billing information you need to receive reimbursement but please contact your insurance provider to confirm your benefits and for more information.

How To Get Started with Counseling:
First email [email protected] to request access to Client Portal and intake forms. Then complete the appropriate intake forms, including signing the HIPAA Notice of Privacy Practices, and (if applicable) Good Faith Estimate. Alternatively, we can complete them over the phone. Please contact me at [email protected] or 919-443-5018 for these alternate options. After the intake forms are complete, I will reach out to schedule a free 30 minute phonecall to answer questions, confirm logistics/expectations, and (if needed) clarify information from intake forms. If we are already completing the intake by phone, then we will likely discuss these things during the intake phonecall. After we have confirmed logistics/expectations, we will schedule our first appointment together. Note that if we complete forms by phone, I will likely need a signed document or other legal notice from you to confirm that we have completed those forms verbally. 

Workshop Facilitation and Training:
Having trained in a variety of models—including Theater of the Oppressed, Healing and Rebuilding Our Communities (HROC), Critical Conversations, and Intergroup Relations—Adam offers extensive experience developing and facilitating interactive workshops on numerous topics. Recent workshops have included co-facilitating a “train the trainers” workshop series to prepare community health workers to facilitate transgender inclusion trainings to community organizations, training emergency department nurses on working with transgender and nonbinary patients, co-facilitating “Relationships Matter: Determining the Needs of Your Transgender and Nonbinary Patients” at the Gender Spectrum Professionals’ Symposium, and co-facilitating “How Whiteness Shows Up In Clinical Practice” for a multidisciplinary consultation group. Rates range from $75-$200 per hour depending on the nature of the request. If interested in developing a workshop for your organization, please contact Adam at [email protected]

Contact Information:
Email [email protected] or call or text 919-443-5018. Down to Earth Counseling is based in Durham, North Carolina. 

Crisis Resources:
For THRIVE Crisis Line Text “THRIVE” to +1-313-662-8209. For BlackLine (“Crisis support with a Black, LGBTQ+, and Black Femme lens”) call or text 1-800-604-5841.
For The Trevor Project text START to 678678, call 1-866-488-7386, or chat at https://www.thetrevorproject.org/get-help-now/.  For Love is Respect (relationship help for people ages 13-26) text ‘LOVEIS’ to 1.866.331.9474, call 1-866-331-9474 or 800.787.3224 (TTY), or chat at https://www.loveisrespect.org/get-help/#. For Trans Lifeline call 877-564-8860. For Alliance Health Mobile Crisis Response for Durham, Wake, Cumberland, and Johnston counties call 1-800-510-9132. For RI Crisis Recovery Response Center (RRC), an alternative to Emergency Department for non-medical crises, go to 309 Crutchfield Street, Durham, NC 27704 or call 919-560-7305.

Below are hyperlinks to crisis resource PDFs:
PDF of Additional Crisis Resources
PDF of Non-carceral Resource List