Therapy for identity, gender, sex, and relationships.

Clients come to us to work through questions of sexuality, gender, sex, and relationships — and everything that surrounds them. We’re a small team of experienced therapists, in person in Manhattan and online across New York State.

  • Serious, rigorous therapy — rooted in deep attention to the inner life.

What brings people to us.

  • Gay & queer men

    The inner lives of gay and queer men have been a specialty here from the start — relationships, sex, intimacy, loneliness, substance use, self-worth.

  • Trans & gender-expansive people

    Support through questioning, transition, and everything after — for trans and non-binary adults, including dedicated work with trans youth and their families.

  • Couples & relationships

    Partners in every configuration — and the other bonds that shape a life: family, friendship, chosen family.

  • Anyone in a hard stretch

    Depression, anxiety, trauma, grief, feeling stuck. You don’t need an identity-related reason to be here.


How we work

Kip’s clinicians have spent their careers working with gay, queer, and trans communities. The work itself is deliberate and rigorous — attentive to history, to patterns, and to the parts of experience that are hard to put into words. We hold ourselves to a high standard of care.

Our Team

Lillian Bornstein, LMSW

Anna Strzempko, LMSW

James Leary, LCSW

Ryan M. Kull, PhD

Collin Leydon, MHC-LP

Fees, insurance, and getting started.

  • Fees & insurance

    We’re out-of-network with insurance — and that doesn’t have to mean expensive. If your plan includes out-of-network benefits (many do), we can often submit claims on your behalf, reducing your out-of-pocket expenses. We’ll help you check your benefits before you begin.

  • Getting started

    Email info@kiptherapy.com and we’ll take it from there — a conversation first, then a therapist match. Sessions in person in Manhattan or online anywhere in New York State.